question

One way to lower the cost of healthcare is

answer

to increase the use of technology

question

What term refers to the computer hardware, software, and networks that are used to record, store, and manage patient healthcare information?

answer

health information technology (HIT)

question

A practice management program (PMP) is a software program that

answer

-records patients' payments and prints receipts -processes the financial transactions that result from patients' appointments -calculates charges for office visits

question

Which task is NOT performed by a practice management program?

answer

assigning diagnosis codes

question

What does a PMP require to create and transmit healthcare claims?

answer

collection of information from various databases and create a claim file

question

What method of filing a claim has replaced paper claim forms?

answer

electronic transmission

question

Which of these are computerized records of one physician's encounters with a patient over time?

answer

electronic medical records (EMRs)

question

According to the Institute of Medicine, which of the following core functions should be included in an EHR?

answer

-decision support -order management -population reporting and management

question

Which records offer a broad focus on a patient's total health experience over the lifespan, rather than the documentation of episodes of illness or injury?

answer

electronic health records (EHRs)

question

What is NOT a common element of reporting and population management within EHRs?

answer

patient's identity

question

What term refers to medical care that uses the latest and most accurate clinical research in making decisions about the care of patients?

answer

evidence-based medicine

question

Reminding patients about preventive care screenings is an example of which advantage of EHRs?

answer

quality

question

The ten-step cycle that results in the timely payment for patients' medical services is the

answer

medical documentation and billing cycle

question

Which of the following information should be collected from new patients during preregistration?

answer

-the patient's name -the patient's contact information -the patient's reason for the visit

question

What must be in place in a medical office to provide medical care to patients and collect payment for these services?

answer

work flow

question

A steady flow of income into a practice is known as what?

answer

revenue

question

What expenses is not necessarily paid on a regular, recurring basis?

answer

legal services

question

Which information is contained in office visit documentation?

answer

the diagnosis and procedures

question

Which of the following refers to diagnosis codes?

answer

ICD

question

Which of the following refers to procedure codes?

answer

CPT

question

An encounter form is also known as a

answer

superbill

question

The provider's fees for services are listed on the medical practice's

answer

fee schedule

question

What is a series of steps designed to determine whether a claim should be paid?

answer

adjudication

question

The remittance advice provides details about each patient transaction, including

answer

-the date of service -the services provided -the patient identification number

question

When a medical practice receives an overpayment from a health plan, it

answer

issues a refund

question

What document lists all services performed, along with the charges for each service?

answer

statement

question

A company that receives electronic claims and forwards the claim to the payer is known as

answer

a clearinghouse

question

Revenue cycle management refers to

answer

managing the activities associated with a patient encounter to ensure the provider is paid

question

Which of the following are rules created under HIPAA?

answer

-HIPAA Privacy Rule -HIPAA Electronic Transaction and Code Sets standards -Final Enforcement Rule

question

What describes a particular electronic format that providers and health plans must use to send and receive healthcare transactions?

answer

HIPAA Electronic Transaction and Code Sets

question

Electronic data interchange involves sending information from computer to

answer

computer

question

In most physician practices, the claim format is the HIPAA-standard

answer

X12-837 Health Care Claim

question

Health information that can be used to find out a person's identification is referred to as

answer

protected health information

question

Which term refers to the acquisition, access, use, or disclosure of unsecured PHI in a manner not permitted under the HIPAA Privacy Rule, thus compromising the security or privacy of the PHI?

answer

breach

question

Recognizing that existing HIPAA laws did not provide adequate protection in an increasingly electronic healthcare environment, Congress included additional privacy and security regulations in the

answer

HITECH Act of 2009

question

What government regulation is intended to promote the use of EHRs in physician practices and hospitals through the use of financial incentives?

answer

the HITECH Act

question

Under HITECH, which government body is required to conduct audits to ensure compliance with HIPAA rules?

answer

Office of Civil Rights (OCR)

question

The utilization of certified EHR technology to improve quality, efficiency, and patient safety in the healthcare system is known as what?

answer

meaningful use

question

A network of doctors and hospitals that shares responsibility for managing the quality and cost of care provided to a group of patients is known as

answer

an accountable care organization

question

What is health information technology?

answer

record, store,and manage patient healthcare information

question

Practice management programs (PMP)

answer

software that automate many administrative and financial tasks in the medical practice

question

Medical documentation and billing cycle

answer

a ten step process that results in timely payment for medical services

question

Diagnosis

answer

physicians opinion of the nature of the patients illness or injury

question

Procedure

answer

medical treatment provided by a physician or other healthcare provider

question

ICD-9-CM

answer

International Classification of Disease, Ninth Revision, Clinical Modification. The source of codes used for reporting diagnosis until October 1, 2014

question

ICD-10-CM

answer

International Classification of Disease, Tenth Revision, Clinical Modification, which will be used beginning on October 1, 2014

question

Current Procedural Terminology (CPT)

answer

standardized classification system for reporting medical procedures and services

question

HCPCS

answer

codes used for supplies, equipment, and services not included in CPT codes

question

encounter forms

answer

a list of procedures and diagnoses for a patients visit

question

Explanation of Benefits (EOB)

answer

paper document from a payer that shows how the amount of a benefit was determined

question

Revenue cycle management (RCM)

answer

ensure full payment

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