× Didn't find what you were looking for? Ask a question
Top Posters
Since Sunday
e
7
t
7
f
6
e
6
c
6
J
6
e
6
j
6
F
6
a
6
u
6
o
6
New Topic  
roddyrodrod roddyrodrod
wrote...
Posts: 564
Rep: 1 0
6 years ago
A coder's first step in the reimbursement process is:
 
  A. registering the patient.
  B. reading and understanding the physician's documentation.
  C. filling out a claim form.
  D. calling the insurance carrier.



(Q. 2) What types of automated functions may be part of electronic information systems?
 
  What will be an ideal response?



(Q. 3) Under HIPAA guidelines, when a patient is unconscious or incapacitated, how would a provider handle disclosing information about the patient's condition to family members or friends?
 
  What will be an ideal response?



(Q. 4) Describe how protected health information (PHI) may be used by a coroner or medical examiner.
 
  What will be an ideal response?



(Q. 5) Name at least two reasons that privacy complaints are made.
 
  What will be an ideal response?



(Q. 6) Describe the types of electronic transactions to which HIPAA rules apply.
 
  What will be an ideal response?



(Q. 7) Explain a civil money penalty.
 
  What will be an ideal response?



(Q. 8) What type of information is regulated by the HIPAA Privacy Rule?
 
  What will be an ideal response?



(Q. 9) The electronic transfer of information in a standardized format between trading partners is called __________ .
 
  Fill in the blank with correct word.



(Q. 10) The Department of Health and Human Services agency that handles privacy complaints is the Office for __________ .
 
  Fill in the blank with correct word.
Textbook 
Comprehensive Health Insurance: Billing, Coding, and Reimbursement

Comprehensive Health Insurance: Billing, Coding, and Reimbursement


Edition: 3rd
Authors:
Read 39 times
2 Replies

Related Topics

Replies
wrote...
6 years ago
1)  Answer: reading and understanding the physician's documentation.

2)  Answer: Types of automated functions that may be part of electronic information systems include claims edits and payments, providing information on eligibility status, and providing health information.

3)  Answer: The provider may disclose relevant information if, based on his or her professional judgment, the disclosure is in the patient's best interest. The disclosure may be in person, by phone, or in writing.

4)  Answer: A coroner or medical examiner may request PHI to assist in identifying a body or determining cause of death.

5)  Answer: Any two of the following: (a) impermissible uses and disclosures of PHI; (b) lack of safeguards of PHI; (c) lack of patients' access to PHI; (d) uses or disclosures of more than the minimum necessary PHI; (e) lack of or invalid authorizations for uses and disclosures of PHI.

6)  Answer: HIPAA security rules apply to claims, remittance, eligibility, and claim status requests and responses.

7)  Answer: A civil money penalty is a punitive fine imposed by a civil court on an entity convicted of illegal activity.

8)  All PHI is regulated by the HIPAA Privacy Rule, including both paper and electronic records.

9)  electronic data interchange

10)  Civil Rights
roddyrodrod Author
wrote...
6 years ago
thanks for your help
New Topic      
Explore
Post your homework questions and get free online help from our incredible volunteers
  1023 People Browsing
Related Images
  
 9458
  
 285
  
 331
Your Opinion

Previous poll results: Do you believe in global warming?