HIPAA
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| Meeting regulations, recommendations & expectations of federal and state agencies that pay for health care services and regulates the industry is the process known as what? | show 🗑
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| show | eHealth Information Management
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| show | eHIM
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| How would the required Health Level 7 format for a date of birth of January 20, 2005 @ 7:15a.m. be transmitted? | show 🗑
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| show | Systemized nomenclature of Human and Veterinary Medicine International - a code system used for managing patient electronic health records, information & billing lab procedures.
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| show | Provide continuous insurance coverage for workers and insured dependents when they change or lose jobs.
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| What is administrative simplification? | show 🗑
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| show | An independent organization that receives insurance claims from the physician's office, performs edits, and transmits claims to insurance carriers.
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| Under HIPAA a health care coverage carrier such as Blue Cross, that transmits health information in electronic form in connection with a transaction is called what? | show 🗑
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| Dr. Doe contracts with an outside billing company to manage claims and accounts receivable. Under HIPAA the billing company is called what? | show 🗑
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| What is a privacy officer? | show 🗑
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| show | Disclosure
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| Define protected health information (PHI). | show 🗑
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| Unauthorized release of a patient's health information is called what? | show 🗑
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| A confidential communication related to the patient's treatment and progress that may be disclosed only with the patient's permission is known as what? | show 🗑
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| Under HIPAA, exceptions to the right of privacy are those records involving what: | show 🗑
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| show | Notice of Privacy Practices
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| show | 1. Administrative safeguards
2. Technical safeguards
3. Physical safeguards
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| show | Fraud
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| Changing a figure on an insurance claim form to get increased payment is considered what? | show 🗑
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| Dismissing the copayment and/or deductible is considered what? | show 🗑
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| Neglecting to refund an overpayment to the patient is considered what? | show 🗑
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| show | Fraud
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| show | Health Level Seven (HL7)
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| show | 1. Health care third party payers
2. Health care providers
3. Clearinghouses
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| Enforcement of the privacy standards of HIPAA is the responsibility of what government organization? | show 🗑
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| Verbal or written agreement that gives approval to some action, situation, or statement is called | show 🗑
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| An individual's formal written permission to use or disclose PHI for purposes other than treatment, payment or health care operations is called | show 🗑
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| show | True
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| show | False
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| Under HIPAA, patients may request confidential communications and may restrict certain disclosures of PHI. | show 🗑
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| A national provider identifier (NPI) number is issued for 5 years and must be renewed. | show 🗑
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| To submit an insurance claim for medical services that were not medically necessary is a violation of the False Claims Act. | show 🗑
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mpeoples
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