Billing / Coding 2 Flashcards
person who makes an accusation of fraud or abuse.
relator
Electronic health records are considered to have significant advantages, including all of the following except
reduced costs.
When protected health information is shared, which of the following should be observed?
minimum necessary standard
Which of the following laws prohibits submitting a fraudulent claim?
FCA
Which of the following is required for releasing protected health information for reasons other than treatment, payment, or health care operations?
patient’s signed authorization
The ACA requires the adoption of __________ for each of the HIPAA Standard transactions.
operating rules
What make(s) it possible for physicians and health plans to exchange electronic data using a standard format.
HIPAA Electronic Transactions and Code Sets
The responsibility of licensed health care professionals to observe state medical standards of care is called
medical professional liability.
The document notifying an individual of a breach is called a
breach notification.
For release of PHI for treatment, payment, and health care operations
no authorization is required from the patient.
For release of PHI for treatment, payment, and health care operations
no authorization is required from the patient.
Which of the following require(s) CEs to establish safeguards to protect PHI?
HIPAA Security Rule
HIPAA identifies three types of covered entities
health plans, clearinghouses, and providers.
NPI is the abbreviation for
National Provider Identifier.
The Health Care Fraud and Abuse Control Program was created by
HIPAA