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NHA EXAM Questions & Answers 2024(A+GRADED 100%VERIFIED)
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NHA EXAM Questions & Answers 2024(A+GRADED 100%VERIFIED)
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NHA EXAMDescribe the difference between informed and implied consent? - ANS
Informed consent is required in writing after explanation of a procedure, with
time to ask questions, while implied consent is assumed
What is documentation? - ANS Documentation is a complete, accurate,
up-to-date record of the care a patient receives at a health care facility.
Disclosure refers to the way health information is: - ANS given to an outside
person or organization.
What is the difference between consent and authorization? - ANS
**Authorization** is permission granted by the patient or the patient's
representative to release information for reasons *other than* treatment,
payment, or health care operations.
**Consent** is used only when the permission is for treatment, payment, or
health care operations.
True or False: Physicians have the option to decide whether to explain privacy
rules to their patients. - ANS False
Auditing refers to which of the following?
(choose one)
,*Writing claims
*Signing off on claims
*sending claims to third-party payers
*Reviews claims for accuracy and completeness - ANS Reviews claims for
accuracy and completeness
True or False: Fraud is intentional misrepresentation of information for the
purposes of receiving higher payments, while abuse happens unintentionally,
often because of poor business practices. - ANS true
define upcoding - ANS Assigning a code that will deliberately result in a
higher payment
The Stark Law states that:
(choose one)
*debt collection agencies can't use abusive or unfair practices to collect
payments.
*the government can't be charged for substandard goods or services.
*physicians can't refer patients to practitioners with whom they have a
financial relationship.
,*private health information must be kept secure. - ANS physicians can't refer
patients to practitioners with whom they have a financial relationship.
The Office of the Inspector General is responsible for: - ANS fighting fraud.
What is a claim? - ANS A claim is a complete record of all the services
provided to a patient.
Identify two items of information that need to be on a claim. - ANS Possible
answers include the patient's name, health record number, account number,
and demographic information, the subscriber number, group or plan number,
and the provider's name.
Which of the following describes a clean claim?
(choose one)
All the data elements are completed.
All the data elements are written on a white piece of paper.
Almost all the data elements are right.
, All the necessary data elements are completed. - ANS All the necessary data
elements are completed.
True or False: In 2012, the Administration Simplification Compliance Act
(ASCA), part of HIPAA, mandated that health care claims be submitted
electronically, with some exceptions. - ANS true
The primary insurance plan does which of the following? (choose one)
Pays for everything
Pays first
Pays second
Has the option of paying first or second - ANS Pays first
What is an NPI number? Where does it go on CMS-1500? - ANS the NPI is a
unique identification number for all HIPAA-covered entities, including
individuals, organizations, home health agencies, clinics, long-term care
facilities, residential treatment centers, laboratories, ambulances, group
practices, and health maintenance organizations (HMOs).
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