AAPC CPB Final
,
,1. Health plan, clearinghouses, and any entity transmitting health informa- tion is
considered by the Privacy Rule to be a:: covered entity
2. Which of the following is not a covered entity in the Privacy Rule: health- care consulting
firm
3. A request for medical records is received for a specific date of service from patient's
insurance company with regards to a submitted claim. No authorization for release of
information is provided. What action should be taken?: release reqt to ins co
4. How many national priority purposes under the Privacy Rules for disclo- sure of specific
PHI without an individual's authorization or permission?: 12
, 5. A health plan sends a request for medical records in order to adjudicate a claim. Does the
office have to notify the patient or have them sign a release to send the information?: no
6. A practice sets up a payment plan with a patient. If more than four install- ments are
extended to the patient, what regulation is the practice subject to that makes the practice a
creditor?: Truth in Lending Act
7. Which of the following situations allows release of PHI without authoriza- tion from the
patient?: workers comp
8. misusing any information on the claim, charging excessively for services or supplies, billing
for services not medically necessary, failure to maintain adequate medical or financial records,
improper billing practices, or billing Medicare patients at a higher fee scale that non-Medicare
patients.: abuse
,
,1. Health plan, clearinghouses, and any entity transmitting health informa- tion is
considered by the Privacy Rule to be a:: covered entity
2. Which of the following is not a covered entity in the Privacy Rule: health- care consulting
firm
3. A request for medical records is received for a specific date of service from patient's
insurance company with regards to a submitted claim. No authorization for release of
information is provided. What action should be taken?: release reqt to ins co
4. How many national priority purposes under the Privacy Rules for disclo- sure of specific
PHI without an individual's authorization or permission?: 12
, 5. A health plan sends a request for medical records in order to adjudicate a claim. Does the
office have to notify the patient or have them sign a release to send the information?: no
6. A practice sets up a payment plan with a patient. If more than four install- ments are
extended to the patient, what regulation is the practice subject to that makes the practice a
creditor?: Truth in Lending Act
7. Which of the following situations allows release of PHI without authoriza- tion from the
patient?: workers comp
8. misusing any information on the claim, charging excessively for services or supplies, billing
for services not medically necessary, failure to maintain adequate medical or financial records,
improper billing practices, or billing Medicare patients at a higher fee scale that non-Medicare
patients.: abuse
