MBC112FINALREVIEW WITH ANSWERS.
A coder uses the main terms to identify possible codes by referring to the: - Answers-
index
Hospitals maintain financial stability through the billing process, which involves which of
the following? - Answers-Payers, demographic information, coding, and accounts
receivable (A/R)
Which change(s) that occurred in the health care system by the close of the 20th
century contributed to the evolution of hospitals? - Answers-Health care services
advanced through new technologies and treatments.
Providers diversified into many areas of medicine and were referred to as specialists.
Patient care services were delivered in a variety of different environments.
Prepaid health insurance plans that incorporate the provision of coordinated health care
services and cost-containment measures to monitor and manage health care services
provided to members of the plan are called _____ plans. - Answers-managed care
Economic influences on hospital development in the United States included: - Answers-
rising health care costs. hospital overcrowding. government health care programs.
Today's definition of a hospital is a(n): - Answers-institution where the sick or injured
receive medical or surgical care.
Which organization(s) contributed to the development of medical standards and
accreditation? - Answers-AHA, American College of Surgeons (ACS), The Joint
Commission (TJC) and the AMA
The Hill-Burton Act, Amendments to the Social Security Act (SSA), COBRA, EMTALA,
and HIPAA are legislative actions designed to address: - Answers-access to and quality
of health care.
State licensing statutes indicate "all hospitals shall have at least" the minimum
requirements such as: - Answers-inpatient beds.
a governing authority legally responsible for the conduct of the hospital.
a current and complete medical record for each patient admitted to the hospital.
HIPAA Title II addresses the need to combat waste, fraud, and abuse in health care by:
- Answers-increasing funding to support fraud and abuse detection activities.
increasing civil monetary penalties for fraud.
creating several programs to identify fraud and above.
, A covered entity must disclose an individual's PHI or an accounting of disclosures to
him or her (or personal representative of the patient) when requested. Under HIPAA
provisions, the patient's right to access PHI is maintained in the: - Answers-medical
record.
What agency conducts investigations of written complaints regarding HIPAA privacy
issues? - Answers-Office of Civil Rights (OCR)
Under the HIPAA security provisions, which of the following areas of physical
safeguards should be addressed to ensure security of electronic protected health
information (EPHI)? - Answers-Media and equipment, physical access, and secure
workstation
Under HIPAA regulations, an authorization for release of medical information must
contain which of the following to meet HIPAA requirements? - Answers-Description of
the information to be used or disclosed
HIPAA Title II: Administrative Simplification (AS), Standard Transactions includes: -
Answers-NOT patient payments
A patient can be referred to the hospital for an inpatient stay which of the following
ways? - Answers-Through the emergency department
By outside physician referral
From another facility
De-identification refers to the elimination of information that can be used to identify an
individual including which of the following data elements? - Answers-Name, address,
telephone number, fax number, and e-mail addresses.
Social Security number, medical record number, account number, and health plan
identification number.
Certificate number or license number
A specified group of invoices or statements processed at one time is called a: -
Answers-batch.
Charges for services performed by a physician or other, nonphysician clinical provider
are called _____ charges. - Answers-professional
Diagnosis codes provide an explanation of the patient's condition or other reason for
services, which is essential to establishing medical necessity. This statement describes
the relationship between: - Answers-diagnosis codes and medical necessity.
Examples of the categories of services for which hospitals submit facility charges are: -
Answers-operating room and recovery room.
A coder uses the main terms to identify possible codes by referring to the: - Answers-
index
Hospitals maintain financial stability through the billing process, which involves which of
the following? - Answers-Payers, demographic information, coding, and accounts
receivable (A/R)
Which change(s) that occurred in the health care system by the close of the 20th
century contributed to the evolution of hospitals? - Answers-Health care services
advanced through new technologies and treatments.
Providers diversified into many areas of medicine and were referred to as specialists.
Patient care services were delivered in a variety of different environments.
Prepaid health insurance plans that incorporate the provision of coordinated health care
services and cost-containment measures to monitor and manage health care services
provided to members of the plan are called _____ plans. - Answers-managed care
Economic influences on hospital development in the United States included: - Answers-
rising health care costs. hospital overcrowding. government health care programs.
Today's definition of a hospital is a(n): - Answers-institution where the sick or injured
receive medical or surgical care.
Which organization(s) contributed to the development of medical standards and
accreditation? - Answers-AHA, American College of Surgeons (ACS), The Joint
Commission (TJC) and the AMA
The Hill-Burton Act, Amendments to the Social Security Act (SSA), COBRA, EMTALA,
and HIPAA are legislative actions designed to address: - Answers-access to and quality
of health care.
State licensing statutes indicate "all hospitals shall have at least" the minimum
requirements such as: - Answers-inpatient beds.
a governing authority legally responsible for the conduct of the hospital.
a current and complete medical record for each patient admitted to the hospital.
HIPAA Title II addresses the need to combat waste, fraud, and abuse in health care by:
- Answers-increasing funding to support fraud and abuse detection activities.
increasing civil monetary penalties for fraud.
creating several programs to identify fraud and above.
, A covered entity must disclose an individual's PHI or an accounting of disclosures to
him or her (or personal representative of the patient) when requested. Under HIPAA
provisions, the patient's right to access PHI is maintained in the: - Answers-medical
record.
What agency conducts investigations of written complaints regarding HIPAA privacy
issues? - Answers-Office of Civil Rights (OCR)
Under the HIPAA security provisions, which of the following areas of physical
safeguards should be addressed to ensure security of electronic protected health
information (EPHI)? - Answers-Media and equipment, physical access, and secure
workstation
Under HIPAA regulations, an authorization for release of medical information must
contain which of the following to meet HIPAA requirements? - Answers-Description of
the information to be used or disclosed
HIPAA Title II: Administrative Simplification (AS), Standard Transactions includes: -
Answers-NOT patient payments
A patient can be referred to the hospital for an inpatient stay which of the following
ways? - Answers-Through the emergency department
By outside physician referral
From another facility
De-identification refers to the elimination of information that can be used to identify an
individual including which of the following data elements? - Answers-Name, address,
telephone number, fax number, and e-mail addresses.
Social Security number, medical record number, account number, and health plan
identification number.
Certificate number or license number
A specified group of invoices or statements processed at one time is called a: -
Answers-batch.
Charges for services performed by a physician or other, nonphysician clinical provider
are called _____ charges. - Answers-professional
Diagnosis codes provide an explanation of the patient's condition or other reason for
services, which is essential to establishing medical necessity. This statement describes
the relationship between: - Answers-diagnosis codes and medical necessity.
Examples of the categories of services for which hospitals submit facility charges are: -
Answers-operating room and recovery room.
