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An important part of a compliance plan is a commitment to keep both physicians and medical office staff current by providing


A) ongoing training on coding and billing.
B) OIG Fraud Advisories.
C) practice work plans.
D) external audits.

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__________ is the process of encoding information in such a way that only the person (or computer) with the key can decode it.


A) Encryption
B) Meaningful use
C) Fraud
D) Code set

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The electronic equivalent of a business document is called a(n)


A) meaningful use
B) audit
C) electronic data interchange
D) transaction

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Which of the following are organizations that work for covered entities but are not themselves covered entities?


A) health plans
B) electronic data interchanges
C) clearinghouses
D) business associates

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According to the OIG compliance plans should contain how many elements?


A) nine
B) five
C) seven
D) eleven

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Which of the following is America's "law office"?


A) OIG
B) HIPAA
C) DOJ
D) FCA

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__________ is the activity of copying files to another medium so that they will be preserved in case the originals are no longer available.


A) Critical data recovery
B) Backing up
C) Antivirus software programs
D) Encrypting

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Disclosure of which of the following conditions requires a specific authorization from the patient other than for TPO?


A) HIV status
B) otitis media
C) Alzheimer's disease
D) pharyngitis

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The ACA requires the adoption of __________ for each of the HIPAA Standard transactions.


A) codes sets
B) operating rules
C) encryption
D) minimum data set

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What group is charged with detecting health care fraud and abuse?


A) ACA
B) OIG
C) RCA
D) CMS

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The __________ make(s) it illegal to knowingly offer incentives to induce referrals.


A) Sarbanes-Oxley
B) antikickback statute
C) FCA
D) Stark rules

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In qui tam, or whistleblower, cases the person who makes the accusation of suspected fraud is called the


A) detector.
B) relator.
C) provider.
D) respondeat superior.

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__________ is deception with intent to benefit from the behavior.


A) Abuse
B) Kick backs
C) Fraud
D) Self-referrals

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Which of the following laws prohibits submitting a fraudulent claim?


A) FCA
B) HIPAA
C) OIG
D) HITECH

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Under the HITECH Act, unprotected health information that is not secured through the use of technologies or methods that HHS has specified is referred to as


A) medical records.
B) PHI.
C) documentation.
D) unsecured PHI.

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The HIPAA rules for protecting patients' health information are in the


A) Electronic Transaction Rule.
B) Privacy Rule.
C) Code Sets Rule.
D) Security Rule.

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The minimum necessary standard means to


A) take reasonable safeguards to protect PHI.
B) complete the general business management functions.
C) release partial patient record to the hospital that requests it.
D) provide minimum care.

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Which of the following require(s) CEs to establish safeguards to protect PHI?


A) HIPAA Privacy Rule
B) HIPAA Security Rule
C) Health Insurance Portability and Accountability Act of 1996 (HIPAA)
D) HIPAA Electronic Transactions and Code Sets

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Under which act can a patient restrict the access of health plans to their medical records if they pay for the service in full at the time of visit?


A) HITECH
B) ARRA
C) HIPAA
D) HIE

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When protected health information is shared, which of the following should be observed?


A) code set
B) informed consent
C) encryption
D) minimum necessary standard

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