Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
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
Normal Size Small Size show me how
billing and coding
chapter 2
| Question | Answer |
|---|---|
| compliance is the process of | meeting regulations, recommendations, and federal and state expectations |
| an intentional misrepresentation of the facts to deceive or mislead another is | fraud |
| what is the primary purpose of HIPAA Title I: Insurance reform? | To provide continuous insurance coverage for workers and their insured dependents when they change or lose jobs |
| a third party administrator who receives insurance claims to insurance carriers is known as | clearing house |
| If a physician contracts with an outside billing company to manage claims and accounts receivable under HIPAA guide lines, the billing company considered | business associate |
| a confidential communication related to the patients treatment and progress that may be disclosed only with the patients permission is known as | privileged communication |
| unauthorized release of patients health information is known as | breach of confidential |
| if you give release or transfer information | dis-closer |
| under HIPAA 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 |
| an individual designated to assist the provider by putting compliance policies and procedures in place and training office staff is known as a | po |
| how do you dispose of patient information | shred it |
| in workers comp case do you need to have a signed authorization | no |
| is confidentiality waved | yes they have a contract from a third party |
| define disclosure | release transfer or access to any other matter outside of entity |
| define consent | verbal or written that gives approval to some action situation, or statement |
| does the patient have a right to their health information | yes except for clia, work comp |
| define privileged | related to the treatment |
| define underprivileged | not related to the treatment |
| define covered entity | an entity that transmits information electronic form in connection with a transaction covered by HIPAA |
| business associate | A person who, on behalf of the covered entity, performs or assists in the performance of a function or activity |
| Know what the medicare integrity program is | reduce over payments through audits |
| define confidential communication | privileged information that may be disclosed with patients permission, other you shouldn't say anything |
| what happens if an employee knowingly submits a fraudulent claim at the direction of the employer | both liable for investigation |
| define office of civil rights is | in forces privacy standards |
| define healthcare provider | a provider of medical or health services |
| define clearinghouse | an independent organization that receives insurance claims from the physicians office |
| covered entity | an entity that transmits health information in electronic form i n connection with a transaction covered by HIPAA |
| business associate | a person who, on behalf of the covered entity |
| privacy officer/ po | an individual designated to help the provider remain in compliance by setting polices and procedures |
| edi | electronic data interchange |
| npi | national provider identifier |
| security rule | comprises regulations related to the security of electronic protected health information |
| tcs | transaction and code set |
| mitigation | means to alleviate the severity or make mild |
| administrative | verifying the identity of an individual picking up health records |
| technical | user name/ password required to access patient records from computer |
| physical | locked, fireproof filing cabinets for storing paper records |
| written acknowledgment | after providing patient with NPP ( notice of privacy practices) a good faith effort is used if patient refuses to sign this it must be documented in patients record |
| authorization forms | use and disclosure of protected health information |
| psychotherapy notes | means notes that are recorded by a health care provider |
| minimum necessary | privacy regulations require that use or disclosure of only the minimum amount of information necessary |
Created by:
alogan89