2025/26 FINAL EXAM HIT 102 (ULTIMATE) QUESTIONS
WITH COMPLETE SOLUTIONS.
Determine which of the following entities is not considered a provider Answer
- insurance companies
Which policy/procedures dictates how employees should act Answer - code of
ethics
All of the following are uses for the medical record except Answer - scheduling
The Health Insurance Portability and Accountability Act (HIPAA) of 1996 is a law
designed to Answer - Both uncover fraud/abuse and protect PHI
Who handles complaints that may lead to a criminal case for investigation?
Answer - Department of Justice
What did HIPAA create to uncover and prosecute fraud and abuse? Answer -
The Health care Fraud and Abuse Control Program
The following act contains additional provisions for the exchange electronic
healthcare data? Answer - HITECH
TPO is an abbreviation for: Answer - treatment, provider, and health care
operations
, CMS stands for: Answer - Centers for Medicare & Medicaid Services
The following allows exchange: electronic data using a standard format and
standard code sets? Answer - The HIPAA Electronic Health care Transactions
and Code Sets
An established patient is defined as one who has seen the provider within the
last: Answer - 3 years
Identify the best time during which to begin collecting patient information:
Answer - preregistration process
A provider such as a facility who does not have face-to-face interaction with a
patient: Answer - indirect provider
What should be done when incorrect or conflicting data are discovered on
encounter forms? Answer - review the documentation and communicate with
physician
Training staff about healthcare quality falls under what under a TPO? Answer -
health care operations
The terms "subscriber" and "guarantor" have the same meaning as: Answer -
insured
Real-time Adjudication is: Answer - the actual amount the patient will owe
WITH COMPLETE SOLUTIONS.
Determine which of the following entities is not considered a provider Answer
- insurance companies
Which policy/procedures dictates how employees should act Answer - code of
ethics
All of the following are uses for the medical record except Answer - scheduling
The Health Insurance Portability and Accountability Act (HIPAA) of 1996 is a law
designed to Answer - Both uncover fraud/abuse and protect PHI
Who handles complaints that may lead to a criminal case for investigation?
Answer - Department of Justice
What did HIPAA create to uncover and prosecute fraud and abuse? Answer -
The Health care Fraud and Abuse Control Program
The following act contains additional provisions for the exchange electronic
healthcare data? Answer - HITECH
TPO is an abbreviation for: Answer - treatment, provider, and health care
operations
, CMS stands for: Answer - Centers for Medicare & Medicaid Services
The following allows exchange: electronic data using a standard format and
standard code sets? Answer - The HIPAA Electronic Health care Transactions
and Code Sets
An established patient is defined as one who has seen the provider within the
last: Answer - 3 years
Identify the best time during which to begin collecting patient information:
Answer - preregistration process
A provider such as a facility who does not have face-to-face interaction with a
patient: Answer - indirect provider
What should be done when incorrect or conflicting data are discovered on
encounter forms? Answer - review the documentation and communicate with
physician
Training staff about healthcare quality falls under what under a TPO? Answer -
health care operations
The terms "subscriber" and "guarantor" have the same meaning as: Answer -
insured
Real-time Adjudication is: Answer - the actual amount the patient will owe
