MCBC Exam 2 with all Correct & 100% Verified Answers
|Guaranteed to Pass
Omnibus Rule ✔Correct Answer-Set of regulations enhancing patients' privacy protections and
rights to information and the government's ability to enforce HIPAA
HIPPA Title I ✔Correct Answer-Ensures healthcare portability and renewability
HIPPA Title II ✔Correct Answer-Prevents healthcare fraud and abuse
HIPPA Title III ✔Correct Answer-tax related health provisions
HIPPA Title IV ✔Correct Answer-Enforces health plan provisions
HIPPA Title V ✔Correct Answer-Revenue offsets related to employer-provided life insurance
Who qualifies for Medicare? ✔Correct Answer-- Persons 65 or older
- Disabled persons
Persons with end-stage renal disease (kidney failure)
Medicare Part A ✔Correct Answer-Inpatient services
Medicare Part B ✔Correct Answer-outpatient services
Medicare Part C ✔Correct Answer-Alternate way to receive medicare benefits
Medicare Part D ✔Correct Answer-Prescription drug coverage
National Coverage Determination (NCD) ✔Correct Answer-Nationwide determination as to
whether Medicare will pay for an item or service.
Local Coverage Determination (LCD) ✔Correct Answer-Local decision whether Medicare will pay
for an item or service
Deductible ✔Correct Answer-A specified amount that the insured must pay before an insurance
company will pay a claim
Guarantor ✔Correct Answer-Responsible for non-covered healthcare charges
HIPPA X12 837P Claim ✔Correct Answer-Electronic claim form used for submission of professional
services by a physician or other healthcare professional, as indicated by the 'P' in its name.
Data Element ✔Correct Answer-- smallest unit of information in a HIPAA transaction
- some may be required
Responsible Party ✔Correct Answer-- an possible required data element
- Identifies the person or entity responsible for payment
Claim Control Number ✔Correct Answer-- Assigned by the sender
|Guaranteed to Pass
Omnibus Rule ✔Correct Answer-Set of regulations enhancing patients' privacy protections and
rights to information and the government's ability to enforce HIPAA
HIPPA Title I ✔Correct Answer-Ensures healthcare portability and renewability
HIPPA Title II ✔Correct Answer-Prevents healthcare fraud and abuse
HIPPA Title III ✔Correct Answer-tax related health provisions
HIPPA Title IV ✔Correct Answer-Enforces health plan provisions
HIPPA Title V ✔Correct Answer-Revenue offsets related to employer-provided life insurance
Who qualifies for Medicare? ✔Correct Answer-- Persons 65 or older
- Disabled persons
Persons with end-stage renal disease (kidney failure)
Medicare Part A ✔Correct Answer-Inpatient services
Medicare Part B ✔Correct Answer-outpatient services
Medicare Part C ✔Correct Answer-Alternate way to receive medicare benefits
Medicare Part D ✔Correct Answer-Prescription drug coverage
National Coverage Determination (NCD) ✔Correct Answer-Nationwide determination as to
whether Medicare will pay for an item or service.
Local Coverage Determination (LCD) ✔Correct Answer-Local decision whether Medicare will pay
for an item or service
Deductible ✔Correct Answer-A specified amount that the insured must pay before an insurance
company will pay a claim
Guarantor ✔Correct Answer-Responsible for non-covered healthcare charges
HIPPA X12 837P Claim ✔Correct Answer-Electronic claim form used for submission of professional
services by a physician or other healthcare professional, as indicated by the 'P' in its name.
Data Element ✔Correct Answer-- smallest unit of information in a HIPAA transaction
- some may be required
Responsible Party ✔Correct Answer-- an possible required data element
- Identifies the person or entity responsible for payment
Claim Control Number ✔Correct Answer-- Assigned by the sender
