AAPC Chapter 1 Review - The Business of Medicine

A. $25 or 10 percent B. $100 or 10 percent C. $100 or 25 percent D. An exact amount - answer-*Answer: C. $100 or 25 percent* Rationale: CMS instructions stipulate, "Notifiers must make a good faith effort to insert a reasonable estimate...the estimate should be within $100 or 25 percent of the actual costs, whichever is greater." Who would NOT be considered a covered entity under HIPAA? A. Doctors B. HMOs C. Clearinghouses D. Patients - answer-*Answer: D. Patients* Rationale: Covered entities in relation to HIPAA include healthcare providers, health plans, and healthcare clearinghouses. The patient is not considered a covered entity although it is the patient's data that is protected. Under HIPAA, what would be a policy requirement for minimum necessary? A. Only individuals whose job requires it may have access to protected health information. B. Only the patient has access to his or her own protected health information. C. Only the treating provider has access to protected health information. D. Anyone within the provider's office can have access to protected health information. - answer-*Answer: A. Only individuals whose job requires it may have access to protected health information.* Rationale: It is the responsibility of a covered entity to develop and implement policies best suited to its particular circumstances to meet HIPAA requirements. As a policy requirement, only those individuals whose job requires it may have access to protected health information. Which act was enacted as part of the American Recovery and Reinvestment Act of 2009 (ARRA) and affected privacy and security? A. HIPAA B. HITECH C. SSA D. ACA - answer-*Answer: B. HITECH* Rationale: The Health Information Technology for Economic and Clinical Health Act (HITECH) was enacted as a part of the American Recovery and Reinvestment Act of 2009 (ARRA) to promote the adoption and meaningful use of health information technology. Portions of HITECH strengthen HIPAA rules by addressing privacy and security concerns associated with the electronic transmission of health information. What document assists provider offices with the development of compliance manuals? A. OIG Compliance Plan Guidance B. OIG Work Plan C. OIG Suggested Rules and Regulations