AAPC Chapter 1 Check Understanding
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AAPC Chapter 1 Check Understanding

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Questions and Answers

What is the primary purpose of the HITECH Act?

  • To create a central database of all patient information
  • To eliminate all forms of health information technology
  • To promote the adoption and meaningful use of health information technology (correct)
  • To reduce healthcare costs by limiting medical care

    • Which of the following acts strengthened HIPAA rules regarding electronic health information?

  • Health Information Technology for Economic and Clinical Health Act (correct)
  • Affordable Care Act
  • Health Insurance Portability and Accountability Act
  • Patient Protection Act

    • In which year was the HITECH Act enacted?

  • 2013
  • 2011
  • 2007
  • 2009 (correct)

    • What federal legislation is associated with enhancing the security of electronic medical records?

    <p>HITECH Act</p> Signup and view all the answers

    Which of the following is NOT a focus of the HITECH Act?

    <p>Mandating the use of a specific electronic records system</p> Signup and view all the answers

    What document is utilized to help provider offices develop Compliance Manuals?

    <p>OIG Compliance Program Guidance</p> Signup and view all the answers

    Which of the following conditions listed is recognized as a systemic condition that may necessitate routine foot care?

    <p>Chronic venous insufficiency</p> Signup and view all the answers

    What characterizes a service as medically necessary?

    <p>Utilizing the least radical service/procedure that is effective</p> Signup and view all the answers

    What was the release date of the OIG Compliance Program Guidance that is still relevant today?

    <p>October 2000</p> Signup and view all the answers

    Which statement best describes the importance of compliance manuals in medical practices?

    <p>They provide a framework to ensure adherence to legal and ethical standards.</p> Signup and view all the answers

    Which document outlines potential problem areas identified by the government that may be scrutinized?

    <p>OIG Work Plan</p> Signup and view all the answers

    What is the maximum difference allowed between a cost estimate on an ABN and the actual cost?

    <p>$100 or 25 percent</p> Signup and view all the answers

    Which statement is true regarding the recognition of ABNs by payers?

    <p>ABNs may not be recognized by non-Medicare payers.</p> Signup and view all the answers

    What is the purpose of the OIG Work Plan?

    <p>To identify and target problem areas in claims submissions.</p> Signup and view all the answers

    When providing a cost estimate for a service on an ABN, the provider is required to:

    <p>Provide a reasonable estimate within specified limits.</p> Signup and view all the answers

    What is the primary purpose of restricting access to protected health information under HIPAA's minimum necessary standard?

    <p>To prevent unauthorized access by individuals not involved in patient care</p> Signup and view all the answers

    What does the ABN indicate to the patient regarding Medicare coverage?

    <p>The patient may have to pay for a service that Medicare might not cover</p> Signup and view all the answers

    Which of the following is NOT classified as a covered entity under HIPAA?

    <p>Patients</p> Signup and view all the answers

    Why are covered entities required to implement minimum necessary policies?

    <p>To comply with HIPAA and protect patient information</p> Signup and view all the answers

    What could happen if a covered entity fails to comply with HIPAA's minimum necessary standard?

    <p>They may face legal penalties and fines</p> Signup and view all the answers

    Study Notes

    HITECH Act

    • The Health Information Technology for Economic and Clinical Health Act (HITECH) was enacted as a part of the American Recovery and Reinvestment Act of 2009 (ARRA)
    • HITECH strengthens HIPAA rules by addressing privacy and security concerns associated with the electronic transmission of health information.

    OIG Work Plan

    • Released twice per year
    • Outlines the Office of Inspector General (OIG) priorities for the fiscal year ahead
    • Lists potential problem areas for claims submissions
    • These areas will be targeted with special scrutiny

    Advanced Beneficiary Notices (ABNs)

    • An ABN is used when a Medicare beneficiary requests or agrees to receive a procedure or service that Medicare may not cover.
    • Notifies the patient of potential out-of-pocket costs for the patient
    • May not be recognized by non-Medicare payers
    • Providers should review their contracts to determine which payers will accept an ABN for services not covered

    HIPAA Covered Entities

    • Health Care Providers
    • Health Plans
    • Health Care Clearinghouses
    • Patients are NOT considered a covered entity

    Compliance Manual Development

    • The OIG has offered compliance program guidance to form the basis of a voluntary compliance program for physician offices
    • This was released in October 2000, but is still considered active compliance guidance today
    • Policies should require that only individuals whose job requires it may have access to protected health information

    Medically Necessary Services

    • Should use the least radical service/procedure that allows for effective treatment of the patient's complaint or condition
    • Routine foot care can be medically necessary for chronic venous insufficiency

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    Quiz Team

    Description

    This quiz covers key concepts related to the HITECH Act, OIG Work Plan, Advanced Beneficiary Notices (ABNs), and HIPAA covered entities. Each section highlights essential information relevant to healthcare compliance and patient notification processes. Test your knowledge on these crucial regulations in the healthcare sector.

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