Save
Busy. Please wait.
Log in using Clever
or

show password
Forgot Password?

Don't have an account?  Sign up 
Sign up using Clever
or

Username is available taken
show password

why


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't know
Remaining cards (0)
Know
0:00
share
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

NHA credential exam

Certification for Medical B/C

QuestionAnswer
How is the patients DOB entered on the claim form? MM/DD/YY
What is an assignment of benefits? Reimbursement is sent directly from payer to the provider.
What is Fiscal Intermediary? An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
What is a Qualified Diagnosis? A working diagnosis that has not yet been established.
What is the Civil Monetary Penalties Law (CMPL)? A law passed by the Federal Government to prosecute cases of Medicaid fraud.
When was the Health Information and Accountability Act (HIPAA) created? 1996
What are Medical Ethics? Standards of conduct based on moral principals.
What are two provisions of HIPPA? 1. Insurance Reform 2. Administrative Simplification
What is the False claims Act (FCA)? A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
What is the national Correct Coding Initiative (NCCI)? Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
What are the two types of edits that the NCCI implements? 1. Column 1/Column 2; identified unbundled codes. 2, Mutually Exclusive Edits: Codes that are unlikely to be performed on the same patient in the same day.
Who investigates and prosecutes Health Care fraud? Office of Inspector General (OIG)
When can a provider share PHI without specific permission from th4e patient? 1. For treatment (discussing the case with another professional). 2. Payment (When providers submit claims on the patient's behalf). 3. Operations: Staff training and Quality Improvement.
What is Employer Liability? Physicians are legally responsible for their actions and their employee's actions, aka Respondant Superior. (Let the master answer.)
What is Employee Liability Insurance? Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
What is in a Medical Record? -Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/rad Results -Consultation Reports -Correspondence to the patient
When billing an insurance company, what information must be included? Date of Service (DOS) Place of Service (POS) Type of Service (TOS) Diagnosis Procedure(s)
How long should Medical Records be retained? Governed by State and Local laws; should retained indefinitely. For deceased patients, they should be kept at least 5 years.
Created by: Successfull
 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!

"Know" box contains:
Time elapsed:
Retries:
restart all cards