Ch 16: True and False

Question 1

T/F: Federal regulations now mandate that all healthcare information that is electronically transmitted follow specific rules and guidelines to provide security and protection for PHI

Answer 1

True

Question 2

T/F: The Administrative Simplification and Compliance Act (ASCA) requires health plans and healthcare clearinghouses to use certain standard transaction formats and code sets for the electronic transmission of health information

Answer 2

True

Question 3

T/F: ASCA made it compulsory for all Medicare claims to be submitted electronically effective October 16, 2003, without exception

Answer 3

False

Question 4

T/F: ASCA’s “rule” does not require any other transactions (changes, adjustments, or appeals to the initial claim) to be submitted electronically

Answer 4

True

Question 5

T/F: Claims submitted via DDE are considered to be electronic claims for purposes of the “rule”

Answer 5

True

Question 6

T/F: The biggest obstacle to getting set up for electronic claims processing is the time that it takes for approval from various federal and state agencies

Answer 6

True

Question 7

T/F: The move from paper to electronic submissions will result in significant savings for all medical providers

Answer 7

False

Question 8

T/F: ASCA’s “rule” is applicable only to providers, practitioners, and suppliers who submit claims under Part A or Part B of Medicare

Answer 8

True

Question 9

T/F: ERA payments can be posted automatically to patient accounts

Answer 9

True

Question 10

T/F: Experts predict that computerized medical records can improve the quality of patient care

Answer 10

True

Question 11

T/F: The first step for providers to accomplish “meaningful use” is to invest in a certified EMR system

Answer 11

True

Question 12

T/F: A small provider of services is a medical facility (e.g., a hospital or skilled nursing facility) with fewer than 25 full-time equivalent (FTE) employees

Answer 12

True

Question 13

T/F: A small supplier is a physician, practitioner, facility, or supplier with fewer than 10 FTEs

Answer 13

True

Question 14

T/F: Physicians who did not adopt an EMR by 2015 were penalized 10% of Medicare payments, increasing incrementally to 25% by the end of the program

Answer 14

False

Question 15

T/F: EMR is a system wherein data representing money are moved electronically between accounts or organizations

Answer 15

False