CH. 10 and 13 Haye

How long do patient files need to be maintained before becoming inactive in a healthcare facility? Select one: a. Three years b. Six months c. One year d. Two years

a. Three years

Clinical documentation that is electronic and is collected beyond one healthcare provider is called Select one: a. electronic health record. b. SOAP format. c. electronic medical record. d. covered entity.

a. electronic health record.

A patient intake form includes all the following data below except Select one: a. list of all medical doctors that the patient has seen. b. medical history. c. consent forms for HIPAA. d. insurance information.

a. list of all medical doctors that the patient has seen

A law which limits the maximum time that parties have to initiate legal proceedings from the date of an alleged offense is called Select one: a. statutes of limitations. b. malpractice. c. standard of care. d. liability.

a. statute of limitations

A person is under the poverty level. What kind of government plan is he eligible for? Select one: a. Medicaid b. Blue Cross/Blue Shield c. Medicare d. TRICARE

A. MEDICAID

Which of the following insurance plans allows patients to see any in-network provider without first obtaining a referral from the patient's primary care provider? Select one: a. PPO b. ERISA c. MCO d. HMO

A. PPO

Which of the following meets the guideline(s) for Physical Safeguards for HIPAA? Select one: a. All of the options b. Restricting access to client data from third party using the facility equipment c. Preventing the visibility of computer screen to unauthorized users d. Keeping work stations with PHI out of high traffic area

a All of the options

Which part of Medicare covers hospital claims? Select one: a. A b. B c. D d. C

a. A

What is an advantage of a group practice? Select one: a. All of the options b. More coverage for patient care c. Protection of assets d. Cost sharing

a. All of the options

Government carriers include all of the following, except Select one: a. Blue Cross/Blue Shield. b. TRICARE. c. Medicare. d. Medicaid.

a. Blue Cross/Blue Shield

Which part of Medicare covers prescriptions? Select one: a. D b. A c. C d. B

a. D

All of the following are federal healthcare programs, except for Select one: a. HMO. b. TRICARE. c. Medicaid. d. Medicare.

a. HMO

Which of the following insurance plans allow a patient to visit almost any physician or hospital regardless of network? Select one: a. Indemnity plans b. Medicaid c. All of the options d. HMO

a. Indemnity plans

Allied health professionals include the following, except Select one: a. OT. b. BSN. c. CPC. d. CAN.

a. OT

In this insurance plan, the patient chooses his or her provider and pays a flat fee to the provider in network. The patient has the option of going out of network but would have to pay more out-of-pocket fees. Select one: a. PPO b. Indemnity c. HMO d. Worker's compensation

a. PPO

This type of practice has multiple physician working together, but only one physician owns the practice. Select one: a. Sole proprietorship b. Group practice c. Solo d. Associate practice

a. Sole proprietorship

What would help in the monitoring of fraud in patient records? Select one: a. Active patient files b. Accurate documentation with inactive and active patient files c. Accurately keeping health records that only pertain to conversations with the patient d. Inactive patient files

b. Accurate documentation with inactive and active patient files

When a patient is transferred to another healthcare provider, it is important that the patient understands the following: Select one: a. standard of care b. All of the options c. Continuity of Care Record d. covered entity

b. All of the options

Within the HIPAA guidelines, a patient's medical records can be shared or transferred to a covered entity, which include Select one: a. healthcare plans. b. All of the options c. healthcare clearinghouses. d. academic medical centers.

b. All of the options

If an insurance plan is 80/20 after the deductible is met for in-network benefits, what kind of plan is this? Select one: a. HMO b. Indemnity c. PPO d. Workers' compensation

b. Indemnity

A person has both Medicaid and Medicare. Which kind of plan is this called? Select one: a. TRICARE b. "Medi-Medi" . CHAMPUS d. Medicare Advance

b. MEDI MEDI

Medical coverage for persons 65 and older is called Select one: a. Blue Cross/Blue Shield. b. Medicare c. TRICARE. d. Medicaid.

b. Medicare

Who can bill to insurance companies? Select one: a. BSNs b. NPs c. RNs d. LPNs

b. NPs

This type of provider is not required to complete full medical school and residency requirements. Select one: a. Surgeon b. OD c. DO d. MD

b. OD

These providers are not physicians, but may perform similar services. Select one: a. EMTs b. PAs c. BSNs d. CMTs

b. PAs

Why must a healthcare professional wear an identifying badge at all times in a hospital? Select one: a. Some people may try to fake being a physician. b. Some people may mistake a mid-level practitioner with a physician. c. Some people want access to medications for their own use. d. Some people will try to gain entry by pretending to be a medical staff member.

b. Some people may mistake a mid-level practitioner with a physician.

ecords that contain medical and health information of individual patients and that maintain the HIPAA standards for privacy and security are called Select one: a. HER. b. both EMR and EHR. . EMR. d. EHR.

b. both EMR and EHR.

