Chapter 4 - Medical Records, Insurance, and Contracts

Question 1

upcoding

Answer 1

the use of an incorrect CPT or ICD to obtain a larger insurance payment

Question 2

respondeat superior

Answer 2

“let the master answer” (employer is responsible for the actions of their employees)

Question 3

reasonable person standard

Answer 3

“What would a reasonable and prudent person do in the same or similar circumstance?”

Question 4

JCAHO

Answer 4

Joint Commission on Accreditation of Healthcare Organizations

Question 5

agency that accredits and certifies healthcare organizations

Answer 5

JCAHO

Question 6

contract

Answer 6

an agreement between parties that the law will recognize as legally binding

Question 7

What are the four parts of a contract?

Answer 7

1. offer
2. acceptance
3. consideration
4. contractual capacity

Question 8

subpeona ducus tecum

Answer 8

a court order that a person bring requested documents to court

Question 9

_____ codes are used for inpatients.

Answer 9

ICD

Question 10

_____ codes are used for outpatient procedures.

Answer 10

CPT

Question 11

ICD

Answer 11

International Classification of Diseases

Question 12

CPT

Answer 12

Current Procedure Terminology

Question 13

How long are medical records maintained after treatment was last provided?

Answer 13

20 years

Question 14

Healthcare institutions own the _____ that contains medical records, while patients own _____.

Answer 14

computer equipment and software; the content