4 Written Questions

1. Intended to define what are appropriate and inappropriate disclosures if individually identifiable health information, and how patient rights are to be protected.
2. Companies that offer services to healthcare facilities that include billing processes and claims filing. Many billing services take on the responsibility of keeping up with rapidly changing Medicare and other healthcare-related laws.
3. Claims that are submitted directly to an insurance carrier.
4. The electronic transfer of information in a standard format between two entities. Allows business entities to exchange information and trasact business in a rapid and cost-effective way.

3 Multiple Choice Questions

1. A hospital, critical access hospital, skilled nursing facility, comprehensive outpatient rehabilitation facility, home health agency, or hospice program with less than 25 full-time equivalent employees.
   1. Small provider of services
   2. Billing services
   3. Identifiers
   4. Code sets
2. The transmission of claim information over phone lines using a computer and a modem. The most common form of electronic claim transmission.
   1. Privacy standards
   2. Identifiers
   3. Telecommunication
   4. Code sets
3. A business entity that receives claims from serveral medical facilities and consolidates these claims so that one transmission containing multiple claims can be sent to each insurance carrier. Serves as an intermediary between medical practices and the insurance companies, facilitating the electronic exchange of information between the facilities.
   1. Electronic medical record
   2. Telecommunication
   3. Electronic claims clearinghouse
   4. Electronic data interchange

3 True/False Questions

1. Identifiers → Date elements used to document uniformly the reasons why patients are seen and procedures or services or both are provided to them during their healthcare encounters.

   True        False

2. Electronic medical record → An electronic file wherein patients health information is stores in a computer system.

   True        False

3. Code sets → The numbers used in the administration of health care to distinguish individual healthcare providers, health plans, employers, and patients. They are intended to simplify the administrative processes such as referrals and billing, improve the accuracy of date and reduce costs.

   True        False