health insurance today week 3

4 Written Questions

1. an electronic file wherein patients' health information is stored in a computer system
2. is a hospital, critical access hospital, skilled nursing facility, comprehensive outpatient rehabilitation facility, home health agency, or hospice program with fewer than 25 full-time equivalent employees
3. a business entity that recieves claims from several medical facilites and consolidates these claims so that one transmission containing multiple claims can be sent to each insurance carrier
4. Intended to define what are approprite an inappropriate disclosures of individually identifiable health information and how patient rights are to be protected

3 Multiple Choice Questions

1. Claims that are submitted directly to an insurance carrier
   1. electronic data interchange
   2. privacy standards
   3. direct data entry claims
   4. identifiers
2. Companies that offer services to healthcare facilities that include billing processes and claims filing
   1. code sets
   2. billing services
   3. identifiers
   4. privacy standards
3. 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. code sets
   3. telecommunication
   4. identifiers

3 True/False Questions

1. identifiers → data 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. code sets → data 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

3. electronic data interchange → the electronic transfer of information in a standard fromat between two entities

   True        False