Violators of the HIPAA Privacy Rule could face Select one: a. criminal penalties. b. criminal and civil penalties. c. civil penalties. d. local penalties.

b. criminal and civil penalties

HIPAA consists of Select one: a. three titles. b. five titles. c. six titles. d. four titles.

b. five titles

A patient has an insurance policy that requires a copay of $15 and coinsurance of 80/20. Her physician charges $100 for the visit. How much will she be responsible for? Select one: a. $15 b. $20 c. $35

c. 35

Which of the following insurance plan may use a "gatekeeper" to control costs? Select one: a. HMO b. MCO c. All of the options d. PPO

c. All of the options

This type of practice has two or more providers that share in overhead, but do not share in the profits or losses. Select one: a. Group practice b. Sole proprietorship c. Associate practice d. Solo

c. Associate practice

Which of the following imposes penalties for violations of the HIPAA Privacy Rule? Select one: a. NPP b. PHI c. OIG d. EHR

c. OIG

Health plans, healthcare clearinghouses, and healthcare providers under HIPAA who electronically transmit any health information are considered Select one: a. Continuity of Care Record. b. protected health information. c. covered entities. d. standard of care.

c. covered entities

The purpose of keeping accurate medical records includes all the following except Select one: a. protecting the patient and healthcare professional in cases of negligence and malpractice. b. allowing members of the healthcare team to communicate with one another. c. knowing the patient's work status for insurance d. serving as quality control.

c. knowing the patient's work status for insurance

In the SOAP format, the "A" would include Select one: a. past family history. b. chief complaint. c. summation of the healthcare provider's impression including the possible diagnosis d. information that the healthcare provider can measure.

c. summation of the healthcare provider's impression including the possible diagnosis

The passage of HIPAA was enacted Select one: a. 2004. b. 1992. c. 2002. d. 1996.

d. 1996

Based on the guidelines for HIPAA's Security Rule for Technical Safeguards, which of the following area would need to be secure to protect patient's information? Select one: a. Data storage b. Computer systems c. Faxes d. All of the options

d. All of the options

This type of practice is a corporate structure, and shares in the expenses, profit, and risk. Select one: a. Sole proprietorship b. Associate practice c. Solo d. Group practice

d. Group practice

The acronym HIPAA stands for Select one: a. Health Insurance Portability and Accurate Act. b. Health Insurance Privacy and Accountability Act. c. Health Insurance to Protect and Advance Act. d. Health Insurance Portability and Accountability Act.

d. Health Insurance Portability and Accountability Act.

Which of the following is an appropriate guideline in making a correction on an electronic patient chart? Select one: a. Delete the change on the patient's chart on the computer and retype the correct information. b. It is not important to have approval to make changes on the patient's computer chart. c. It is not important to write a change if it is a minor omission or minor information. d. Making an appropriate change by adding an addendum with the appropriate healthcare provider signing and dating the change.

d. Making an appropriate change by adding an addendum with the appropriate healthcare provider signing and dating the change.

The acronym for all computer-generated information regarding patients is called Select one: a. PIH. b. EMR. c. EHR. d. PHI.

d. PHI

Which of the following defines the "level of education and expertise that other healthcare providers treat the same type of chief complaint from patients"? Select one: a. Liability b. Protected health information c. Covered entity d. Standard of care

d. Standard of care

The insurance used to cover military members and their families is called Select one: a. Medicare. b. Medicaid. c. Blue Cross/Blue Shield. d. TRICARE

d. TRICARE

A method of billing for services rendered by nonphysician providers is called Select one: a. third-party payer. b. coinsurance. c. copay. d. incident to billing

d. incident to biling

n the SOAP format, the "O" would include Select one: a. chief complaint. b. past family history. c. history of present illness. d. information that the healthcare provider can measure.

d. information that the healthcare provider can measure.

All the following have a specific retention period of patient records as outlined by state government laws except Select one: a. Know-Keene Act. b. Medi-Cal patients. c. Workers' Compensation Cases. d. patient with private insurance, such as Anthem Blue Cross Insurance.

d. patient with private insurance, such as Anthem Blue Cross Insurance.

PHI stands for Select one: a. private health information. b. protected health insurance. c. patient health insurance. d. protected health information.

d. protected health information

A disadvantage to an HMO is Select one: a. you have to pay first, and then get reimbursed. b. they are too large. c. they give too many referrals to specialists. d. some areas may not have a participating physician.

d. some areas may not have a participating physician

The acronym that represents SOAP means Select one: a. summation of conversation, observation, assessment, plan. b. None of the options c. subjective, observation, assessment, priority. d. subjective, objective, assessment, plan.

d. subjective, objective, assessment, plan.