Flashcards › HIPPA TEST

COMPLIANCE IS THE PROCESS OF regulations and recomendations TRANSACTIONS IN WHICH HEALTH CARE INFORMATION IS ACCESSED, PROCESSED, STORED, AND TRANSFERRED USING ELECTRONIC TECHNOLOGIES ARE KNOWN AS (ehim) e- health information management IS THE (HL7) FORMAT FOR TRANSMISSION: month, date, year, time false AN INDEPENDENT ORGANIZATION THAT RECEIVES INSURANCE CLAIMS FROM THE PHYSICIANS OFFICE PERFORMS EDITS, AND TRANSMITS CLAIMS TO INSURANCE CARRIERS IS KNOWN AS clearing house UNDER HIPPA GUIDELINES A HEALTH CARE COVERAGE CARRIER SUCH AS BLUE CROSS/BLUE SHIELD THAT TRANSMITS HEALTH INFORMATION IN ELECTRONIC FORM IN CONNECTION WITH A TRANSACTION IS CALLED A COVERED ENTITY? true DR. JOHN DOE CONTRACTS WITH AN OUTSIDE BILLING COMPANY TO MANAGE CLAIMS AND ACCOUNTS RECEIVABLE UNDER HIPPA GUIDELINES THE BILLING COMPANY IS CONSIDERED A PARTNER OF THE PROVIDER false AN INDIVIDUAL DESIGNATED TO ASSIST THE PROVIDER BY PUTTING COMPLIANCE POLICIES AND PROCEDURES IN PLACE AND TRAINING OFFICE STAFF IS KNOWN AS Privacy officer, privacy official (PO) IF YOU GIVE, RELEASE, OR TRANSFER IN FORMATION TO ANOTHER ENTITY, THIS IS KNOWN AS disclosure PHI MEANS PATIENT HEALTH INFORMATION false A CONFIDENTIAL COMMUNICATION RELATED TO THE PATIENTS TREATMENT AND PROGRESS THAT MAY BE DISCLOSED ONLY WITH THE PATIENTS PERMISSION IS KNOWN AS PRIVILEDGE COMMUNICATION true UNDER THE FALSE CLAIMS ACT, BILLING A CLAIM FOR SERVICES NOT MEDICALLY NECESSARY IS FRAUD OR ABUSESE fraud CHANGING A FIGURE ON AN INSURANCE CLAIM FORM TO GET INCREASED PAYMENT IS FRAUD OR ABUSE fraud DISMISSING THE COPAYMENT OWED BY A MEDICARE PATIENT fraud NEGLECTING TO REFUND AN OVERPAYMENT TO THE PATIENT IS IT FRAUD OR ABUSE abuse BILLING FOR A COMPLEX FRACTURE WHEN THE PATIENT SUFFERED A SIMPLE BREAK IS IT FRAUD OR ABUSE fraud ENFORCEMENT OF THE PRIVACY STANDARDS OF HIPPA IS THE RESPONSIBILITY OF Office for civil rights (OCR) VERBAL OR WRITTEN AGREEMENT THAT GIVES APPROVAL TO SOME ACTION, SITUATION, OR STATEMENT IS CALLED consent AN INDIVIDUAL'S FORMAL WRITTEN PERMISSION TO USE OR DISCLOSE HIS OR HER PERSONALLY IDENTIFIABLE HEALTH INFORMATION FOR PURPOSES OTHER THAN TREATMENT, PAYMENT, OR HEALTH CARE OPERATIONS IS CALLED authorization INDIVIDUALLY IDENTIFIABLE HEALTH INFORMATION (IHHI) IS ANY PART OF A PERSONS HEALTH DATA OBTAINED FROM THE PATIENT THAT IS CREATED OR RECEIVED BY A COVERED ENTITY.. TRUE OR FALSE true HIPPA REQUIREMENTS PROTECT DISCLOSURE OF PROTECTED HEALTH INFORMATION OUTSIDE OF THE ORGANIZATION BUT NOT FOR INTERNAL USE OF HEALTH INFORMATION.. TRUE OR FALSE false UNDER HIPPA PATIENTS MAY REQUEST CONFIDENTIAL COMMUNICATIONS AND MAY RESTRICT CERTAIN DISCLOSURES OF PROTECTED HEALTH INFORMATION... TRUE OR FALSE true A NATIONAL PROVIDER IDENTIFIER (NPI) NUMBER IS ISSUED FOR 5 YEARS AND MUST BE RENEWED false TO SUBMIT AN INSURANCE CLAIM FOR MEDICAL SERVICES THAT WERE NOT MEDICALLY NECESSARY IS A VIOLATION OF THE FALSE CLAIMS ACT... TRUE OR FALSE true UNAUTHORIZED RELEASE OF A PATIENTS HEALTH INFORMATION IS CALLED breach of confidential communication HIPPA TEST

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