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HIPPA OF 1996 includes a B
security rule that is established
to provide what national stands
for protecting and transmitting
patient data. Which of the
following is NOT true?
A) The security rule applies to
healthcare providers, health
plans, and any covered entity
involved in the care of a patient.
B) The security role applies only
to the Institute that initiates the
release of protected health
information
C) Standards for storing
transmitting patient data and
electronic form include portable
electronic devices
D) The security rule states that
safeguards must be in place to
prevent unsecured release of
information
,Eight standard transactions were D
adopted for electronic data,
interchange under HIPAA which
of the following is not included
as a standard transaction
A) payment and remittance
advice
B) eligibility in a health plan
C) coordination of benefits
D) physician unique identify
number
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A claim is received by a payer Only the date of service on the claim should be sent to the
that subsequently request the payer. The records can be sent as part of HIPAA based on
medical records for the date of treatment payment and operations.
service on the claim what
procedure should be followed
by the practice?
HIPAA requires that privacy D
practice notices be provided in
several circumstances, which of
the following is not required
A) must be available on any
website that practice maintains
B) must be provided upon
request
C) must be presented to all
patients
D) must be placed into the
patient's file
When is subpoena is received B
by the practice for medical
records, and what circumstances
may the records be released
according to the HIPAA privacy
rule
A) the subpoena allows for the
release of the medical records
B) this subpoena is
accompanied by a court order,
or the patient is notified, and
given a chance to object
C) the individual must sign an
authorization for release at the
information
D) records cannot be released
under any circumstances based
on the subpoena
, A physician received office Anti-Kickback Statute
space at a reduced rate for
referring patients to the
hospitals, outpatient physical
therapy center. What law does
this violate?
Federal healthcare plans include Medicare, Medicaid, Tricare
what payers?
One of the most severe C
penalties that can be associated
with violations at the Social
Security act is exclusion from
federal healthcare plans, which
of the following statements is
true of excluded individuals?
A) physicians that have been
excluded can build the patient
for services, but cannot bill
federal health plans
B) physicians that have been
excluded can refer further
patients to other facilities for
treatment
C) physicians that have been
excluded or prohibited from
billing for any service to a
federally administered health
plan
D) physicians that have been
excluded are exempt from
billing for services, but are
allowed to write prescriptions
and order tests
A physician built claims to Fraud; subject to the false claims act
Medicare and Medicaid for
procedures that were not
performed on 800 patients
resulting in loss of $2.6 million. Is
this fraud or abuse?
The regulation of finance Truth in Lending Act
charges or interest, applied to
outstanding balances, and
medical practice is under what
law?
What type of insurance is paid Group Health Plan
for by employers for employees
and takes advantage of
purchasing power of having
large member numbers?