MBC Ch 2 & 3 HIPAA Quizs

The condition of being secluded from the presence or view of others.

Intentional misrepresentation of the facts to deceive or mislead another. ________

If an insurance billing specialist has questions or concerns regarding billing of claims that may be considered fraudulent, they should bring the concern to:

• the organization's human resources director

• the organization's compliance office

• the organization's whistleblower

• the Office of Inspector General

One of the main objectives of the HIPAA Privacy Rule was to increase patient access to their health information.

• True

• False

Providing continuous insurance coverage for workers and their dependents when they change or lose a job is the primary purpose of:

• HIPAA Title I Insurance Reform

• HIPAA Title II Administrative Simplification

• HIPAA Security Rule Administrative Safeguard

• HIPAA Security Rule Technical Safeguard

The focus on the health care practice setting and reducing administrative costs and burdens are the goals of:

• HIPAA Title I Insurance Reform

• HIPAA Title II Administrative Simplification

• HIPAA Security Rule Administrative Safeguard

• HIPAA Security Rule Technical Safeguard

The written or verbal agreement that gives approval to some action, situation or statement is:

Legislation which prohibits the submission of claims for services or referral of patients if the referring provider has financial interest with the entity that provides the service.

• Anti-Kickback Law

• Civil False Claims Act

• Exclusion Statute

• Stark Law

To share, examine or analyze health information within an organization.

All federal, state and third-party payers use the same definition of medical necessity, which refers to activities that are reasonable and appropriate based on the accepted clinical standard of care, resulting in identical payer policies for coverage of services.

• True

• False