Exam (elaborations)
MEDICAL BILLING QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
- Course
- Institution
MEDICAL BILLING QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
[Show more]
Content preview
MEDICAL BILLING QUESTIONS ANDANSWERS WITH SOLUTIONS 2024
AMA - ANSWER American Medical Association
cash flow - ANSWER The amount of actual money available to the medical practice
ethics - ANSWER Standards of conduct generally accepted as a moral guide for behavior.
etiquette - ANSWER customs, rules of conduct, courtesy, and manners of the medical profession
HIPAA - ANSWER Health Information Portability and Accountability Act
abuse - ANSWER Incidents or practices, not usually considered fraudulent, that are inconsistent with
accepted sound medical business or fiscal practices.
authorization form - ANSWER A document signed by the patient that is needed for use and disclosure of
protected health information for purposes other than treatment, payment or health care operations
breach of confidential communication - ANSWER unauthorized release of information
business associate - ANSWER A person, who on behalf of the covered entity, performs or assists in the
performance of a function or activity involving the use or disclosure of individually identifieable health
information.
clearinghouse - ANSWER An independent organization that receives insurance claims from the
physician's office, performs software edits, and redistributes the claims electronically to various
insurance carriers.
compliance - ANSWER A process of meeting regulations, recommendations, and expectations of federal
and state agencies that pay for health care services and regulate the industry
, compliance plan - ANSWER A management plan composed of policies and procedures to accomplish
uniformity, consistency, and conformity in medical record keeping that fulfills offical requirements.
confidential communication - ANSWER A privileged communication that may be disclosed only with the
patient's permission.
confidentiality - ANSWER The state of treating privately or secretly, and not disclosing to other
individuals or for public knowledge, the patient's conversations or medical records.
consent - ANSWER Verbal or written agreement that gives approval to some action, situation, or
statement.
consent form - ANSWER A document that is not required before physicians use or disclose protected
health information for treatment, payment, or routine health care operations of the patient. (For other
purposes, see Authorization form)
covered entity - ANSWER An entity that transmits health information in electronic form in connection
with a transaction covered by HIPAA. The covered entity may be a helath care coverage carrier such as
Blue Cross, a health care clearinghouse through which claims are submitted, or a health care provider
such as the primary care physician.
disclosure - ANSWER The release, transfer, provision of access to, or divulging in any other manner of
information outside the entity holding the information.
e-health information management - ANSWER Any and all transations in which health care information is
accessed, processed, stored, and transferred using electronic technologies.
electronic media - ANSWER The mode of electronic transmission (e.g. Internet, extranet, leased phone
or dial-up phone lines, fax modems).
embezzlement - ANSWER A willful act by an employee of taking possession of an employer's money
fraud - ANSWER An intentional misrepresentation of the facts to deceive or mislead another.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Performance. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75057 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now