Simplification Study guides, Class notes & Summaries

HCCA-CHPC STUDY GUIDE 2024/300+ QUESTIONS AND CORRECT DETAILED ANSWERS/A+ GRADE What is the purpose of HIPAA? - CORRECT ANSWER - • Protect PHI from unauthorized disclosure/use; • Prevent fraud, waste and abuse (via Administrative Simplification); • Make health insurance portable under ERISA; • Move health care onto a nationally standardized electronic billing platform HIPAA resides in which CFR section? - CORRECT ANSWER - 45 CFR sections 164.102 through 164.534 Wha...

NHA (NEW) 2023 CBCS PRACTICE TESTS- STUDY QUESTIONS WITH 100% CORRECT ANSWERSNHA (NEW) 2023 CBCS PRACTICE TESTS- STUDY QUESTIONS WITH 100% CORRECT ANSWERSNHA (NEW) 2023 CBCS PRACTICE TESTS- STUDY QUESTIONS WITH 100% CORRECT ANSWERS Medical Ethics - ANSWER-Standards of conduct based on moral principles. Generally accepted as a guide for behavior towards patients, physicians, co-workers, the government, and insurance compaines. Compliance Regulations - ANSWER-billing-related cases are based ...

CPB Chapter 8Facility charges are reported on which claim form? A. UB-05 claim form B. CMS-1500 claim form C. UB-04 claim form D. Either CMS-1500 or UB-04 claim form - correct answer C. UB-04 claim form Response Feedback: The UB-04 claim form is used to report facility charges to the payer for reimbursement. Which transaction is NOT specified in the 5010 transaction standards? A. Claims B. Eligibility C. Acknowledgement for Healthcare Insurance D. Acknowledgeme...

HIPAA Test Review Questions and Answers Latest Update Graded A+ What does HIPAA stand for? Health Insurance Portability & Accountability Act What is HIPAA? Federal privacy standards to protect patients' medical records and other health information provided to health plans, doctors, hospitals and other health care providers. When did HIPAA take effect? Took effect on April 14, 2003. What does HIPAA's standards provide patients with? Access to their medical records and more contro...

The Administrative Simplification section of HIPAA consists of standards for the following areas: a. Transactions, Code sets, Unique identifiers. b. Privacy. c. security. d. All of the above - Answer- d. All of the above Who enforces HIPAA? - Answer- Department of Health and Human Services Which one of the following is a Business Associate? a. Medical billing and collections company. b. Medical transcriptions company. c. IT Consultant d. all of the above - Answer- d. all of the...

NHA,CBCS | Questions and Verified Answers| 100% Correct| Grade A (2024/ 2025 Update) Q: A beneficiary of a Medicare/Medicaid crossover claim submitted by a participating provider is responsible for which of the following percentages? Answer: 0% Q: Which of the following coding manuals is used primarily to identify products, supplies, and services? Answer: HCPCS level II manual Q: A billing and coding specialist needs to know how much Medicare paid on a claim before b...

The Privacy Rule generally requires covered entities to take reasonable steps to limit the use or disclosure of, and requests for, protected health information to the minimum necessary to accomplish the intended purpose. The minimum necessary standard does not apply to the following: - correct answer -- Disclosures to or requests by a health care provider for treatment purposes. - Disclosures to the individual who is the subject of the information. - Uses or disclosures made pursuant to an ind...

Health Insurance Portability and Accountability Act of 1996 - ANSWER (HIPAA) August 21, 1996 - ANSWER HIPAA was enacted on _________. Kennedy-Kassebaum - ANSWER HIPAA aka as ______ bill, was originally enacted to provide rights and protections for participants and beneficiaries of group health plans. Under this law, exclusions for preexisting conditions were limited, and discrimination against employees and dependents based on their health status were prohibited. Fraud, Abuse - ANSWER H...

What is the purpose of HIPAA? - ANSWER • Protect PHI from unauthorized disclosure/use; • Prevent fraud, waste and abuse (via Administrative Simplification); • Make health insurance portable under ERISA; • Move health care onto a nationally standardized electronic billing platform Ref. More on HIPAA: HIPAA resides in which CFR section? - ANSWER 45 CFR sections 164.102 through 164.534 What are the subparts of HIPAA part 164? - ANSWER HIPAA - 45 CFR 164, subparts: Subpart A...

Medical Ethics - ️️Standards of conduct based on moral principles. Generally accepted as a guide for behavior towards patients, physicians, co-workers, the government, and insurance compaines. Compliance Regulations - ️️billing-related cases are based on HIPAA and False Claims Act. Health Insurance Portability and Accountability Act of 1996 (HIPPA) - ️️Created the Health Care Frad and Abuse Control Prpgram enacted nt check for fraud and abuse in the Medicare and Medicaid progra...