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.   Medical Records Rule.
B.   Administrative Rule.
C.   Privacy Rule.
D.   Reimbursement 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.   sibling.
B.   teacher.
C.   legal guardian.
D.   grandparent.
Question #3
A provider may share patient information with an interpreter when the interpreter is:
A.   a family member of the patient and the patient agrees.
B.   a staff member, contractor, or volunteer who works for the provider.
C.   All of these.
D.   a friend 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.   30
B.   20
C.   60
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.   standardize the electronic exchange of protected health information (PHI).
C.   limit the number of methods that can be used for file encryption.
D.   authorize certain organizations to act as claims clearinghouses.
Question #6
The advantage of using electronic data interchange standards (EDI) in the transmission of medical and claims data is:
A.   lower operating costs.
B.   improved data quality.
C.   All of these.
D.   faster processing of transactions.
Question #7
Which of the following is a current HIPAA-approved code set?
A.   NDC
B.   All of these
C.   ICD-10
D.   HCPCS
Question #8
The HIPAA Security Rule complements the Privacy Rule but applies exclusively to:
A.   medical claims.
B.   hospital claims.
C.   protected health information.
D.   electronic protected health information.
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.   health record.
D.   patient database.
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.   technical
D.   administrative
Question #12
The HIPAA Unique Identifiers Rule requires that standard formats be used to identify:
A.   employers that sponsor health insurance plans.
B.   health insurance plans.
C.   All of these.
D.   healthcare providers.
Question #13
Stage 3 of the HITECH ACT will become mandatory for physicians and hospitals beginning in:
A.   2018
B.   2020
C.   2019
D.   2017
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.   1% reduction of Medicare reimbursement.
C.   2 % reduction of Medicare reimbursement.
D.   4 % reduction of Medicare reimbursement.
Question #16
Which stage of HITECH focuses on securing electronic messaging to communicate relevant health information to patients?
A.   Stage 3
B.   Stage 2
C.   Stage 1
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.   True
B.   False
Question #20
Technical safeguards are rules and policies related to documenting time-consuming, complex medical procedures.
A.   True
B.   False
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.   National Provider Identifier (NPI).
B.   National Health Plan Identifier.
C.   Federal Employer Identification Number (EIN).
D.   Social Security number.
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.   Security Rule
C.   Privacy Rule
D.   Unique Identifiers 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.   5 years.
B.   10 years.
C.   15 years.
D.   8 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.   True
B.   False

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