Billing & Coding Practice Exam
Questions and Verified Answers
100% Correct | Grade A+
1. Describe the difference between informed and implied consent.
Answer Informed consent is required in writing after explanation of a procedure, with
time to ask questions, while implied consent is assumed.
2. What is documentation?
Answer Documentation is the record of clinical observation and care a patient
receives at a health care facility.
3. Disclosure refers to thewayhealth information is
Answer given to an outside person or organization.
4. Whatisthedifferencebetween consentand authorization?
Answer Consent is used only when the permission is for treatment, payment, or health
care operations, and authorization allows facility to verbally disclose or send health
information to other organizations.
5. True or False
Answer Physicians have the option to decide whether to explain privacy
,rules to their patients.
Answer False
6. Auditing refers to
Answer Reviewing claims for accuracy and completeness.
7. True or False
Answer Fraud is intentional misrepresentation of information for the purposesof
receivinghigherpayments,whileabusehappensunintentionally, often because
of poor business practices.
Answer True
8. Define upcoding
Answer Assigning a code that will deliberately result in a higher pay- ment.
9. What does HIPAA stand for?
Answer Health Insurance Portability and Accountability Act.
10. The Stark Law states that
Answer Physicians can't refer patients to practitioners with whom they have a financial
relationship.
11. The Office of the Inspector General is responsible for
Answer Fighting Fraud
12. What does ARRA stand for?
, Answer American Recovery and Reinvestment Act.
13. What does HITECH stand for?
AnswerHealth InformationTechnology of Economic and Clinical Health.
14. Informed Consent
Answer Providers explain medical or diagnostic procedures, surgi- cal interventions,
and the benefits and risks involved, giving patients an opportunity to ask questions
before medical intervention is provided.
15. Implied Consent
Answer A patient presents for treatment, such as extending an arm to allow a
venipuncture to be performed.
16. What does PHI stand for?
Answer Protected Health Information.
17. Clearinghouse
Answer Agency that converts claims into astandardized electronic for- mat, looksfor
errors, andformats them accordingtoHIPPA andinsurancestandards.
18. IndividuallyIdentifiable
Answer Documents that identifythe person or provide enough information so that the
person could be identified.
19. de-identified information
Questions and Verified Answers
100% Correct | Grade A+
1. Describe the difference between informed and implied consent.
Answer Informed consent is required in writing after explanation of a procedure, with
time to ask questions, while implied consent is assumed.
2. What is documentation?
Answer Documentation is the record of clinical observation and care a patient
receives at a health care facility.
3. Disclosure refers to thewayhealth information is
Answer given to an outside person or organization.
4. Whatisthedifferencebetween consentand authorization?
Answer Consent is used only when the permission is for treatment, payment, or health
care operations, and authorization allows facility to verbally disclose or send health
information to other organizations.
5. True or False
Answer Physicians have the option to decide whether to explain privacy
,rules to their patients.
Answer False
6. Auditing refers to
Answer Reviewing claims for accuracy and completeness.
7. True or False
Answer Fraud is intentional misrepresentation of information for the purposesof
receivinghigherpayments,whileabusehappensunintentionally, often because
of poor business practices.
Answer True
8. Define upcoding
Answer Assigning a code that will deliberately result in a higher pay- ment.
9. What does HIPAA stand for?
Answer Health Insurance Portability and Accountability Act.
10. The Stark Law states that
Answer Physicians can't refer patients to practitioners with whom they have a financial
relationship.
11. The Office of the Inspector General is responsible for
Answer Fighting Fraud
12. What does ARRA stand for?
, Answer American Recovery and Reinvestment Act.
13. What does HITECH stand for?
AnswerHealth InformationTechnology of Economic and Clinical Health.
14. Informed Consent
Answer Providers explain medical or diagnostic procedures, surgi- cal interventions,
and the benefits and risks involved, giving patients an opportunity to ask questions
before medical intervention is provided.
15. Implied Consent
Answer A patient presents for treatment, such as extending an arm to allow a
venipuncture to be performed.
16. What does PHI stand for?
Answer Protected Health Information.
17. Clearinghouse
Answer Agency that converts claims into astandardized electronic for- mat, looksfor
errors, andformats them accordingtoHIPPA andinsurancestandards.
18. IndividuallyIdentifiable
Answer Documents that identifythe person or provide enough information so that the
person could be identified.
19. de-identified information
