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HIM Final Exam Review: Legal Aspects Questions With Complete Solutions
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HIM Final Exam Review: Legal Aspects Questions WithComplete Solutions
10000, 3, government programs Correct Answer The civil
monetary penalties act imposes a maximum of up to _____
dollars plus a maximum assessment of up to ____ times the
amount claimed by providers who knew the procedure was not
rendered and submitted on the claim. Violators can also be
excluded from participation in ______.
abuse Correct Answer Billed services that are medically
unnecessary is classified as
abuse Correct Answer Billed services that fail to meet
professionally recognized standards is classified as
abuse Correct Answer Billed services that indirectly result in
adverse patient outcomes or delays in treatment is classified as
abuse Correct Answer When a provider claims a procedure that
results in improper payment from Medicare, it is classified as
abuse Correct Answer When provider actions result in
unnecessary costs to Medicare, it is classified as
abuse, unnecessary costs, medically necessary, recognized
standards Correct Answer _______ is the pattern of practice
that is inconsistent with sound business, fiscal, or health service
practices. It results in _____ to payers and government
programs, reimbursement for services not _____, or failure to
meet professionally _____ health services.
,administrative law Correct Answer Includes regulations created
by agencies of the government.
administrative law Correct Answer Regulations written by a
state department of health or the US HHS are examples of
administrative law Correct Answer Rules and regulations
developed by agencies of the executive branch.
administrative law Correct Answer This type of law consists of
rules and regulations, issued by agencies that implement
statutory law.
admissible Correct Answer Information contained in a health
record that is discoverable may or may not be ____.
admissible Correct Answer The legal health record is ____ in
court.
admissible, primary evidence Correct Answer The director of
health information needs to present a patient's record that has
been microfilmed. The records are considered ______ in court
as ____.
Affordable Care Act Correct Answer Health care is a right
guaranteed under which act?
answer Correct Answer When a patient discovers that a
hemostat has been left in his abdomen by a surgeon, the patient
has a cause of action to bring a lawsuit. To bring suit, the patient
, must document and serve his allegations to the surgeon. The
surgeon must respond via a legal document called
any aspect Correct Answer The legal health record is
documentation of healthcare services provided to an individual
during ________ of healthcare delivery.
appellate court Correct Answer What is the intermediate court
in the tiered structure of the state court system in nearly every
state?
arbitration Correct Answer With this, a dispute is submitted to
a third party or a panel of experts outside the judicial trial
system who makes a decision about the dispute.
assault Correct Answer Involves conduct that causes
apprehension of a harmful or offensive contact instead of actual
contact. No actual contact is required. Could be physical or
verbal.
assault Correct Answer With this, the interest of the plaintiff is
protection against a mental disturbance of his or her personal
integrity.
assumption of risk Correct Answer Affirmative defense that
bars a plaintiff from recovering on his or her negligence claim
under certain circumstances.
authenticity, genuineness Correct Answer Testimony will
generally be required to establish the _____ or _____ of a health
record introduced as evidence.
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