HBI Core Competency Assessment
What is protected health information? - ✔ ✔ All of the above
Under the minimum necessary rule, healthcare staff members should ______ -
✔ ✔ Handle PHI in a compliant method
Use PHI in the minimum amount necessary to complete required duties
Healthcare organizations could face some severe implications for violating a
HIPAA requirement. Some of these implications include - ✔ ✔ Civil fines up
to 50,000
Jail time for person responsible for the violation
A patient access rep calls a patient to let her know that her lab results are ready
and to confirm a follow up appointment but has to leave voicemail. Which of
the following pieces of info can be communicated in the voicemail under HIPAA
- ✔ ✔ The phone number to call back
date of appointment being confirmed
Which of the following is not considered PHI - ✔ ✔ info about payment plan
, organ donation
which of the follow is considered phi - ✔ ✔ email addresses
vehicle identification number
which of the following are considered external issues that may cause COB
denials - ✔ ✔ two payers utilizing different COB rule criteria
patient information is incorrect
Which of the following are true about Medicaid? - ✔ ✔ It is a payer of last
resort and high responsibility for the patient
What information is included on an EOB form? - ✔ ✔ Billed charges
Any non covered services
allowable amount
What does a claim adjustment reason code describe - ✔ ✔ why a claim or
service line was billed differently than billed
________ payers are typically for-profit companies that just offer insurance
coverage for specific medical services - ✔ ✔ Managed care?
What is protected health information? - ✔ ✔ All of the above
Under the minimum necessary rule, healthcare staff members should ______ -
✔ ✔ Handle PHI in a compliant method
Use PHI in the minimum amount necessary to complete required duties
Healthcare organizations could face some severe implications for violating a
HIPAA requirement. Some of these implications include - ✔ ✔ Civil fines up
to 50,000
Jail time for person responsible for the violation
A patient access rep calls a patient to let her know that her lab results are ready
and to confirm a follow up appointment but has to leave voicemail. Which of
the following pieces of info can be communicated in the voicemail under HIPAA
- ✔ ✔ The phone number to call back
date of appointment being confirmed
Which of the following is not considered PHI - ✔ ✔ info about payment plan
, organ donation
which of the follow is considered phi - ✔ ✔ email addresses
vehicle identification number
which of the following are considered external issues that may cause COB
denials - ✔ ✔ two payers utilizing different COB rule criteria
patient information is incorrect
Which of the following are true about Medicaid? - ✔ ✔ It is a payer of last
resort and high responsibility for the patient
What information is included on an EOB form? - ✔ ✔ Billed charges
Any non covered services
allowable amount
What does a claim adjustment reason code describe - ✔ ✔ why a claim or
service line was billed differently than billed
________ payers are typically for-profit companies that just offer insurance
coverage for specific medical services - ✔ ✔ Managed care?
