Hipaa terms - Study guides, Class notes & Summaries

HCCA - CHC Study Questions (MASTER FLASHCARDS)/762 Q’S AND A’S (Content covers each compliance program element, HIPAA terms, compliance related laws & regulations, study materials, and general definitions and acronyms)

HCCA - CHC Study Questions/ Content covers each compliance program element, HIPAA terms, compliance related laws & regulations, study materials, and general definitions and acronyms. Terms like: A Compliance Program with well written policies and procedures: a. can be successful if consistently reviewed and maintained b. cannot be effective due to the sheer volume presented c. will be effective if read by management d. will not be successful without the proper oversight - Answer: d. will...

CIPM Exam (Latest Update) Questions and Verified Answers| Grade A| 100% Correct Q: What differentiates the 3 levels of metric audiences for a privacy program? Answer: The level of interest, influence, ownership and responsibility of privacy within the business objectives. (For example, within a U.S. healthcare organisation, a metrics audience may include a HIPAA privacy officer, medical interdisciplinary readiness team (MIRT), senior executive staff and covered entity workforce.) ...

FUNDAMENTALS OF NURSING 9TH EDITION POTTER TEST BANK (CHAPTER 26) DOCUMENTATION AND INFORMATICS COMPLETE QUESTIONS AND ANSWERS (VERIFIED) Chapter 26: Documentation and Informatics Fundamentals of Nursing, 9th Edition MULTIPLE CHOICE 1. A nurse preceptor is working with a student nurse. Which behavior by the student nurse will require the nurse preceptor to intervene? a. The student nurse reads the patient’s plan of care. b. The student nurse reviews the patient’s medical record. c. The...

Which of the following Medicare policies determines if a particular item or service is covered by Medicare? - CORRECT ANSWER National Coverage Determination (NCD) A patient's employer has not submitted a premium payment. Which of the following claim statuses should the provider receive from the third-party payer? - CORRECT ANSWER Denied A billing and coding specialist should routinely analyze which of the following to determine the number of outstanding claims? - CORRECT ANSWER Agin...

Steps used to control costs of managed care include: - ANSWER-Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - ANSWER-Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage - ANSWER-HMO Conventional PPO and POS HDHP/SO plans - high-deductible health plans with a savings...

Test Bank for Concepts for Nursing Practice, 4th Edition, by Giddens Concept 01: Development Giddens: Concepts for Nursing Practice, 4th Edition MULTIPLE CHOICE 1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it is used to assess for needs related to a. anticipatory guidance. b. low-risk adolescents. c. physical development. d. sexual development. ANS:...

Cardiovascular disease (CVD) CORRECT ANSWER A general term for any disease of the heart, blood vessels, or circulation. Health Equity CORRECT ANSWER A fair and equal opportunity for every individual to attain their highest level of health Hypertension CORRECT ANSWER High blood pressure, or the elevation of resting blood pressure above 140/90 mmHg. Body Composition CORRECT ANSWER The makeup of the body in terms of the relative percentage of fat free mass and body fat Health Insurance ...

Texas All Lines Adjuster Test Study Guide & Terms Accumulated Depreciation, Bailee, Claims-Made Form, Deductible - fixed, Estoppel, Federal Crop Insurance Act, Group Risk Income Protection (Crop Insurance), HIPAA, Impaired Property, Joint, Kickbacks, Legal Purpose, McCarren-Ferguson Act, National Resources Conservation Service, Occurrence Form Policy, Paul the Policyholder, Reciprocal Insurers, Scheduled payment release, Tort, Umbrella Liability Policy, Valuation, Waiver, Yield Protection (C...

NHA,CBCS (2024/ 2025) Exam | Questions and Verified Answers| 100% Correct| Grade A Q: Which of the following actions by a billing and coding specialist would be considered fraud? Answer: Billing for services not provided Q: The >< symbol is used to indicate a new and revised test other than which of the following? Answer: Procedure descriptors Q: On the CMS-1500 claim form, blocks 14 through 33 contain information about which of the following? Answer: The...