Cpb final stuvia - Study guides, Class notes & Summaries

CPB Final Exam Questions and Answers (Graded A)CPB Final Exam Questions and Answers (Graded A)A practice agrees to pay $250,000.00 to settle a lawsuit alleging that the practice used x-rays of one patient to justify services on multiple other patients' claims. The office manager brought the civil suit. What type of case is this? - ANSWER-Qui Tam In which of the following circumstances may PHI not be disclosed without the patient's authorization or permission? - ANSWER-An office receives a c...

covered entity - ANSWERSHealth plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: healthcare consulting firm - ANSWERSWhich of the following is not a covered entity in the Privacy Rule release reqt to ins co - ANSWERSA 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 information is provided. What action sho...

Electronic data interchange - ANSWERSEDI Treatment, payment and operations - ANSWERSTPO Conditions of participation - ANSWERSCOP False claim act - ANSWERSFCA Health information portability and accountability act - ANSWERSHIPAA Preferred provider organization - ANSWERSPPO Truth in lending act - ANSWERSTILA Health maintenance organization - ANSWERSHMO Release of information - ANSWERSROI Office of civil rights - ANSWERSOCR Protected health information - ANSWERSPHI H...

A biller at a medical practice notices that all claims contain CPT code 81002. She questions the nurse who tells her that because they are an OB/Gyn office, they bill every patient for a urinalysis. What does this violate? - ANSWERSFalse Claims Act In addition to the standardization of the codes (ICD-10, CPT, HCPCS, and NDC) what other identifier is used on all claim? a. Unique passcode b. Unique identifier for employers and providers c. Social Security number of the provider d. Social ...