chapter two electronic records HIPPAA and HITECH
Terms in this set (72)
which is necessary and permitted through the HIPPA privacy rules for patients treatment payment and health care operations (TPO)?
both use of PHI and disclosure of PHI
what establishes standards for the exchange of financial and administrative data among covered entities?
transactions and code sets
if a practice is being investigated for fraud what may be the first document to research ?
which code set id used for billing dental procedures
which complies with the HIPPA security Rule?
selecting a mixture of characters for the password
which is future benefit of the Affordable care act?
preventative services will be completely covered
which federal agency detects health care fraud and abuse?
office of the inspector General (OIG)
which federal agency enforces criminal violations under federal law?
department of justice (DOJ)
which scenario best describes abuse?
the doctor tells you to bill for an unnecessary procedure that was done
which scenario best describes fraud?
the doctor tells you to bill for an undocumented procedure
which of the following will be introduced in the future?
both patient and health plan identifiers
which measure does not enforce the HIPPA security rule?
transmitting unencrypted data
which is also known as the stimulus package?
what is the best desctiption of an encounter?
face to face meeting
which is not a goal of compliance plans?
enhance patient education guidelines
a social security number is an example of a?
which act requires covered entities to notify affected individuals following the discovery of a breach of unsecured health information?
which law guides the use of federal stimulus money to promote the adoption and meaningful use of health information technology mainly using electronic health records
whatare people or organization that furnish bill or are paid for health care in the normal course of business called?
wgat type of program encryts data traveling between the office and the internet such as patients social security numbers so that the information is secure?
who has the authority to authorize the release of information on a patient to anyone not directly involved in their care?
what are the centers for medicare and medicaid secicices(CMS) responsible for?
implementing annual federal budget acts and laws
a compliance plan does not cover which of the following?
referrals and authorization
what did the NPI (national provider identifier) replace?
if a violation is found dring a medical pracice investigation and a compliance plan is typically followed what may it indicate to the office of inspector General (OIG)?
may be simple errors
which main federal government agency is responsible for health care?
centers for medicare and medicaid services (CMS)
what is the impermissible use or disclosure of PHI that could pose significant risk to the affected person called?
what is a medical practices written plan for complying with regulations?
what is the activity of copying files to another medium so that they will be preserved in case the originals are no longer available.
which is not a valid component of a compliance plan?
to hace inconsistent ploicies and procedures
which is the process of encoding information in such a way that onlu the person or computer with key can decode it?
which is are elements included in a compliance plan according to the office of the inspector general?
noth training and ongoing communication
which is a valid aspect of the affordable care act?
preventice services will be covered by insurance wiht no copayment required
which standards have been set to govern the electronic exchange of health information?
identifiers code sets standard transactions ALL OF THESE
a compliance plan constitutes which of the following
both a written document and a committee
what is any group of codes used for encoding data elements?
which is a valid Breach notification procedure?
none of these
which code set is specifying diseases injuries impaitment and other health related problem?
which are covered entities under HIPPA?HITECH that must follow the regulations?
a retention schedule
all of these
the standard for written documentation include
all the above
which one of these would be the most secure password
what standard are set under the rules of HIPPA electronic health care transactions and code sets?
all of these
in electronic health record documetns may be created in a variety of ways but they are
ultimatly veiwed on a computer
provider owns the acual medical records but the information in a record belongs to
which of the following is fraudulent behavior?
deception with the intent to benefit
the HIPPA privacy rules is enforced by the OCR what does OCR stand for ?
office for civil rights
under what conditions should a medical assistant changes the facts on an insurance claim?
the facts must never be changed
when can info about patients drug abuse be disclosed without authorization?
none of these
a standard and unique identifier for health care providers to use in filing health care claims is called ?
national provider identifer NPI
HIPPA pricacy rule is enforced by
collecting payment in full for procedure form both the patient and the insurance carrier is example?
altering a patients chart to increase the payment th ephysicain receives is an example
SOAP format for patients medical
both documentation and records
what do patients medical records contain about their health history
all of these
entries in patient medical records should be descending or ascending in what type of order?
abbreviation TPO refers ti
treatment paymnet and health care operations
what type of schedule do medical offices use to control how long patient information is stored?
abbreviation PHI stands for ?
protected health information
for up to how long can a medical office finanical recirds be audited after a patient last visit ?
form signed by patient to permit release of medical information under specific stated conditions called?
authorization to disclose information
clearinghouse is company that helps medical offices and health plans exchange
claim data in correct formats
under hippa patients protected health information may shated wiithout authorization for
all of these
practice has dicovered that the security or privacy of more than 500 people PHI has been breached which establishement must be notified
prominent media outlets
releasing protected health information for reasons other than treatment, payment or health care operations requires which type of patient authorization?
what is the relationship between documentation and billing?
if a service is not documented it cannot be billed.
which of these subjects would you not expect to find information about in a patients medical records?
employment and salary records
a medical offices compliance plan should include
both staff training and internal communications
under what circumstances might a patients proteted health information be shared withou authorization?
both court orders and workers comoensation cases
what is one way that providers can follow the guidelines for the HITECH rule?
all of these
following OIGs guideance can help in the defense against which of the following?
a false claims accusation
if a physican requests that you bill a procedure that is not documented what would be the best course of action?
report it to the compliance officer
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