Clearinghouses Study guides, Class notes & Summaries

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...

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...

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...

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...

CDEO - Chapter 2 Latest Update(rated A) Health Insurance Portability and Accountability Act of 1996 - ANSWER (HIPAA) August 21, 1996 - ANSWER HIPAA was enacted on _________. Kennedy-Kassebaum - ANSWER HIPAA aka as ______ bill, was originally enacted to provide rights and protections for participants and beneficiaries of group health plans. Under this law, exclusions for preexisting conditions were limited, and discrimination against employees and dependents based on their health statu...

PTP Final Exam Questions with 100% Correct Answers | Verified | Updated True or False: HIPAA stands for Health Insurance Portability and Accountability Act - answerTrue True or False: The goal of HIPAA is to allow facilities to establish their own policies and procedures for the protection of "protected health information". - answerFalse What is the goal of HIPAA? - answerTo establish a set of national standards for the protection of certain health information. It addresses the use and ...

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? - ...

Normal Reasons for Breaks - Exact Response Unauthorized access, hacking, human blunder Motivation behind Protection Effect Evaluation (PIA) - Exact Response To distinguish and relieve security gambles Right to Demand Alterations under Protection Act - Exact Response True Meaning of Covered Element (CE) under HIPAA - Exact Response Healthcare suppliers, wellbeing plans, medical care clearinghouses Motivation behind e-Government Act - Exact Response Promote electronic taxpayer supporte...