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38 terms

Study Guide

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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