Chapter 2|81 SmartBook Ace Your Exams: Proven Strategies and Practice Questions!
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SmartBook
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SmartBook
A policy to encourage employees to report compliance concerns to the compliance officer
A person who makes an accusation of fraud or abuse is called a(n) _______. - ️️relator
A requirement of any compliance plan includes ongoing __________. - ️️training
A set of regulations enhancing pat...
Chapter 2|81 SmartBook Ace Your
Exams: Proven Strategies and Practice
Questions!
A policy to encourage employees to report compliance concerns to the compliance officer
A person who makes an accusation of fraud or abuse is called a(n) _______. - ✔ ✔ relator
A requirement of any compliance plan includes ongoing __________. - ✔ ✔ training
A set of regulations enhancing patients' privacy protections and rights to information is called the
________. - ✔ ✔ Omnibus Rule
A(n) ________ is a meeting between a patient and a medical professional. - ✔ ✔ encounter
A(n) __________ plan is a medical practice's written plan for complying with regulations. - ✔ ✔
compliance
An ACO (accountable care organizations) is a network of which type of healthcare professionals? - ✔
✔ doctors & hospitals
______ is the abbreviation for the government that prosecutes and investigates healthcare fraud. - ✔
✔ OIG (Office of the Inspector General)
_______ is defined as individually identifiable health information that is transmitted or maintained by
electronic sources other than a paper chart. - ✔ ✔ protected health information (PHI)
________ are companies that help providers handle electronic transactions. - ✔ ✔ Clearinghouses
_________ management programs encrypt data between the office and the Internet. - ✔ ✔ Practice
__________ regulate the operations and compliance of health insurance companies. - ✔ ✔ The
States
A code of conduct for the members of a practice would cover which of the following? - ✔ ✔
provisions for discussing compliance during performance reviews
Procedures for ensuring compliance with laws relating to referrals
, An alphabetic and/ or numeric representation of data is called a(n) _________. - ✔ ✔ code set
An electronic exchange of healthcare information is called a(n) ____________. - ✔ ✔ transaction
An impermissible use or disclosure of PHI that could pose a risk to the affected person is called a(n)
___________. - ✔ ✔ breach
An international deceptive act to obtain a benefit is called __________. - ✔ ✔ fraud
computerized lifelong healthcare records - ✔ ✔ EHR
computerized records of one physician's encounters with a patient over time; they are the physician's
legal record of patient care - ✔ ✔ EMR
Health Plan premium payments is the HIPPA transaction name for number X12 __________. - ✔ ✔
820
HIPPA Electronic Health Care Transactions and Code Sets is abbreviated as ___________. - ✔ ✔ TCS
makes it illegal to knowingly offer incentives referring patients for services that are paid by government
healthcare programs - ✔ ✔ antikickback statute
New emergency guidance from HHS stating that CEs may disclose PHI without the patient's consent was
applicable to a recent outbreak of Ebola virus because __________. - ✔ ✔ it was needed to lessen a
serious and imminent threat to the health of the public
private, secure electronic files that are created, maintained, and controlled by patients - ✔ ✔ PHR
requires publicly traded corporations to attest that their financial management is sound, which applies
to for- profit healthcare companies - ✔ ✔ Sarbanes- Oxley
Act of 2002
State- specified performance measures for the delivery of healthcare are called ___________. - ✔ ✔
medical standards of care
The _______ Rule contains regulations that enhance patient's privacy protections, and improved rights
for patients to their health information. - ✔ ✔ Omnibus
The ________ is a law that requires covered entities to establish safeguards to protect health
information. - ✔ ✔ HIPPA Security Rule
The cycle that explains how using EHRs is integrated with practice management programs is called the
__________ cycle. - ✔ ✔ revenue
The Employer Identification Number is also called the ___________. - ✔ ✔ tax identification number
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