Question 5 1pts Which of the following is true in regard to the…

QuestionAnswered step-by-stepQuestion 5 1pts Which of the following is true in regard to the…Question 51 ptsWhich of the following is true in regard to the release of protected health information (ROI)?Group of answer choicesCovered entities must provide access to the PHI requested no later than 45 calendar days from receipt of requestA covered entity must provide access to PHI in the manner requested by the individualThe fee for copying PHI may include costs associated with searching for and retrieving the PHIHIPAA requirements always supercede state laws in regard to how long a covered entitiy has to provide a copy of PHI Flag question: Question 6Question 61 ptsA review of the medical record to ensure the standards are met and to determine accuracy of record documentation.Group of answer choicesRetrospective reviewAnnual auditQuantative analysisQualitative analysis Flag question: Question 7Question 71 ptsA medical record does not containGroup of answer choicesDemographic informationDiagnoses and proceduresFinancial informationPhysician Referral Forms Flag question: SpacerHealthcare Delivery Systems Flag question: Question 8Question 81 ptsThe physician who has been assigned to a patient and has assumed primary responsibility for the treatment and care of the patient:Group of answer choicesConsulting physicianAttending physicianGeneral physicianSurgeon Flag question: Question 9Question 91 ptsWhich department is responsible for the maintenance and care of health records?Group of answer choicesHealth Information ManagementSocial ServicesThe Joint CommissionFacilities Management Flag question: Question 10Question 101 ptsAfter suffering a stroke, a patient requires therapy to assist in performing activities of daily living such as getting dressed and cooking. Which department would assist this patient?Group of answer choicesPhysical therapyOccupational therapySocial servicesRespiratory therapy Flag question: Question 11Question 111 ptsWhich federal agency is tasked with governing and regulating healthcare in the United States?Group of answer choicesDepartment of Homeland Security (DHS)Office of Inspector General (OIG)Centers for Disease Control and Prevention (CDC)Department of Health and Human Services (DHHS) Flag question: Question 12Question 121 ptsWhich of the following would receive the data collected by a birth certificate clerk?Group of answer choicesDepartment of Health and Human ServicesImmunization RegistryNational Center for Health Statistics (NCHS)American Medical Association Flag question: Question 13Question 131 ptsWhich of the follow departments/specialties uses radioactive substances to diagnose and treat patients?Group of answer choicesClinical LaboratoryRadiologyHistologyNuclear Medicine and Radiation Therapy Flag question: Question 14Question 141 ptsWhich physician specialty treats patients in the management of pain and other symptoms related to joints and other parts of the musculoskeletal system?Group of answer choicesRheumatologyOncologyOphthalmologyHematology Flag question: SpacerLegal And Compliance Flag question: Question 15Question 151 ptsThe legal health record must be maintained according to all of the following except:Group of answer choicesJoint Commission standardsFederal and state lawsPractice standards and regulationsThe OIG work plan Flag question: Question 16Question 161 pts______ is the practice of assigning a diagnosis or procedure code specifically for the purpose of obtaining a higher level of reimbursement (payment).Group of answer choicesunbundlingbundlingupcodingundercoding Flag question: Question 17Question 171 ptsThe Tax Relief and Health Care Act of 2006 gave way to a program using ______ to investigate claims submitted by physicians, providers, facilities and supplies.Group of answer choicesJoint Commission auditorsRecovery Audit ContractorsCMS auditorsOIG audit contractors Flag question: Question 18Question 181 ptsA court summons to appear and bring documents.Group of answer choicessubpoenadepositiondiscoverycomplaint Flag question: Question 19Question 191 ptsMary is a coder at ABC hospital. During her review of the documentation in Miss Miller’s electronic health record, she reads reports from previous visits. Mary’s actions are a violation of ______.Group of answer choicesthe standard of minimum necessaryrole based access to the medical recorda business associate agreementa requested restriction on disclosure of PHI Flag question: Question 20Question 201 ptsThe HIPAA Security Rule requires covered entities to ensure the ____ electronic PHI.Group of answer choicestracking of disclosures ofproper authorization of access toappropriate access and amendments to and restrictions onconfidentiality, integrity and availability (CIA) Flag question: Question 21Question 211 ptsWhich of the following is NOT a covered entity under HIPAA?Group of answer choicesRadiologist who reads the x-ray reportBlue Cross insuranceMedicare fiscal intermediaryHospital supplier that provides latex gloves Flag question: SpacerReimbursement Methodologies Flag question: Question 22Question 221 ptsBased on the table below, what is the facility’s expected reimbursement?CPT CodeAPC ClassificationAPC PSICPT Code PSIPayment Rate201015054 Level 4 Skin ProcedureTT$1,372.29201035071 Level 1 Excision/Biopsy/Incision and DrainageTT$483.91Group of answer choices$1,856.20$1,614.25$1,170.06$888.38 Flag question: Question 23Question 231 ptsUnder which reimbursement system are reimbursement rates calculated based on physician work, practice expense and professional liability?Group of answer choicesProspective payment systemRBRVSCapitationEpisode-of-care Flag question: Question 24Question 241 ptsThis is when one payment is made to cover a related group of services.Group of answer choicesRetrospective paymentGlobal paymentSelf paymentProspective payment Flag question: Question 25Question 251 ptsThe third-party payer’s process of checking the details of the claim against the information they have for the patient and his/her insurance benefits.Group of answer choicesReconciliationProcessingSubmissionAdjudication Flag question: Question 26Question 261 ptsWhich of the following uses the UB-04 claim form?Group of answer choicesPhysician officeUrgent care clinicAmbulatory surgery center (Medicare patients)Emergency room physician Flag question: Question 27Question 271 ptsWhat is a healthcare provider’s comprehensive price list of all supplies, services, and equipment usage is called?Group of answer choicesCharge codeCharge masterRevenue codeCharge status Flag question: Question 28Question 281 ptsOf the following, which does NOT directly influence the assignment of MS-DRGs?Group of answer choicesSeverity of illnessDischarge statusAgePrincipal diagnosis Flag question: Question 29Question 291 ptsFee-for-service reimbursement provided after health services have been given is called____?Group of answer choicesretrospective paymentglobal paymentprospective paymentcapitation Flag question: Question 30Question 301 ptsAn MS-DRG’s relative weight is 1.773. The facility’s base rate is $5,860.00. What is the facility’s reimbursement rate for this MS-DRG?Group of answer choices$10,389.78$3,305.13$10,372.20$5,194.89 Flag question: Question 31Question 311 ptsWhich of the following is used by the third-party payers to handle and format submissions, screen claims, and make data available to providers?Group of answer choicesElectronic data exchangeClearinghousesCommon data fileMedicare administrative contractors Flag question: SpacerMedical Terminology Flag question: Question 32Question 321 ptsThe prefix that means excessive.Group of answer choiceshypomultimonohyper Flag question: Question 33Question 331 ptsA prefix that means false.Group of answer choicespseudo-ante-ambi-peri-Health ScienceScienceNursingMEDICAL BILLING AND CODING 3.0Share Question