Reimbursement
Due Feb 28 at 10:59pm
Points 160
Questions 40
Available Feb 21 at 10:59pm - Feb 28 at 10:59pm
Time Limit None
Instructions
The Final Exam has 40 questions as a cumulative assessment of all 12 textbook chapters. If you do not
feel confident with the chapter material, please stop, review the textbook, and take additional notes.
There is only one attempt at the final exam worth 160 points. Once the Final Exam is started, it must be
completed in the same sitting. There is not a time limit to take the Final Exam however, you cannot save
your progress and return later to complete it. Students leaving the exam unattended will forfeit any
remaining points.
Do not sit for the Final Exam until you are ready to complete the entire Final Exam. Once the exam is
started, it cannot be saved.
Attempt History
Attempt Time Score
LATEST Attempt 1 22 minutes 160 out of 160
Score for this quiz: 160 out of 160
Submitted Feb 22 at 5:28pm
This attempt took 22 minutes.
,Correct answer
Question 1
pts
Which of the following is part of the physical safeguards identified under the HIPAA Security Rule
that helps to protect health information?
Workforce training
Workstation and security devices
Information access management
Integrity controls
Physical safeguards include facility access and control, as well as workstation and device security.
Policies and procedures should include the transfer, removal, disposal, and re-use of electronic
media.
, Correct answer
Question 2
pts
Which type of information can a patient find on their Explanation of Benefits?
How much of the plan deductible has been met
Which clearinghouse handled the claim
Lists of in-network providers
Diagnostic and procedure codes
The patient receives an Explanation of Benefits that details how the payer paid the claim. It also
lists the plan deductible that the patient has met and what their out-of-pocket expenses are.
Correct answer
Question 3
pts
What is used by a third-party payer of a claim to inform a service provider with information on what
has been paid and why?
Remittance advice
Plan deductibles
Electronic transfer of funds
Explanation of Benefits
The remittance advice is a summary prepared by the insurance payer, often in batch form
containing multiple patients/beneficiaries, to explain to the provider what the payer has paid on
each beneficiary covered by their plan.
Correct answer
Question 4
pts
What is used to protect how personal health information is transmitted or maintained by electronic
media?
Medicare Guidelines
FDA Regulations
HIPAA Security Rule
Correct! The HIPAA Security Rule sets national standards to protect electronic protected health
information (ePHI), ensuring its confidentiality, integrity, and availability.
OSHA Standards