Clearinghouses - Study guides, Class notes & Summaries

Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: Answer covered entity Which of the following is not a covered entity in the Privacy Rule Answer healthcare consulting firm A request for medical records is received for a specific date of service from patient's insurance company with regards to a submitted claim. No authorization for release of information is provided. What action should be taken? Answer release reqt to i...

Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: - ANSWERScovered entity Which of the following is not a covered entity in the Privacy Rule - ANSWERShealthcare consulting firm A request for medical records is received for a specific date of service from patient's insurance company with regards to a submitted claim. No authorization for release of information is provided. What action should be taken? - ANSWERSrelease r...

Which of the following sections of the medical record is used to determine the correct evaluation and management code used for billing and coding? - history and physical A billing and coding specialist is reviewing a CMS-1500 claim form. The "assignment of benefits" box has been checked "yes." The checked box indicates which of the following? - The provider receives payment directly from the payer Which of the following do physicians use to electronically submit a claim? - Clearinghouse W...

Security Rule correct answersestablishes national standards to protect individuals' electronic personal health information that is created, received, used, or maintained by a covered entity What is another name for the Security Rule? correct answersThe Security Standards for the Protection of Electronic Protected Health Information Who enforces the Security Rule? correct answersthe Office for Civil Rights (OCR) Who does the Security Rule apply to? correct answershealth plans, health ca...

HIPAA- (Health Insurance Portability and Accountability Act of 1996) Correct Answer-is United State legislation that provides data privacy and security provisions for safeguarding medical information. The act was signed into law by President Bill Clinton in August 1996. Rules and standards were established under the Privacy Rule, the Security Rule and the Breach Notification Rule. The HIPAA Privacy Rule: Correct Answer-establishes national standards to protect individuals' medical records an...

HIT FINAL UPDATED Exam Questions and CORRECT Answers What type of entities are regulated by the HIPAA Privacy Rule? - Correct ANSWER- health plans, health care clearinghouses, and health care providers Information Technology adoption by the healthcare industry has advanced at a much more rapid rate than other industries - Correct ANSWER- false Which of the following factors are considered obstacles to widespread adoption of Information Technology in Healthcare? - Correct ANSWER- Fragm...

2019 AAPC CPC FINAL PRACTICE TEST Questions And Answers A covered entity does NOT include a. Healthcare providers b. Health plans c. Patients d. Clearinghouses - ANS c. Patients What does MAC stands for? a. Medicare Administrative Contractor b. Medicare Advisory Contractor c. Medicaid Administrative Contractor d. Medicaid Alert Contractor - ANS a. Medicare Administrative Contractor When are providers responsible for obtaining an ABN for a service NOT considere...

2023 AAPC CPB Final Exam Questions and Answers (2022/2023) (Verified Answers) AGRADE Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: Correct Answer: covered entity Which of the following is not a covered entity in the Privacy Rule Correct Answer: healthcare consulting firm A request for medical records is received for a specific date of service from patient's insurance company with regards to a submitted claim. N...

HMO plans require the enrollee to: - To have referrals to see a specialist that is generated by the patient's PCP What are PPOs (preferred provider organizations)? - Organizations in which medical professionals and facilities provide services to subscribed clients at reduced rates. What is a covered entity? - Health plans, clearinghouses, and any entity transmitting health information is considered to be as is stated by the Privacy Rule. What are the three steps to be taken when there is a br...

A practice agrees to pay $250,000.00 to settle a lawsuit alleging that the practice used x-rays of one patient to justify services on multiple other patients' claims. The office manager brought the civil suit. What type of case is this? Answer Qui Tam In which of the following circumstances may PHI not be disclosed without the patient's authorization or permission? Answer An office receives a call from the patient's husband asking for information about his wife's recent office visit. A...