Clearinghouses Study guides, Class notes & Summaries

HIPAA Questions and Answers Graded A+ HIPAA The Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191, was enacted on August 21, 1996. Sections 261 through 264 of HIPAA require the Secretary of HHS to publicize standards for the electronic exchange, privacy and security of health information. Collectively these are known as the Administrative Simplification provisions. Who is covered by the HIPAA Privacy Rule? The Privacy Rule, as well as all the A...

A covered entity does NOT include a. Healthcare providers b. Health plans c. Patients d. Clearinghouses - ANSWERSc. Patients What does MAC stands for? a. Medicare Administrative Contractor b. Medicare Advisory Contractor c. Medicaid Administrative Contractor d. Medicaid Alert Contractor - ANSWERSa. Medicare Administrative Contractor When are providers responsible for obtaining an ABN for a service NOT considered medically necessary? a. After providing a service or item to...

Derivative Security (Chp. 1) - A financial instrument whose value depends on another security. Option (Chp. 1) - An agreement allowing the buyer of the option to buy or sell an asset at a specific price on a specific day. Clearinghouses (Chp. 1) - Matches the buyers and the sellers and keeps track of their obligations and payments. Measures of Market Size and Activity (Chp. 1) - 1) Trading Volumne 2) Market Value 3) Notional Value 4) Open Interest Purpose of Derivatives (Chp. 1) - 1) Ri...

HIPAA Privacy Rule Latest Update Graded A+ Covered Entity health plans, healthcare clearinghouse and healthcare providers who electronically transmit information under standards of operation established by HHS HIPAA Health Insurance Portability and Accountability Act created to improve continuity of health insurance coverage and the administration of health care services HIPAA's Privacy Rule Protects patients information so it is available to those who need to see it, while protecting that in...

CITI Question and answers already passed CITI - HIPAA Training In the US, privacy protections for health information come from: - correct answer Privacy protections come from all of these sources - both federal and state law, as well as the requirements of private certification organizations. Privacy, in the health information context discussed here, refers to: - correct answer The rules about who can access health information, and under what circumstances. Under the federal HIPAA r...

Abuse - Intro to Healthcare An action that results in unnecessary costs to a federal healthcare program, either directly or indirectly. Conditions of Participation (CoP) - Intro to Healthcare Conditions that healthcare organizations must meet in order to participate with the plan or program. Covered Entity - Intro to Healthcare According to HIPPA, defined as health plans, healthcare clearinghouses, and healthcare providers who electronically transmit any health information in connectio...

HIT FINAL UPDATED Exam Questions and CORRECT Answers What type of entities are regulated by the HIPAA Privacy Rule? - Correct ANSWER- health plans, health care clearinghouses, and health care providers Information Technology adoption by the healthcare industry has advanced at a much more rapid rate than other industries - Correct ANSWER- false Which of the following factors are considered obstacles to widespread adoption of Information Technology in Healthcare? - Correct ANSWER- Fragm...

CPB EXAM QUESTIONS & ANSWERS 2023/2024 1. The biller at a medical practice has identified $575 in Medicare overpayments. After verification, they are presented to the office manager, who tells the biller not to write the refund check. The medical practice is going to put the money in their general account instead. What act does this action violate? A.Truth in Lending Act B.Health Insurance Portability and Accountability Act C.Administrative Simplification Rule D.False Claims Act - ANS...

AAPC CPB Final Study Guide 2024. covered entity - ANSWER Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: healthcare consulting firm - ANSWER Which of the following is not a covered entity in the Privacy Rule release reqt to ins co - ANSWER A request for medical records is received for a specific date of service from patient's insurance company with regards to a submitted claim. No authorization for release of informat...

AAPC CPB Final | 200 Questions and Verified Solutions Latest Update 2024 Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: - Answer - covered entity Which of the following is not a covered entity in the Privacy Rule - Answer - healthcare consulting firm A request for medical records is received for a specific date of service from patient's insurance company with regards to a submitted claim. No authorization for release ...