MOA 183 - Intro to Health Insurance » Fall 2022 » Weekly Quiz 3 Chapter 4

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Question #1
The provision of HIPAA that regulates the use and disclosure of protected health information is the:
A.   Reimbursement Rule.
B.   Medical Records Rule.
C.   Administrative Rule.
D.   Privacy Rule.
Question #2
If the patient is a minor, consent to the disclosure of protected health information (PHI) must be provided by a parent or:
A.   teacher.
B.   grandparent.
C.   sibling.
D.   legal guardian.
Question #3
A provider may share patient information with an interpreter when the interpreter is:
A.   a staff member, contractor, or volunteer who works for the provider.
B.   All of these.
C.   a friend of the patient and the patient agrees.
D.   a family member of the patient and the patient agrees.
Question #4
How many days does the provider have to correct the patient's medical record once a request has been made?
A.   20
B.   60
C.   30
D.   90
Question #5
The overall purpose of HIPAA Transactions and code set Rule is to:
A.   require that all claims be submitted in exactly the same electronic format.
B.   authorize certain organizations to act as claims clearinghouses.
C.   limit the number of methods that can be used for file encryption.
D.   standardize the electronic exchange of protected health information (PHI).
Question #6
The advantage of using electronic data interchange standards (EDI) in the transmission of medical and claims data is:
A.   improved data quality.
B.   All of these.
C.   faster processing of transactions.
D.   lower operating costs.
Question #7
Which of the following is a current HIPAA-approved code set?
A.   HCPCS
B.   All of these
C.   NDC
D.   ICD-10
Question #8
The HIPAA Security Rule complements the Privacy Rule but applies exclusively to:
A.   hospital claims.
B.   electronic protected health information.
C.   protected health information.
D.   medical claims.
Question #9
The electronic record that documents a patient's encounters with physicians and other clinicians that is stored within one provider's system is the electronic:
A.   data interchange.
B.   medical record.
C.   patient database.
D.   health record.
Question #10
The electronic record that includes documentation of patient care across multiple healthcare organizations that can be viewed by all providers who have a relationship with the patient is the electronic:
A.   health record.
B.   data interchange.
C.   patient database.
D.   medical record.
Question #11
Which type of safeguard involves limiting access to computer hardware and software only to properly authorized personnel?
A.   procedural
B.   physical
C.   administrative
D.   technical
Question #12
The HIPAA Unique Identifiers Rule requires that standard formats be used to identify:
A.   employers that sponsor health insurance plans.
B.   All of these.
C.   health insurance plans.
D.   healthcare providers.
Question #13
Stage 3 of the HITECH ACT will become mandatory for physicians and hospitals beginning in:
A.   2017
B.   2020
C.   2018
D.   2019
Question #14
The HITECH Act introduced which concept in regard to electronic health information?
A.   meaningful use
B.   authorized use
C.   hacking prevention
D.   fraud prevention
Question #15
Providers who do NOT achieve the HITECH meaningful use standards in 2017 will face penalties that consist of a:
A.   3 % reduction of Medicare reimbursement.
B.   2 % reduction of Medicare reimbursement.
C.   4 % reduction of Medicare reimbursement.
D.   1% reduction of Medicare reimbursement.
Question #16
Which stage of HITECH focuses on securing electronic messaging to communicate relevant health information to patients?
A.   Stage 1
B.   Stage 2
C.   Stage 3
D.   Stage 4
Question #17
The HIPAA Privacy rule forbids providers from ever disclosing protected health information (PHI) without the patient's permission, even in response to a court order.
A.   True
B.   False
Question #18
ICD-10-CM is not approved as a uniform code set according to HIPAA guidelines.
A.   True
B.   False
Question #19
Physical safeguards are measures put in place to control or limit physical access to protected data.
A.   False
B.   True
Question #20
Technical safeguards are rules and policies related to documenting time-consuming, complex medical procedures.
A.   False
B.   True
Question #21
Each individual health plan must use a unique National Provider Identifier.
A.   False
B.   True
Question #22
The unique identifier for insurance plans and third-party payers and administrators is the:
A.   Social Security number.
B.   National Provider Identifier (NPI).
C.   Federal Employer Identification Number (EIN).
D.   National Health Plan Identifier.
Question #23
Which provision of HIPAA deals with procedures for investigations and hearings related to compliance issues and penalties for violations?
A.   Enforcement Rule
B.   Privacy Rule
C.   Unique Identifiers Rule
D.   Security Rule
Question #24
A criminal penalty for HIPAA violations with intent to sell or use individually identifiable health information for commercial advantage, personal or financial gain can carry a maximum prison sentence of:
A.   8 years.
B.   15 years.
C.   5 years.
D.   10 years.
Question #25
A healthcare provider is not allowed to discuss a patient's medical condition or payment with a person over the phone.
A.   False
B.   True

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