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Coding and Billing: Chapter 21 > Coding and Billing I : Final > Flashcards

Coding and Billing I : Final Flashcards

1
Q

In a medical office, viewing a medical record on a computer for an out-of-state patient is an example of :

  1. Using technology
  2. Using paper records
  3. Using an ATM
  4. Training a paramedic
A
  1. Using technology
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2
Q

Since EHRs include information entered by all health care professionals who treat the patient, the programs make it easier to ___ patient information.

  1. Access
  2. Share
  3. Lose
  4. Access and Share
A
  1. Access and Share
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3
Q

Referring to a type of software program, the abbreviation PM represents:

  1. Provider Management
  2. Provider Monitoring
  3. Practice Medical
  4. Practice Management
A
  1. Practice Management
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4
Q

In HIPAA terms, standards for electronic information exchange are:

  1. Meaningful use guidelines
  2. Required duplicate paperwork guidelines
  3. Required technical specifications
  4. Privacy considerations
A
  1. Required technical specifications
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5
Q

What tecnology enables a physician to transmit a prescription electronically to a patient’s pharmacy

A

Electronic Prescribing

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6
Q

Meaningful use is the utilization of certified EHR technology int he health care system to:

  1. improve quality
  2. improve efficiency
  3. improve patient safety
  4. all of the above
A
  1. All of the above
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7
Q

The patient examination occurs:

  1. before an encounter
  2. after an encounter
  3. during an encounter
  4. None of the above
A
  1. During the encounter
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8
Q

A medical record may have:

  1. The physician’s assessment, diagnosis, and treatment plan
  2. The patient’s medical history
  3. Results of laboratory work
  4. All of the above
A
  1. All of the above
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9
Q

Choose the best statement relating clinical data and physician reimbursement

  1. Clinical data are used in case studies for training
  2. Clinical data help develop methods to improve the health of the population
  3. Clinical data show that the service provided for a patient was warranted to treat the condition
  4. None of the above
A
  1. Clinical data show that the service provided for a patient was warranted to treat the condition.
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10
Q

Payment from a health plan may be denied if clinical information is incomplete or _________

  1. Assumption-based
  2. Based on case studies
  3. Inaccurate
  4. Evidence-based
A
  1. Inaccurate
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11
Q

Clinical information may be used for:

  1. Quality review
  2. Research
  3. Education
  4. All of the above
A
  1. All of the above
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12
Q

Who owns the personal health records (PHRs)?

  1. A medical practice that provided care
  2. The patients who created them
  3. The federal or state government, depending on the type of care
  4. None of the above
A
  1. The patients who created them
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13
Q

The most frequently cited advantages of electronic health records (EHR) are:

  1. Improved quality of care
  2. Greater efficiency
  3. Increased patient safety
  4. All of the above
A
  1. All of the above
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14
Q

Practice management (PM) programs improve cash flow by handling electronic payments that are send directly to the practice’s bank account, a transaction called an EFT, which is an abbrevation for:

  1. Electronic funds terminal
  2. Electronic financial transmittal
  3. Electronic funds transfer
  4. None of the above
A
  1. Electronic funds transfer
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15
Q

The order of the steps involved with health care claim processing is

  1. creating, transmitting, payer payment decisions, and payment posting
  2. transmitting, provider payment decision, demographics, and autoposting
  3. entering patient data, provider data, health plan data, and transaction data
  4. entering payer payment decisions and posting payments to correct accounts
A
  1. creating, transmitting, payer payment decisions, and payment posting
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16
Q

The diagnosis and procedures int he patient’s medical record should be logically connected, so that the ____ of the charges is clear to the health plan

  1. medical necessity
  2. medical significance
  3. medical importance
  4. medical relevance
A
  1. medical necessity
17
Q

To establish financial responsibility for the office visit of an insured patient involves:

A. Checking the health plans conditions for payment

  1. Verifying the patient’s eligibility
  2. verifying th patient’s benefits
  3. All of the above
A
  1. All of the above
18
Q

A ____ code is used to represent for a patient’s Alzheimer’s disease

A

Diagnosis code

19
Q

Abstracting information from patient’s records for accurate claims and patient statements is the responsibility of the:

  1. Medical professional staff
  2. Billing/Coding staff
  3. Nursing personnel
  4. None of the above
A
  1. Billing/Coding staff
20
Q

Patient medical records are:

  1. Legal documents
  2. Strictly financial documents
  3. for office use only
  4. for patient use only
A
  1. Legal Documents
21
Q

A ____ code is used to represent an x-ray of the elbow

A

Procedure code

22
Q

Which of the following is a type of covered entity?

  1. health plans
  2. health care providers
  3. health care clearinghouses
  4. All of the above
A
  1. All of the above
23
Q

Analyze the relationship between covered entities (CE) and business associates (BA)

A

BA’s perform a function or activity on behalf of a CE but are not part of the CE’s workforce

24
Q

Under the HITECH Act, HIPAA’s Privacy and Security Rules now extend directly to:

  1. BAs (Business Associates)
  2. CE’s ( Covered Entities)
  3. Health Plans
  4. Clearinghouses
A
  1. BA’s (Business Associates)
25
Q

PHI is defined as individually ____health information that is transmitted or maintained by electronic media, such as over the internet, or that is transmitted or maintained in any other form or medium.

  1. Transmitted
  2. Identifiable
  3. Filed
  4. Descriptive
A
  1. Identifiable
26
Q

A provider released a patient’s mental health record to the health plan without authorization. Is this an acceptable procedure? Why or why not?

A

No, because mental health record release is stringently controlled

27
Q

The ____ means using reasonable safeguards to protect PHI from being accidently realeased to those not needing the information during an appropriate use or disclosure

  1. Minimum Necessary Standard
  2. Designated record set
  3. Notice of Privacy Practices(NPP)
  4. Realease of Information (ROI)
A
  1. Minimum Necessary Standard
28
Q

Audit trails are records that show who has ____ a computer or a network and what operations were performed

A

Accessed

29
Q

For a breach of unsecured information to have occured, the impermissable use or disclosure must pose a significant _____ of financial, reputational, or other ____ to the affected person

A

Risk; Damage

Coding and Billing: Chapter 21 (2 decks)

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