Notes, papers, and memos regarding patient information should be disposed of using a shredding device
Confidentiality between the physician and the patient is automatically waived when the patient is being treated in a workers' compensation case
The Correct Coding Initiative (CCI) detects improperly coded claims through the use of computer edits
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
The HIPAA amendments to the Criminal False Claims Act cover what four areas?
-obstruction of criminal investigation
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
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
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
The amount that must be paid each year by the insured before policy benefits begin is known as the:
When the insured is required to pay a percentage of the covered services' costs, this is referred to as:
Duplicates of all insurance claim forms are retained in the office pending file, also called a suspense, follow-up, or ____ file.
The term for tapping the body with the fingertips or fist to evaluate internal organs or to evaluate fluid in a body cavity is: