Podcast
Questions and Answers
What is the primary purpose of the Security Rule established by HIPAA of 1996?
What is the primary purpose of the Security Rule established by HIPAA of 1996?
- To provide national standards for requesting payment for medical services
- To establish codes for dental services
- To provide national standards for protecting and transmitting patient data (correct)
- To maintain codes for medical procedures and physician services
Which code set is used to report procedures for inpatient hospital services?
Which code set is used to report procedures for inpatient hospital services?
- ICD-10-PCS (correct)
- ICD-10-CM
- CPT
- NDC
Which organization maintains the National Drug Codes (NDC)?
Which organization maintains the National Drug Codes (NDC)?
- HHS (correct)
- CMS
- ADA
- AMA
What is the purpose of Place of Service Codes?
What is the purpose of Place of Service Codes?
Which code set is used for dental services?
Which code set is used for dental services?
Which of the following is NOT maintained by the Centers for Medicare and Medicaid Services (CMS)?
Which of the following is NOT maintained by the Centers for Medicare and Medicaid Services (CMS)?
What was the outcome of the Act in terms of HMO enrollment?
What was the outcome of the Act in terms of HMO enrollment?
What is a characteristic of Preferred Provider Organizations (PPOs)?
What is a characteristic of Preferred Provider Organizations (PPOs)?
Why have hospitals, clinics, and private physician practices had to adapt?
Why have hospitals, clinics, and private physician practices had to adapt?
What is a key challenge for medical billers?
What is a key challenge for medical billers?
What is a consequence of the Act overriding state laws?
What is a consequence of the Act overriding state laws?
What has contributed to the growth of medical professionals with business skills?
What has contributed to the growth of medical professionals with business skills?
What is required for knowledge of existence of a fact to be established in an offense?
What is required for knowledge of existence of a fact to be established in an offense?
What is the penalty range per claim for violating the FCA?
What is the penalty range per claim for violating the FCA?
What is the term for a person who brings a civil action on behalf of themselves and the U.S. government?
What is the term for a person who brings a civil action on behalf of themselves and the U.S. government?
What is the primary responsibility of the government in a Qui Tam action?
What is the primary responsibility of the government in a Qui Tam action?
What is a requirement for reduced penalties (mitigation) under the FCA?
What is a requirement for reduced penalties (mitigation) under the FCA?
What is the term for intentionally ignoring a fact when one has every reason to believe about its existence?
What is the term for intentionally ignoring a fact when one has every reason to believe about its existence?
What is the primary purpose of the Consumer Credit Protection Act of 1968?
What is the primary purpose of the Consumer Credit Protection Act of 1968?
What is the condition for a practice to be considered a creditor under the TILA?
What is the condition for a practice to be considered a creditor under the TILA?
What is the requirement for disclosing finance charges on statements?
What is the requirement for disclosing finance charges on statements?
What is an example of a deceptive practice related to billing services?
What is an example of a deceptive practice related to billing services?
What is the main purpose of assessing finance charges on statements?
What is the main purpose of assessing finance charges on statements?
What is the primary goal of the Health Insurance Portability and Accountability Act of 1996?
What is the primary goal of the Health Insurance Portability and Accountability Act of 1996?
What is the main characteristic of a Preferred Provider Organization (PPO)?
What is the main characteristic of a Preferred Provider Organization (PPO)?
What is included in Protected Health Information (PHI)?
What is included in Protected Health Information (PHI)?
What is the purpose of the CPT code?
What is the purpose of the CPT code?
What is the main benefit of HIPAA for healthcare providers?
What is the main benefit of HIPAA for healthcare providers?
What is the primary focus of HIPAA?
What is the primary focus of HIPAA?
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