NAME: ________________________

Patient to Payment Ch. 2 Test

Question Types


Prompt With


Question Limit

of 22 available terms

5 Written Questions

5 Matching Questions

  1. Compliance Plan
  2. Authorization
  3. Medical Records
  4. Treatment, Payment, and Operations (TPO)
  5. Documentation
  1. a Document signed by a patient that permits release of particular medical information under the specific stated condition
  2. b The systematic, logical, and consistent recording of a patient's health status -- history, examinations, tests, results of treatments, and observations -- in chronological order in a patient's medical record
  3. c (1)conducting audits and monitoring how well the medical office follows the applicable rules, (2) implementing compliance and practice standards, (3) appointing a compliance officer on staff, (4) conducting appropriate staffing training, (5) responding appropriately to fix problems that are found, (6) making sure that employees can communicate openly if they think there are compliance problems, (7) enforcing the standards and publicizing the rules in the medical office
  4. d Files that contain the documentation of patients' medical history, record of care, progress notes, correspondence, and related billing/financial information
  5. e Health care treatment, payment, and operations; under HIPAA, patients' protected health information may be shared for TPO

5 Multiple Choice Questions

  1. Federal act that set forth guidelines for standardizing the electronic data interchange of administrative and financial transactions, exposing fraud and abuse in government programs, and protecting the security and privacy of health information
  2. Intentional deceptive act to obtain a benefit
  3. Government agency that enforces the HIPAA Privacy Act
  4. Under HIPAA, unique 10-digit identifier assigned to each provider by the National Provider System; replaces both the UPIN and Medicare PIN
  5. A practice policy that governs which information from patients' medical records is to be stored, for how long it is to be retained, and the storage medium to be used

5 True/False Questions

  1. Protected Health Information (PHI)A running collection of health information that provides immediate electronic access by authorized users

          

  2. HIPAA Privacy RuleLaw that requires covered entities to establish administrative, physical, and technical safeguards to protect the confidentiality, integrity and availability of health information

          

  3. Acknowledgment of Receipt of Notice of Privacy PracticesA HIPAA-mandated description of a covered entity's principles and procedures related to the protection of patients' health information

          

  4. Minimum Necessary StandardFiles that contain the documentation of patients' medical history, record of care, progress notes, correspondence, and related billing/financial information

          

  5. Subpoena duces tecumAn order of the court directing a party to appear and testify