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When was the Health Information and Accountability Act (HIPAA) created? Correct Answer: 1996 What are Medical Ethics? Correct Answer: Standards of conduct based on moral principals. What are the two provisions of HIPPA ...

When was the Health Information and Accountability Act (HIPAA) created? Correct Answer: 1996 What are Medical Ethics? Correct Answer: Standards of conduct based on moral principals. What are the two provisions of HIPPA? Correct Answer: 1. Insurance Reform 2. Administrative Simplification What is the False Claims Act (FCA) Correct Answer: A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim. What is the National Correct Coding Initiative (NCCI)? Correct Answer: Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims. What are the two types of edits that the NCCI implements? Correct Answer: 1. Column 1/ Column 2; identified unbundled codes. 2. Mutually Exclusive Edits: Codes that are unlikely to be performed on the same patient in the same day. Who investigates and prosecutes Health Care fraud? Correct Answer: Office of Inspector General (OIG) When can a provider share PHI without specific permission from the patient? Correct Answer: 1. For treatment (discussing the case with another professional) 2.Payment (When providers submit claims on the patient's behalf). 3. Operations: Staff training and Quality Improvement. What is Employer Liability? Correct Answer: Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.) What is Employee Liability Insurance? Correct Answer: Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim. What is in a Medical Record? Correct Answer: -Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient When billing an insurance company, what information must be included? Correct Answer: -Date of Service (DOS) -Place of Service (POS)

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When was the Health Information and Accountability Act (HIPAA) created? Correct Answer: 1996 What are Medical Ethics? Correct Answer: Standards of conduct based on moral principals. What are the two...

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