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NHA EXAM QUESTIONS AND ANSWERS 100% PASS
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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...

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  • 29 mei 2024
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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? - 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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