Question 1

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

Accepted Answer

Both use and disclosure of PHI are necessary and permitted for patients' treatment, payment, and health care operations (TPO).

Question 2

What establishes standards for the exchange of financial and administrative data among covered entities?

Accepted Answer

HIPAA Electronic Transactions and Code Sets (TCS) establishes standards for the exchange of financial and administrative data among covered entities.

Question 3

If a practice is being investigated for fraud, what may be the first document to research?

Accepted Answer

A compliance plan helps to defend a practice if it is being investigated for fraud.

Question 4

Which code set is used for billing dental procedures?

Accepted Answer

Current Dental Terminuteology-4 (CDT-4) is the code set for billing procedures.

Question 5

Which complies with the HIPAA Security Rule?

Accepted Answer

Selecting a mixture of characters for the password complies with the HIPAA Security Rule.

Question 6

Which is a future benefit of the Affordable Care Act?

Accepted Answer

As a future benefit, preventive services will be completely covered for all patients in health plans.

Question 7

Which federal agency detects health care fraud and abuse?

Accepted Answer

The Office of the Inspector General (OIG) is the federal agency that enforces against and detects health care fraud and abuse.

Question 8

Which federal agency enforces criminal violations under federal law?

Accepted Answer

The Department of Justice (DOJ) is the federal agency that enforces federal law.

Question 9

Which scenario best describes abuse?

Accepted Answer

To bill when the task was not done is fraud; to bill when it was not necessary is abuse.

Question 10

Which scenario best describes fraud?

Accepted Answer

To bill when the task was not done is fraud; to bill when it was not necessary is abuse.

Question 11

Which of the following will be introduced in the future?

Accepted Answer

Two identifiers-for employers and for providers-have been set up by the federal government, and two-for patients and for health plans-are to be established in the future.

Question 12

Which measure does not enforce the HIPAA Security Rule?

Accepted Answer

Security measures that help to enforce the HIPAA Security Rule are secure internet connections, backup file procedures, access controls, and enforced security policies. All data transmissions must be protected with encryption.

Question 13

Which is also known as the Stimulus Package?

Accepted Answer

The American Recovery and Reinvestment Act (ARRA) of 2009, also known as the Stimulus Package, contains additional provisions concerning the standards for electronic transmission of health care data.

Question 14

What is the best description of an encounter?

Accepted Answer

An encounter is a face-to-face meeting between a patient and a provider in a medical office, clinic, hospital, or other location.

Question 15

Which is not a goal of compliance plans?

Accepted Answer

The goal of a compliance plan is to prevent fraud and abuse, ensure compliance with laws, and defend the practice if it is investigated or prosecuted.

Question 16

A social security number is an example of a (n):

Accepted Answer

Identifiers are numbers of predetermined length and structure, such as a person's Social Security number.

Question 17

Which act requires covered entities to notify affected individuals following the discovery of a breach of unsecured health information?

Accepted Answer

The HITECH Act requires covered entities to notify affected individuals following the discovery of a breach of unsecured health information.

Question 18

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?

Accepted Answer

HITECH is the law that guides the use of federal stimulus money to promote the adoption and meaningful use of health information technology, mainly using electronic health records.

Question 19

What are people or organizations that furnish, bill, or are paid for health care in the normal course of business called?

Accepted Answer

Health care providers are people or organizations that furnish, bill, or are paid for health care in the normal course of business.

Question 20

What type of program encrypts data traveling between the office and the internet, such as patients' Social Security numbers, so that the information is secure?

Accepted Answer

Practice management programs (PMs) encrypt data traveling between the office and the internet, such as patients' Social Security numbers, so that the information is secure.

Quiz 2: Electronic Health Records, HIPAA, and Hitech: Sharing and Protectin

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