A company's [blank] lists specific behaviors and efforts expected of employees.
b. code of ethics
A code of ethics helps [blank].
d. all of the above (patients or consumers relax/employees of a company know what is expected from them/patients know that they are dealing with a credible business)
If you see a very unusual, interesting medical file during the course of your duties, you should [blank].
a. treat it as confidential
It's important that all the policies and procedures that relate to confidentiality and release of all patient medical records are [blank] and available for reference.
a. written down
Always have a(n) [blank] release form on file before sending any patient records via email.
c. original
Which of the following would be considered fraud?
d. A receptionist alters a patient's file by changing the date of treatment so insurance will cover the visit.
Which of the following statements about fraud is true?
a. Fraud is a crime.
Damages awarded to the plaintiff to punish the defendant's actions are called [blank] damages.
b. punitive
The [blank] act, which was signed into law in 1863 by Abraham Lincoln, is the basis for prosecution of healthcare fraud and abuse claims.
a. Federal False Claims
Medical liability insurance [blank].
d. is usually carried by the doctor and covers everyone who works for the doctor
A thorough review by an insurance company of a claim and all related documentation is called a(n) [blank].
a. insurance audit
[Blank] is/are contracted by CMS to collect overpayments.
b. RAcs
[Blank] is the sworn statement of witnesses and experts given while on the witness stand in court.
d. Testimony
CMS contracted with RACs to recover [blank]
a. overpayments
Which of the following does not trigger an insurance audit?
a. accurate codes applied to a claim
Which is not a true statement of compliance plans?
c. Compliance plans cause insurance rates to increase.
Because of the sensitivity of medical records, they are [blank]; that is, you cannot release them to unauthorized persons.
b. confidential
Which is not included in a notice of privacy practice?
b. When the information will be used for treatment, payment, and healthcare operations.
The Administrative Simplification Compliance Act sets up [blank] consistent regulations.
c. nationally
Which is not a covered entity?
d. An independent medical coding specialist.
According to HIPAA, [blank] transactions include transmissions using any media or transmissions that are physically moved from one location to another using a magnetic tape, disk, or CD.
b. electronic
The [blank] addresses the use and disclosure of a patient's PHI.
a. Privacy Rule
The [blank] purpose is to require appropriate security safeguards to protect ePHI that may be at risk.
c. Security Rule
The [blank] enforces the Privacy and Security Rules.
d. Office for Civil Rights
[Blank] are two areas of the Administrative Simplification Compliance Act.
a. Privacy and security
Which of the following topics is not included in Privacy Rules?
a. medical reimbursement principles
According to HIPAA, an electronic transmission can be a(n) [blank].
c. Internet transmission
[Blank] is to ensure the continuation of health insurance coverage for workers and their families during times of job change or loss.
a. Portability
A(n) [blank] is a contract signed by HHS and a covered entity in which the covered entity agrees to perform certain obligations and make reports to HHS, generally for a period of three years.
d. resolution agreement
The [blank] collects identifying information on healthcare providers and assigns each a unique National Provider Identifier (NPI).
d. National Plan and Provider Enumeration System