5 Written Questions

1. Document signed by a patient that permits release of particular medical information under the specific stated conditions.
2. removed any personal or identifying information from health documents
3. the form the provider uses when having a face to face meeting with a patient
4. Law under the Adminstrative Simplification provision of HIPPA requiring covered entities to establish administrative, physical, and technical safeguards to protect the confidentiality, integrity, and availability of health information
5. can only look back 6 months prior to start of insurance and can only not cover that diagnosis for 12-18 months after beginning insurance

5 Matching Questions

1. ros
2. clearinghouse
3. business associate
4. termination of provider-patient relationship
5. protected health information (PHI)

1. a review of systems provider questions the patient about the functioning of each body system
2. b a person or organization that performs a function or activity for a cover entity but is not part of its workforce.
3. c pt or the provider can terminate, provider must maintain patient records, if provider initiates they must maintain continuity of care, and must send the patient a letter that documents the situation
4. d includes the patient's name, address, phone number, SSN, email, and medical record number and their health plan beneficiary numbers
5. e A company that offers providers, for a fee, the service of receiving electronic or paper claims, checking and preparing them for processing, and transmitting them in proper data format to the correct carriers

5 Multiple Choice Questions

1. miss use of funds unintentional or inappropriate billing
   1. hpi
   2. fraud
   3. ros
   4. abuse
2. involves protected health information, established procedures for paper and electronic claim protection, limited pre-existing rules, and uncovered fraud and abuse of billing
   1. fraud
   2. hippa privacy rule
   3. hippa safe guards
   4. hippa security rule
3. maintaining continuous uninterrupted medical care for the patient
   1. encounter form
   2. continuity of care
   3. privacy official
   4. clearinghouse
4. collection of patient information that all providers have immediate access electronically
   1. electronic medical records (EMR)
   2. electronic data interchange (EDI)
   3. electronic health records (EHR)
   4. protected health information (PHI)
5. Under HIPPA, a health plan, a healthcare clearinghouse, or a healthcare provider who transmits any health information in electronic form in connection with a HIPPA transaction
   1. covered entity
   2. medical necessity
   3. documentation
   4. code set

5 True/False Questions

1. documentation → The systematic, logical, and consistent recording of a patient's health status-history, examination, tests, results, of treatments, and observations-in chronological order in a patient's medical record.

   True        False

2. evaluation and management (E/M) → when providers evaluate a patients' condition and decides on a course of treatment to manage it

   True        False

3. pmh → review of systems provider questions the patient about the functioning of each body system

   True        False

4. center for medicare or medicad services (CMS) → files that contain the documentation of patient's medical history, record of care, progress notes, correspondence, and related billing/financial information they are the property of the provider who made them

   True        False

5. soap → review of systems provider questions the patient about the functioning of each body system

   True        False