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
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