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PHYB Chapter 1 Quizzes 2025: HIPAA, Fraud & Abuse, CMS-1500 Billing Guide

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Ace your 2025 PHYB Chapter 1 exams with this quiz bank. Covers critical topics like HIPAA Security Rule, False Claims Act, Stark Law, Medicare/Medicaid compliance, and CMS-1500/UB-04 claim form completion. Features verified questions and answers.

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PHYB CHAPTER 1 QUIZZES & ANS!!



Which HIPAA provision adopts standards and
safeguards to protect health information that is
collected, maintained, used, or transmitted
electronically? - .....ANSWER ...✔✔ a. security rule


According to HIPAA, which is an action that is NOT
considered as accepted sound medical business and
results in the stealing of resources from the health care
industry? - .....ANSWER ...✔✔ c. abuse


According to HIPAA, which is an action that IS
considered as accepted sound medical business and
results in the stealing of resources from the health care
industry? - .....ANSWER ...✔✔ unbundling
kickbacks
fraud


Which is a provision of the Federal False Claims Act
that allows a private citizen to file a lawsuit charging

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fraud perpetrated by government contractors? -
.....ANSWER ...✔✔ b. qui tam


Which program was created by the Tax Relief and
Health Care Act of 2006 (TRHCA) as a "pay for quality
data reporting program," which was implemented by
CMS for outpatient hospital services? - .....ANSWER
...✔✔ b. Hospital Outpatient Quality Reporting
(Hospital OQR) program


The Payment Error Prevention Program (PEPP)
required facilities to: - .....ANSWER ...✔✔ a. identify
and reduce improper Medicare payments and,
specifically, the Medicare payment error rate


Which has been put on hold due to several bills in
Congress that would eliminate its requirement? -
.....ANSWER ...✔✔ d. National Individual Identifier


Which was established by the Health Care Quality
Improvement Act (HCQIA) to improve the quality of
health care by encouraging state licensing boards,
hospitals and other health care entities, and

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