INSTITUTE EXAM | NEWEST ACTUAL EXAM
COMPLETE QUESTIONS AND VERIFIED
ANSWERS GRADED A+ | 100%
GUARANTEED PASS | 2025 UPDATE!
(BRAND NEW) LATEST VERSION
Why Dollars Lost? - ✔✔✔ Correct Answer > 4 main reasons why dollars get lost in
practices
-Poor financial management
-Incorrect coding
-Lack of third-party payer knowledge
-Lack of employee education
Key person insurance or "Key man" - ✔✔✔ Correct Answer > can be anyone
directly associated with the business whose loss can cause financial
strain to the business.
Collecting co-pay for divorced cases - ✔✔✔ Correct Answer > the adult seeking
treatment is responsible for the bill. The person bringing the child is still
responsible to you for payment, the patient can bill their estranged, but
not responsibility of the practice.
,Breach - ✔✔✔ Correct Answer > unauthorized acquisition access, use or disclosure
of protected health information, ex. ALGH issue on breach where
health info was spread with no consents from patients.
What are examples that could not result in HIPPA violation by DHHS? -
✔✔✔ Correct Answer > -Overheard phone or nursing station conversation
-Joint treatment areas
-Sign-in sheets
-Calling names in reception areas
-Hospital rounds
Solutions would be to speak quietly, cubicles, curtains, dividers, asking
patients to step back, or closing doors.
Health Information (PHI) - ✔✔✔ Correct Answer > Any info. whether oral or
recorded in any form or medium that is created or received by a health
care provider, health, plan public health authority, employer, life
insurer, school or university, or health care clearinghouse, and related
to the past, present or future physical or mental health or condition.
Individual Identifiable Health Information (IIHI) - ✔✔✔ Correct Answer >
Information that is a subset of health information, including
demographic, information collected from an individual.
Identifiers - ✔✔✔ Correct Answer > -Email address
, -Social Security number
-Medical record number
-Vehicle identifier
-Full face photograph
The Notice of Privacy Practices should be... - ✔✔✔ Correct Answer > In a written
language, tape, or video that the patient understands, be clearly posted
in the practice or facility, and if applicable, on the practice website.
Fraud - ✔✔✔ Correct Answer > the intentional deception or misrepresentation
that an individual knows to be false or does not believe to be true and
makes, knowingly that the deception could result in some unauthorized
benefit to himself/herself or some other person.
ex. Billing for services that were not furnished and or supplies that were
not provided
-Billing for services as if performed by a particular entity when they
were, in fact, performed by another entity not eligible to be paid by
Medicare
-Using in incorrect or inappropriate provider number ni order to be paid
(using a deceased provider number to defraud Medicare).
Abuse - ✔✔✔ Correct Answer > describes practices that either directly or indirectly
result in unnecessary costs to the Medicare Program. Acts committed
knowingly, willfully and intentionally.
ex. Charging in excess for services or supplies