Medical Insurance: An Integrated Claims Approach Process
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| show | Law under the Administrative Simplification provisions of HIPAA requiring covered entities to establish administrative, physical, and technical safeguards to protect the confidentiality, integrity and availability of health information.
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| Authorization | show 🗑
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| Minimum Necessary Standard | show 🗑
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| show | A person or organization that performs a function or activity for a covered entity but is not part of its workforce.
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| show | A company that offers providers, for a fee, the service of receiving electronic or paper claims, checking and preparing them for processing, and transmitting them in proper data format to the correct carriers.
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| show | A HIPAA-mandated document that presents a covered entity's principles and procedures related to the protection of patients' protected health information.
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| Code Set | show 🗑
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| HIPAA Security Rule | show 🗑
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| show | Under, HIPAA. a health plan, health care clearinghouse, or health care provider that transmits any health information in electronic form in connection with a HIPAA transaction.
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| show | The systematic, logical , and consistent recording of a patient's health status - history, examinations, tests, results of treatment, and observations - in chronological order in a patient's medical record.
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| show | True
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| show | False
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| show | False
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| T/F The three major parts of the Administrative Simplification provision are the privacy requirements, the security requirements, and the electronic transactions and code sets. | show 🗑
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| T/F When federal and state privacy laws disagree, the federal rule is always followed. | show 🗑
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| T/F Under HIPAA regulations,each medical practice must appoint a privacy official. | show 🗑
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| T/F Protected health information includes the various numbers assigned to patients, such as their medical record numbers and their health plan beneficiary numbers. | show 🗑
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| show | False
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| show | True
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| show | False
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| show | A. Train employees about the practice's privacy policy
B. Appoint a staff member as the privacy officer.
C. Both A and B
D. Neither A nor B
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| show | A. A practice's patients
B. A practice's business associates
C. the health plans with which a practice contracts
D. none of the above
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| show | A. local newspapers
B. employers in workers' compensation cases
C. Social workers
D. Family and friends
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| show | A. CIA
B. OIG
C. OCR
D. Medicaid
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| Patient's always have the right to | show 🗑
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| show | A. The number of pages released
B. The Social Security number of the patient
C. The Entity to whom the information is to be released
D. the name of the treating physician
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| show | A. protected health information
B. authorized health release
C. statutory data
D. de-identified health information
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| Violating the HIPAA Privacy Rule can result in | show 🗑
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| show | A. regulate electronic transaction
B. protect research data
C. control the confidentiality and integrity of and access to protected health information
D. Protect medical facilities from criminal acts such as robbery
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| A compliance plan contains | show 🗑
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| OCR | show 🗑
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| show | Protected Health Information
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| TCS | show 🗑
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| show | Designated Record Set
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| show | Electronic Health Records
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| show | Chief Complaint
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| NPI | show 🗑
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| show | Notice of Privacy Practices
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| OIG | show 🗑
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| show | 1. Consistent written policies and procedures
2. Appointment of a compliance officer and committee
3. Training
4. Communication
5. Disciplinary systems
6. Auditing and monitoring
7. Responding to and correcting errors
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| Code of Conduct | show 🗑
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| What are compliance plans? | show 🗑
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| What is informed consent? | show 🗑
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