CORRECTLY SOLVED ANSWERS.
When auditing operative notes, the auditor will expect to see documentation
from all of the following except --Answer-- Surgical assistants
According to the Health Insurance Portability and Accountability Act of 1996
(HIPAA), an outside auditor must sign which of the following agreements
prior to reviewing and auditing any medical records? --Answer-- Business
Associate Agreement
The HIPAA Privacy Rule defines "minimum necessary" as typically requiring
healthcare employees to --Answer-- Follow policies and procedures
developed by the covered entity which limit use and disclosure
of PHI to that which is needed to accomplish the intended purpose to
perform the duties of their job
When auditing an ENT practice, you discover the practice uses an EMR.
Which of the following options would you look for when reviewing documents
created in the electronic medical record or notes created using templates
that may be indicators of misuse? --Answer-- Complete medical histories on
each visit, diagnosis driven by clinical picture, repetitious notes not relevant
to presenting problem
State law will take precedence over HIPAA under which of the following
circumstances --Answer-- If HIPAA is less restrictive than state law
When providing a prescription for a patient, the education of the patient
(including side effects and supporting
documentation) in the medical record that the information was reviewed is
based on which of the following standards? --Answer-- Joint Commission
standards
A deliberate misrepresentation of facts to gain unauthorized benefits is the
definition of --Answer-- Fraud
What is an action resulting in unnecessary costs, whether directly or
indirectly, to a federal healthcare plan considered? --Answer-- Abuse