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