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NEW CRCE-I & CRCE-P FEDERAL REGULATIONS KNOWLEDGE CHECK 100% CORRECT
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NEW CRCE-I & CRCE-P FEDERAL REGULATIONS KNOWLEDGE CHECK 100% CORRECT...
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NEW CRCE-I & CRCE-P FEDERAL REGULATIONSKNOWLEDGE CHECK 100% CORRECT
True or False: If a patient provides a wireless phone number upon admission to a
hospital for scheduled surgery, the provider has implied consent to place a call to that
number for any future healthcare-related purposes. ANSWER False: Any future calls to
that wireless phone number must be closely related to that surgery or follow-up
procedures for that surgery.
Name the 3 expectations in the Patient Care Partnership - ANSWER 1. A clean and safe
environment
2. Help when leaving the hospital
3. Help with your billing claims
Which of the following is true of protected health information (PHI)? Select all that apply.
a. It refers only to any single piece of data that could directly match patients with their
medical information.
b. It may be disclosed without explicit consent to treat, obtain payment, or for
healthcare operations. c. It shall not be used for marketing without explicit consent. d. It
shall not be disclosed to law enforcement agencies without the consent of the subject or
proper notice to the patient, except under court order. - ANSWER b. It can be shared
without explicit consent for treatment, payment or healthcare operations-TPO
c. It cannot be shared for marketing purposes without explicit consent.
d. It cannot be shared with law enforcement agencies without consent or proper
notification to the patient, except under court order.
Which of the following is true of maintaining the confidentiality of patient information?
Choose all that apply.
a. Providers must protect any data that could be used, individually or in combination, to
match patients with medical information.
b. Business associates who manage PHI on behalf of providers have fewer constraints
,on confidentiality than the providers.
c. A provider may meet its obligations under the Privacy Rule by ensuring that it controls
patient records adequately in its HIM department.
d. Because of the amount of data and the number of staff who could have access,
impact to the Patient Access Department/Front Office from the Privacy Rule is huge. -
ANSWER a. Any information, which could be used singly or in combination to identify
patients with medical data, should be protected by providers.
d. Because of the quantity of information in a practice and the number of staff who may
have access to it, the effect of the Privacy Rule to the Patient Access Department/Front
Office is enormous.
Which of the following is NOT a true statement about the Notice of Privacy Practices
(NOP)?
a. It must be provided to every patient annually.
b. It explains how the provider will maintain the patient's privacy and how the facility will
use patient information.
c. It requires a patient signature witnessed by Patient Access staff or documentation of
the reason for failing to obtain a patient's signature.
d. There needs to be a way to track who has received a NOP and a process to have
patients get a replacement copy as needed. - ANSWER A new copy should be given to
each patient every year.
What is on the Notice of Privacy Practices? - ANSWER How the covered entity will
safeguard the patient's privacy and how the facility will utilize the patient information.
Does the NOP require a patient's signature? ANSWER Yes and it must be witnessed by
PA staff. If staff fails to obtain signature for NOP, a reason must be documented
True or False: The savings resulted from HIPAA's administrative simplification rules has
exceeded initial projections. - ANSWER False: The hoped-for savings have not
materialized for most providers for several reasons. Most payers have not standardized
their information requirements. While many payers offer ERA, patient accounting
software firms can charge prohibitive fees for parsing the ERA for posting purposes.
, Name 3 types of Advance Directives - ANSWER 1. Living will
2. Healthcare Power of Attorney or Durable Power of Attorney for Healthcare
3. DNR order
Which of the following is not an example of an advance directive?
a. Living will
b. Patient Care Partnership brochure
c. Healthcare Power of Attorney or Durable Power of Attorney for Healthcare
d. DNR order -ANSWER Patient Care Partnership brochure
What is the title for a person that helps consumers apply for health coverage through
the Marketplace and grant or contract funded through the state? - ANSWER
Non-Navigator
Assignment violating is an example of fraud or abuse? - ANSWER Abuse
Routine co-insurance or deductible waiving is an example of fraud or abuse? - ANSWER
Fraud
True or False: Intent is necessary criterion for fraud. - ANS False: Health reform 2010
blurred the line between fraud and abuse. Intent is no longer a necessary criterion for
fraud.
Which of the following is not related to prohibitions on physician referrals and
self-referrals?
a. Anti-Kickback Statute
b. False Claims Act
c. Health Insurance Portability and Accountability Act (HIPAA)
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