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Which of the following will be introduced in the future?


A) patient identifier
B) health plan identifier
C) both patient and health plan identifiers
D) neither patient nor health plan identifiers

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C

If a physician requests that you bill a procedure that is not documented, what would be the best course of action?


A) bill whatever the doctor requests
B) say that you will comply and avoid the request altogether
C) report it to CMS
D) report it to the compliance officer

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Which law guides the use of federal stimulus money to promote the adoption and meaningful use of health information technology, mainly using electronic health records?


A) OIG
B) HIPAA
C) ARRA
D) HITECH

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D

The HIPAA Privacy Rule is enforced by the OCR. What does OCR stand for?


A) Office for Claim Returns
B) Office for Certified Rules
C) Office for Civil Rights
D) Office for Civil Responsibility

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What do patients' medical records contain about their health history?


A) facts
B) observations
C) findings
D) All of these

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Which is a valid aspect of the Affordable Care Act?


A) preventive services will be covered by insurance with no copayment required
B) illegal aliens will not be denied health insurance
C) pre-existing conditions will not be covered
D) young adults up to age 22 will remain as a dependent on their parent's private insurance

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When can information about a patient's drug abuse be disclosed without authorization?


A) if a prospective employer requests it
B) if a physician from another practice requests it
C) if the patient's spouse requests it
D) None of these

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What is any group of codes used for encoding data elements?


A) ICD
B) CPT
C) code set
D) transaction codes

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What is one way that providers can follow the guidelines for the HITECH rule?


A) frequently change passwords
B) access controls
C) make copies of all data
D) all of these

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If a violation is found during a medical practice investigation and a compliance plan is typically followed, what may it indicate to the Office of Inspector General (OIG) ?


A) direct negligence
B) lack of communication
C) practice of abuse
D) may be simple errors

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Which main federal government agency is responsible for health care?


A) Health Care Financing Administration (HCFA)
B) Centers for Medicare and Medicaid Services (CMS)
C) Department of Health and Human Services (HHS)
D) Health Department

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Which are covered entities under HIPAA/HITECH that must follow the regulations?


A) Patients
B) Health Providers
C) Business Associates
D) Collection Agencies

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B

SOAP is a format for patients' medical


A) documentation
B) records
C) both documentation and records
D) neither documentation nor records

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Which is necessary and permitted through the HIPAA Privacy Rule for patients' treatment, payment, and health care operations (TPO) ?


A) use of PHI
B) disclosure of PHI
C) both use of PHI and disclosure of PHI
D) neither use of PHI nor disclosure of PHI

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Which is not a goal of compliance plans?


A) prevent fraud and abuse
B) enhance patient education guidelines
C) ensure compliance with laws
D) defend the practice if it is investigated or prosecuted

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What is the impermissible use or disclosure of PHI that could pose significant risk to the affected person called?


A) hack
B) pirate
C) breach
D) decrypt

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Which is a valid Breach Notification Procedure?


A) Notify patients of breaches "without reasonable delay" within 90 days
B) Notice to business associates from covered entities
C) Notice to ex-spouses on breaches involving patients who are deceased.
D) None of these

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Altering a patient's chart to increase the payment the physician receives is an example of


A) medical liability
B) subpoena
C) accountability
D) fraud

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Which standards have been set to govern the electronic exchange of health information?


A) identifiers
B) code sets
C) standard transactions
D) All of these

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Which of these subjects would you not expect to find information about in a patient's medical record?


A) medical allergies and reactions
B) a record of missed or canceled appointments
C) employment and salary records
D) biographical and personal information

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