CPB Final Exam | 2023 | 140 Questions with 100% Correct Answers | Updated & Verified | 23 Pages

A practice agrees to pay $250,000.00 to settle a lawsuit alleging that the practice used x-rays of one patient to justify services on multiple other patients' claims. The office manager brought the civil suit. What type of case is this? - Qui Tam In which of the following circumstances may PHI not be disclosed without the patient's authorization or permission? - An office receives a call from the patient's husband asking for information about his wife's recent office visit. According to the Privacy Rule, what must a Business Associate and a Covered Entity have in order to do business? - A contract HMO plans require the enrollee to: - To have referrals to see a specialist that is generated by the patient's primary care provider. Which of the following is NOT a component of the PPO payer model? - Require the enrollee to maintain a Primary Care Provider. Under the Privacy Rule a health plan, clearinghouses, and any entity transmitting health information is considered? - Covered entity