Question 1

The __________ make(s)  it illegal to knowingly offer incentives to induce referrals.

Accepted Answer

A)   Sarbanes-Oxley
B)   antikickback statute
C)   FCA
D)   Stark rulesE) B) and D)
F) C) and D)

Question 2

Which of the following are organizations that work for covered entities but are not themselves covered entities?

Accepted Answer

A)   health plans
B)   electronic data interchanges
C)   clearinghouses
D)   business associatesE) B) and C)
F) All of the above

Question 3

The minimum necessary standard means to

Accepted Answer

A)   take reasonable safeguards to protect PHI.
B)   complete the general business management functions.
C)   release partial patient record to the hospital that requests it.
D)   provide minimum care.E) A) and C)
F) A) and B)

Question 4

Which of the following require(s)  CEs to establish safeguards to protect PHI?

Accepted Answer

A)   HIPAA Privacy Rule
B)   HIPAA Security Rule
C)   Health Insurance Portability and Accountability Act of 1996 (HIPA
A)  
D)   HIPAA Electronic Transactions and Code SetsE) A) and B)
F) A) and C)

Question 5

Which of the following laws prohibits submitting a fraudulent claim?

Accepted Answer

A)   FCA
B)   HIPAA
C)   OIG
D)   HITECHE) All of the above
F) B) and D)

Question 6

Which of the following is America's "law office"?

Accepted Answer

A)   OIG
B)   HIPAA
C)   DOJ
D)   FCAE) All of the above
F) A) and B)

Question 7

Under which act can a patient restrict the access of health plans to their medical records if they pay for the service in full at the time of visit?

Accepted Answer

A)   HITECH
B)   ARRA
C)   HIPAA
D)   HIEE) None of the above
F) B) and C)

Question 8

The electronic equivalent of a business document is called a(n)

Accepted Answer

A)   meaningful use
B)   audit
C)   electronic data interchange
D)   transactionE) A) and C)
F) All of the above

Question 9

When protected health information is shared, which of the following should be observed?

Accepted Answer

A)   code set
B)   informed consent
C)   encryption
D)   minimum necessary standardE) A) and B)
F) A) and C)

Question 10

In qui tam, or whistleblower, cases the person who makes the accusation of suspected fraud is called the

Accepted Answer

A)   detector.
B)   relator.
C)   provider.
D)   respondeat superior.E) A) and C)
F) A) and B)

Question 11

Under the HITECH Act, unprotected health information that is not secured through the use of technologies or methods that HHS has specified is referred to as

Accepted Answer

A)   medical records.
B)   PHI.
C)   documentation.
D)   unsecured PHI.E) B) and C)
F) A) and D)

Question 12

Disclosure of which of the following conditions requires a specific authorization from the patient other than for TPO?

Accepted Answer

A)   HIV status
B)   otitis media
C)   Alzheimer's disease
D)   pharyngitisE) A) and D)
F) A) and B)

Question 13

__________ is the process of encoding information in such a way that only the person (or computer)  with the key can decode it.

Accepted Answer

A)   Encryption
B)   Meaningful use
C)   Fraud
D)   Code setE) A) and D)
F) All of the above

Question 14

The ACA requires the adoption of __________ for each of the HIPAA Standard transactions.

Accepted Answer

A)   codes sets
B)   operating rules
C)   encryption
D)   minimum data setE) B) and D)
F) A) and D)

Question 15

An important part of a compliance plan is a commitment to keep both physicians and medical office staff current by providing

Accepted Answer

A)   ongoing training on coding and billing.
B)   OIG Fraud Advisories.
C)   practice work plans.
D)   external audits.E) A) and D)
F) A) and C)

Question 16

__________ is deception with intent to benefit from the behavior.

Accepted Answer

A)   Abuse
B)   Kick backs
C)   Fraud
D)   Self-referralsE) B) and C)
F) B) and D)

Question 17

__________ is the activity of copying files to another medium so that they will be preserved in case the originals are no longer available.

Accepted Answer

A)   Critical data recovery
B)   Backing up
C)   Antivirus software programs
D)   EncryptingE) A) and D)
F) B) and D)

Question 18

According to the OIG compliance plans should contain how many elements?

Accepted Answer

A)   nine
B)   five
C)   seven
D)   elevenE) C) and D)
F) None of the above

Question 19

The HIPAA rules for protecting patients' health information are in the

Accepted Answer

A)   Electronic Transaction Rule.
B)   Privacy Rule.
C)   Code Sets Rule.
D)   Security Rule.E) All of the above
F) B) and D)

Question 20

What group is charged with detecting health care fraud and abuse?

Accepted Answer

A)   ACA
B)   OIG
C)   RCA
D)   CMSE) None of the above
F) B) and D)

Exam 2: Electronic Health Records, Hipaa, and Hitech: Sharing and Protecting Patients Health Information

The ACA requires the adoption of __________ for each of the HIPAA Standard transactions.

Correct AnswerverifiedShow Answer

In qui tam, or whistleblower, cases the person who makes the accusation of suspected fraud is called the

Correct AnswerverifiedShow Answer

The __________ make(s) it illegal to knowingly offer incentives to induce referrals.

Correct AnswerverifiedShow Answer

Under which act can a patient restrict the access of health plans to their medical records if they pay for the service in full at the time of visit?

Correct AnswerverifiedShow Answer

Under the HITECH Act, unprotected health information that is not secured through the use of technologies or methods that HHS has specified is referred to as

Correct AnswerverifiedShow Answer

__________ is the activity of copying files to another medium so that they will be preserved in case the originals are no longer available.

Correct AnswerverifiedShow Answer

What group is charged with detecting health care fraud and abuse?

Correct AnswerverifiedShow Answer

The electronic equivalent of a business document is called a(n)

Correct AnswerverifiedShow Answer

According to the OIG compliance plans should contain how many elements?

Correct AnswerverifiedShow Answer

Disclosure of which of the following conditions requires a specific authorization from the patient other than for TPO?

Correct AnswerverifiedShow Answer

An important part of a compliance plan is a commitment to keep both physicians and medical office staff current by providing

Correct AnswerverifiedShow Answer

The HIPAA rules for protecting patients' health information are in the

Correct AnswerverifiedShow Answer

The minimum necessary standard means to

Correct AnswerverifiedShow Answer

__________ is deception with intent to benefit from the behavior.

Correct AnswerverifiedShow Answer

Which of the following laws prohibits submitting a fraudulent claim?

Correct AnswerverifiedShow Answer

Which of the following is America's "law office"?

Correct AnswerverifiedShow Answer

__________ is the process of encoding information in such a way that only the person (or computer) with the key can decode it.

Correct AnswerverifiedShow Answer

When protected health information is shared, which of the following should be observed?

Correct AnswerverifiedShow Answer

Which of the following require(s) CEs to establish safeguards to protect PHI?

Correct AnswerverifiedShow Answer

Which of the following are organizations that work for covered entities but are not themselves covered entities?

Correct AnswerverifiedShow Answer

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