NHA EXAM QUESTIONS AND ANSWERS 100% PASS
Describe the difference between informed and implied consent? - Correct Answer ️️ -
Informed consent is required in writing after explanation of a procedure, with time to ask
questions, while implied consent is assumed
What is documentation? - Correc...
Describe the difference between informed and implied consent? - Correct Answer ✔️✔️-
Informed consent is required in writing after explanation of a procedure, with time to ask
questions, while implied consent is assumed
What is documentation? - Correct Answer ✔️✔️-Documentation is a complete, accurate,
up-to-date record of the care a patient receives at a health care facility.
Disclosure refers to the way health information is: - Correct Answer ✔️✔️-given to an
outside person or organization.
What is the difference between consent and authorization? - Correct Answer ✔️✔️-
**Authorization** is permission granted by the patient or the patient's representative to
release information for reasons *other than* treatment, payment, or health care
operations.
**Consent** is used only when the permission is for treatment, payment, or health care
operations.
True or False: Physicians have the option to decide whether to explain privacy rules to
their patients. - Correct Answer ✔️✔️-False
Auditing refers to which of the following?
(choose one)
*Writing claims
*Signing off on claims
,*sending claims to third-party payers
*Reviews claims for accuracy and completeness - Correct Answer ✔️✔️-Reviews claims
for accuracy and completeness
True or False: Fraud is intentional misrepresentation of information for the purposes of
receiving higher payments, while abuse happens unintentionally, often because of poor
business practices. - Correct Answer ✔️✔️-true
define upcoding - Correct Answer ✔️✔️-Assigning a code that will deliberately result in a
higher payment
The Stark Law states that:
(choose one)
*debt collection agencies can't use abusive or unfair practices to collect payments.
*the government can't be charged for substandard goods or services.
*physicians can't refer patients to practitioners with whom they have a financial
relationship.
*private health information must be kept secure. - Correct Answer ✔️✔️-physicians can't
refer patients to practitioners with whom they have a financial relationship.
The Office of the Inspector General is responsible for: - Correct Answer ✔️✔️-fighting
fraud.
,What is a claim? - Correct Answer ✔️✔️-A claim is a complete record of all the services
provided to a patient.
Identify two items of information that need to be on a claim. - Correct Answer ✔️✔️-
Possible answers include the patient's name, health record number, account number,
and demographic information, the subscriber number, group or plan number, and the
provider's name.
Which of the following describes a clean claim?
(choose one)
All the data elements are completed.
All the data elements are written on a white piece of paper.
Almost all the data elements are right.
All the necessary data elements are completed. - Correct Answer ✔️✔️-All the necessary
data elements are completed.
True or False: In 2012, the Administration Simplification Compliance Act (ASCA), part of
HIPAA, mandated that health care claims be submitted electronically, with some
exceptions. - Correct Answer ✔️✔️-true
, The primary insurance plan does which of the following? (choose one)
Pays for everything
Pays first
Pays second
Has the option of paying first or second - Correct Answer ✔️✔️-Pays first
What is an NPI number? Where does it go on CMS-1500? - Correct Answer ✔️✔️-the
NPI is a unique identification number for all HIPAA-covered entities, including
individuals, organizations, home health agencies, clinics, long-term care facilities,
residential treatment centers, laboratories, ambulances, group practices, and health
maintenance organizations (HMOs).
It is block 17b on the CMS-1500 form.
True or False: Misspelling a patient's name is a common processing error. - Correct
Answer ✔️✔️-true
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller EmilyCharlene. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
