Question
click below
click below
Question
Normal Size Small Size show me how
key acronyms
healthcare legislation
Question | Answer |
---|---|
What is HHS ? | U.S Department Of Health and Human Services |
What is HIPAA? | Health Insurance Portability and Accountability Act |
What is HITECH ? | Health Information Technology for Economic and Clinical Health Act |
What is PHI? | Protected Health Information |
What is Health IT? | Health Information Technology |
What is EHR? | Electronic Health Records |
Who is responsible for health-related Acts? | The Health and Human Services Department (HHS) is responsible for health-related Acts. |
What is the HIPAA Security Rule? | The HIPAA Security Rule establishes specific protections to safeguard the electric health information. Its focuses on safeguard of ePHI including Administrative, Technical, and Physical. |
What is PMR? | Access to Personal Medical Records (PMR) when patients can request thier PMR at any time. |
What is EMR? | Electronic versions of paper charts in a doctor or other healthcare provider's office. |
Individual Identification Health Information | Information that identifies a person such as demographic, name, address, date of birth, and social security number. |
Health Information | A person's past, present, or future physical or mental health or conditions. |
What is SOAP? | Subjective, objective, assessment, plan |
What does Part C Medicare cover? | A Medicare Advantage Plan covers the benefits of both Medicare Part A and Part B, as well as vision and dental. |
What is a function in the EHR system? | Provider documentation |
Which identifies an outstanding increase insurance balance? | Insurance aging report |
What is the policy set by the third-party payer to submit a claim? | Timely filing |
Which models pay for the provider based on services and procedures reported by using CTP and ICD-10-CM codes? | Fee-For-Service |
Which Medicare plan covers fee-for-service outpatient and professional services? | Medicare Part B |
Which Medicare plan covers for prescription drugs and medication? | Medicare Part D |
Which is a type of transaction in the practice management software (PMS) system? | Contractual adjustment |
What is a set amount established by an insurance payer for an office visit and should be collected at the time of encounter? | A Copay |
Who has contact with the third-party payer for reimbursement? | A participating provider |
Which is the process of ensure that a referral or preauthorization has been obtained and has not expired prior to the procedure? | Utilization management review |
What is required in all encounter notes? | the providers signature |
What is skip tracing? | an action or practice of locating people who are missing or have defaulted on a dept |
What is the organ found in the lower right quadrant abdomen? | Appendix |
Where should you place a patients name when mailing a referral? | above the address |
What kind of payment a provider collects on a capitation with a care plan? | fixed |
A CMAA is preparing a billing statement for noncovered services, where should they send the bill? | to the patient |
According to HIPAA Security Rule, what are the three categories the security standards are divided into? | Administrative, Physical, and Technical safeguards |
What is the administrative safeguard? | administrative policies and procedures designed to protect electronic health information. |
What is the physical safeguard? | mechanisms required to protect electronic systems, equipment, and data from threats, environmental hazards, and unauthorized intrusion. |
What is the technical safeguard? | automated process used to protect data and control access to data |