RHIT D3 Compliance Exam Questions and Answers
What is Encryption? - Answer-Encryption is a process that encodes textual material, converting it to scrambled data that must be decoded in order to be understood. The message is a jumble of unreadable characters and symbols as it is transmitted thro...
What is Encryption? - Answer-Encryption is a process that encodes textual material,
converting it to scrambled data that must be decoded in order to be understood. The
message is a jumble of unreadable characters and symbols as it is transmitted through
the telecommunication network. this is part of data security program for electronic health
record.
Audit trails (audit log) is____ - Answer-Is the way to monitor documented logs of system
that tracks every access to data. This is example of an audit control standard. the log
will be a chronological set of computerized records that provides evidence of info
system activity such as log-in, log-out, file accesses that is used to determine security
violations
Within the context of data security, protecting data privacy means defending of
safeguarding: - Answer-Mean only those individuals who need to know information
should be authorized to [access information].
A risk analysis is useful to: - Answer-Identify [security threats or risks] Risk management
begins by conducting a risk analysis, then identifying security threats or risks
determining how likely it is that any given threat may occur.
What is the HIPAA standards required organizations establish_____. - Answer-[ A
written contingency plan] to developed and tested. this will ensure that procedures are
in place to handle an emergency response in the event of an untoward event.
What are policies and procedures required by HIPAA that address the management of
computer resources and security. - Answer-[Administrative safeguards] the
administrative provision(providing) detail how the security program should be managed
from the organization's perspective. written and formalized the policy and procedures,
created outlining data security authority and responsibilities throughout the organization.
What is the biggest threat to the security of healthcare data? - Answer-[Employees]
To ensure relevancy, an organization's security policies and procedures be reviewed at
least____ - Answer-at least every year to make sure they are up-to-date and still
relevant to organization.
What is not true of good electronic forms design? - Answer-Use radio buttons to select
multiple items from a set of options. This buttons can only select one item from options.
, What is a good electronic form design? - Answer-Keystrokes should be minimized by
using pop-up menus. Perform completeness check for all required data, or use text
boxes to enter text. Check box are used for multiple selection.
What committee usually oversees the development and approval of new forms for the
health record? - Answer-[clinical forms committee or medical record committee] they
should provide oversight for the development, review, and control of all enterprise-wide
(entire organization) information capture tools, including paper forms and design of
computer screens.
OASIS data are used to assess the____ of home health services. - Answer-[Outcome].
OASIS is outcomes and Assessment Information Set. designed to gather data about
outcomes for Medicare patient who receive service from home health.
A statement or guideline that directs decision making or behavior in organization is
called a: - Answer-[Policy]
What is three risk areas that are vitally important to the accuracy of the claims
submission process. Which is a fraudulent billing practices represent a major
compliance risk for health care organizations. - Answer-[Coding and billing,
documentation, and medical necessity for tests and procedures]
Which areas within high risk of compliance that including in billing practices. - Answer-
[Billing for non-covered services, altered claim forms, duplicate billing,
misrepresentation of facts on a claim form, failing to return overpayments, unbundling,
billing for medically unnecessary services, overcoding and upcoding, billing for items or
services not rendered, and false cost reports]
What is healthcare fraud? - Answer-[false representation of fact, failure to disclose a
material fact, or damage to another party that reasonably relied on misrepresentation]
Corporate compliance programs become common/blueprint for an effective compliance
program for healthcare organization after adoption of__________ - Answer-[The US
federal Sentencing Guidelines], they outline seven steps as the hallmark of an effective
program to prevent and detect violation of law.
There are a number of legal issues facing the EHR. State laws vary as to what is and is
not acceptable in a court of law regarding EHRs. What is a legal concern regarding the
EHR? - Answer-[Ability to subpoena audit trails]. Healthcare providers frequently
receive subpoenas requesting the production of the medical record.
The act of granting approval to healthcare organization based on whether the
organization has met a set of voluntary standards of accreditation agency is called: -
Answer-[Accreditation]. for example The Joint Commission is an accreditation agency
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