Medical Billing and Coding Certification Test Chapter 1 Solved 100%

HIPAA - Answer Heath Insurance Portablity and Accountability Act When was HIPAA Inforced? - Answer 1996 What is the Purpose of HIPAA? - Answer Protect patient infromation to secure confidentiality ARRA - Answer American Recovery and Reinvestment Act HITECH - Answer Health Information Technology for Economic and Clinical Health Documentation - Answer Record of clinical observations and care a patient recieves as a health care facility What type of information must be included in the patient's documentation? - Answer Dates of the clinical encounter Author of the document Patient's medical history and pertinent family history Report of patient's initial physical examination Any allergies: food and/or medication Physician's diagnostic and therapeutic orders Reports and results of every diagnostic and therapeutic procedures preformed Informed Consent - Answer The provider/physician explains the medical procedure or diagnostic procedures, surgical interventions and the benefits and risks involved; giving patients the opportunity to ask questions before the medical intervention is provided Implied Consent - Answer A patient presents for treatment such as extending an arm to allow a venipuncture to be performed PHI - Answer Protected Health Information Clearinghouse - Answer Agency that converts claims into standardized electronic format, looks for errors, and formats them according to HIPAA and insurance standards