HSA Quiz 1
The Centers for Medicare and Medicaid Services (CMS) is an administration within the
Department of Health and Human Services
A health insurance company is not a covered entity for PHI under the HIPAA security rule.
False
HIPAA does not permit physicians to disclose patient information even under a subpoena
False
Residents in a teaching hospital are not allowed to document physicians services in the patient's medical record.
False
The recognized difference between fraud and abuse is the "timing"
False
The reporting of PHI to law enforcement officials is not permitted without patient authorization.
False
The term that describes an individual's right to keep health care information from being disclosed to others is "security"
False
The Patient Protection and Affordable Care Act (PRACA) (also known as Obamacare) was signed into federal law by President Obama on March 23, 2010 and resulted in creation of a(n)
Health Insurance Marketplace
Physicians that demonstrated use of a certified HR technology that included prescribing and electronic exchange of health information were participating in the initiative called
Meaningful Use
As part of the administrative simplification provision of HIPAA, which of the following unique identifiers is assigned to providers?
National Provider Identifier (NPI)
A patient's spouse comes to the office and requests diagnostic and treatment information about their wife. The spouse is the primary policyholder on a policy for which the wife is named as a dependent. The insurance specialist should
Obtain a signed patient authorization from the wife before releasing patient information
A copayment (copay) is defined as
Percentage of costs a patient shares with the health plan.
Coinsurance is defined as
Percentage of costs a patient shares with the health plan.
The patient medical record contains documentation that
Supports diagnoses Justifies treatment provided Provides continuity of care All of the above is correct
Health care expands the definition of medical care to include preventive services.
True
Health care insurance or health insurance is a contract between a policyholder and a third-party payer or government health program. It exists to cover all or a portion of the cost of medically necessary treatment or preventive care provided by health care professionals
True
Health care insurance or health insurance is a contract between a policyholder and a third-party payer or government health program. It exists to cover all or a portion of the cost of medically necessary treatment or preventive care provided by health care profissionals
True
The process of assigning diagnoses, procedures and services using numeric and alphanumeric characters is called coding
True
There are many advantages to computerized medical records but disadvantages include an increased risk of lost confidentiality and unauthorized disclosure of information
True
To participate with Medicare, retention of patient records are required for a minimum of 5 years.
True
Which of the following is a breach of confidentiality?
Visitors overhear a physician and physical therapist discuss information Written information is left on a computer screen in an unattended, open nursing station Accessing patient information without a job-related reason All of the above is correct
Which is the amount for which the patient is financially responsible before an insurance policy provides payment?
deductible
Information that is converted to a secure language format for electronic transmission is called _________data
encrypted
Which type of health insurance coverage is subsidized by employers and other organizations?
group health insurance
Record retention is the storage of documentation for an established period of time, usually mandated by federal law and
state law