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CHAA "From Patient to Payment" Quiz 2: HIPAA and the Legal Medical Record

Quiz 2 from the book "From Patient to Payment" Patient access Fundamentals Ivy Tech Summer 2012 28 questions
STUDY
PLAY
Corrections to written documentation are made by erasing the incorrect copy and entering the correct information: TRUE or FALSE
FALSE
When information is released, only facts pertinent to the specific request should be provided: TRUE or FALSE
TRUE
Patient information may be released under court order without the patient's authorization: TRUE or FALSE
TRUE
Patients' medical records are legal documents: TRUE or FALSE
TRUE
The HIPAA Privacy Rule regulates the use and disclosure of patients' protected health information: TRUE or FALSE
TRUE
PHI is the abbreviation for protected health information: TRUE or FALSE
TRUE
A person;'s protected health information inculdes name, address, birth date, and telephone number: TRUE or FALSE
TRUE
Under HIPAA, patients PHI may be shared for tr4eatment, payment, and healthcare operations without their authorization: TRUE or FALSE
TRUE
When protected health information is shared, the minimum necessary standard should be observed: TRUE or FALSE
TRUE
Releasing protected health information for other than treatment, payment, or healthcare operations requires the patient's written authorization: TRUE or FALSE
TRUE
At the first encounter, covered entites are required to give patients their Notice of Privacy Pract6ices: TRUE or FALSE
TRUE
An authorization to disclose PHI that a patient signs must describe the information that is to be disclosed: TRUE or FALSE
TRUE
An authorization to disclose PHI that a patient signs must name the person or group that will receive the information that is to b e disclosed: TRUE or FALSE
TRUE
An authorization to disclose PHI does not require an expiration date: TRUE or FALSE
FALSE
A clearinghouse can be used by providers to transmit claims in the proper format for carriers: TRUE or FALSE
TRUE
A compliance plan should not address the topic of coding and billing: TRUE or FALSE
FALSE
HIPAA is the abbreviation for Health Insurance Portability and Accountability Act: TRUE or FALSE
TRUE
A court order to appear and testify is a:
A) respondeat superior
B) subpoena duces tecum
C) subpoena
D) none of these
C) subpoena
The standards for written documentation include:
A) clarity
B) legibility
C) signed and dated entries
D) all the above
D) all the above
The provider owns the actual medical records, but the information in a record belongs to
A) any medical professional
B) the patient
C) the payer
D) non of these
B) the patient
Which of the following is fraudlent behavior?
A) making a mistake on a claim
B) deception with the intent to benefit
C) all of these
D) none of these
B) deception with the intent to benefit
The HIPAA Privacy Rule is enforced by the OCR. What does OCR stand for?
A) Office for Claim Returns
B) Office for Certified Rules
C) Office for Civil Rights
D) Office for Civil Responsibility
C) Office for Civil Rights
Under what conditions should a medical insurance specialist change the facts on an insurance claim?
A) if the patient requests the change
B) if the patient fails to make a payment
C) if the change will save the practice money
D) they should never change the facts
...D) they should never change the facts
Collecting payment for a procedure from both the patient and the insurance carrier is an example of
A) liability
B) fraud
C) libel
D) audits
D
B) fraud
What do patients' medical records contain about thei health history?
A) facts
B) observations
C) findings
D) all of these
D) all of these - facts, observations ,findings
Entries in patients' medical records shoudl be descending or ascending according to what type of order?
A) chronological
B) alphabetical
C) numerical
D) the order is not important
A) chronological
The abbreviation PHI stands for
A) physician health information
B) provider health information
C) protected health information
D) primary health information
C) protected health information
For up to how long can a medical office's financial records be audited after a patient's last visit (assuming that embezzlement or government funding has not occurred)?
A) 3 years
B) 7 years
C) 6 years
D) 10 years
B) 7 years