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Notes, papers, and memos regarding patient information should be disposed of using a shredding device

True

Confidentiality between the physician and the patient is automatically waived when the patient is being treated in a workers' compensation case

True

A patient has the right to obtain a copy of his or her confidential health information

True

The Correct Coding Initiative (CCI) detects improperly coded claims through the use of computer edits

True

Confidential information includes:

a. everything that is HEARD about a patient
b. everything that is READ about a patient
c. everything that is SEEN regarding a patient.
d. ALL OF THE ABOVE(answer)

What action could happen if an employee knowingly submits a fraudulent Medicare or Medicaid claim at the direction of the employer and subsequently the medical practice is audited?

The employee and the employer could be brought into litigation by the state or federal gov't

Nonprivileged information consists of ordinary ____ unrelated to the treatment of the patient

FACTS

Stealing money that has been entrusted to one's care is known as

EMBEZZLEMENT

The HIPAA amendments to the Criminal False Claims Act cover what four areas?

-theft
-fraud
-false statement
-obstruction of criminal investigation

List five of the disciplinary standards resulting from misconduct.

-demotion
-verbal
-written

List three things that can be done to avoid having patients hear confidential information regarding other patients.

-wait to dictate
-avoid phone conversations
-move dictation station

Insurance is considered a federally regulated industry

FALSE

If the physician no longer wishes to treat an HMO or a PPO patient, termination is handled according to the same method that is used when discharging patients who are insured under private insurance

TRUE

State laws may bar the use of a signature stamp

TRUE

Most legal issues of private health insurance claims fall under

civil law

In health insurance, the insured is also known as

a. the subscriber
b. the member
c. the policyholder
d. ALL OF THE ABOVE (answer)

If a child has health insurance coverage from two parents, according to the birthday law:

the health plan of the person whose birthday (month & day) falls earlier in the calendar year will pay first

Conditions that existed and were treated before the health insurance policy was issued are called

preexisting

An insurance policy is a legally enforceable agreement called a:

contract

The amount that must be paid each year by the insured before policy benefits begin is known as the:

deductible

When the insured is required to pay a percentage of the covered services' costs, this is referred to as:

coinsurance

Duplicates of all insurance claim forms are retained in the office pending file, also called a suspense, follow-up, or ____ file.

tickler

The term for tapping the body with the fingertips or fist to evaluate internal organs or to evaluate fluid in a body cavity is:

percussion

The number of breaths per minute is the:

respiration rate

A term for objective evidence of disease is:

sign

Subjective evidence as perceived by the patient is a:

symptom

a tumor :

neoplasm

disappearance of the characteristics of malignant tissue :

remission

pertaining to therapy :

therapeutic

predicted outcome of a disease :

prognosis

which of the following statements is true of endocrine glands

they are ductless

The four main types of tissue are

connective, epithelial, muscular, and nervous

The term that means uppermost or situated above is :

superior

Which of the following body cavities contains the brain

cranial

Immunoglobulins that are formed to act against foreign cells or substances are called

antibodies

able to walk

ambulent

within a cell

intracellular

HIPPA
stands for

Health Insurance Portability Accountability Act

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