question

Wellness hosp accidentally lost a tape containing thousands of patiens info for patients involved in clinical trial, under the arra the ce would be required to

answer

notify the media notify each patient notify hhs

question

hipaa recognized consent is a patients agreement to

answer

use and disclose for TPO purposes

question

what is the most common method for implementing entity authentication

answer

password systems

question

today, janet visited her new dentist for an appt. she was not presented with a npp. I this acceptable?

answer

No, it is a violation of the HIPAA privacy rule

question

capture of date by the hosp data security system that shows multiple invalid attempts to access the database is an example of what type of security control?

answer

audit trail

question

debbie an him prof, was recentley hired as the privacy officer at a large practice. she observes the following practices. which is a violation of the hipaa privacy rule?

answer

dr lawson gives names of asthma patients to a pharmaceutical co

question

you are a member of the hosp him committee. the committee has created a hipaa complaint auth form. what does the privacy rule require?

answer

identification of the person auth to disclose phi id of the person auth to receive phi experiation date or event

question

hipaa security rule applies to

answer

hosp that electronically bills medicare physicians electronic billing bluecross health insurance plans

question

which of the following does the administrative simplification portion of title ii address?

answer

privacy rule for confidentiality of patient health iinfo security regulations for protected health info uniform standards for transactions and code sets

question

what does entity authentication mean

answer

the computer reads a predetermined set of criteria to determine if a user is who they claim to be

question

which is a public interest and benefit exception to the auth requirement

answer

phi regarding victims of domestic violence

question

indiv designated as a inpatient coder may have access to an electronic meical record in order to code that record. under what access security mechanism is the coder allowed to acces the system

answer

role-based

question

what is the most common type of security threat to a health info system

answer

internal to the org

question

addressable implementation specs in the security rules standards are optional therefore, the ce does not have to show that the standards are being met

answer

false

question

in which of the following disclosures is the indiv provided with the opportunity to agree or object?

answer

facility directory

question

medical info loses the phi status and is no longer protected by the hipaa privacy rule when it

answer

is de-identified

question

designated record set

answer

includes medical and billing records

question

arra changes to hipaa include all of the following

answer

penalties are awarded on a biered system business associates will be subjected to the same penalties and fines as CEs indiv must be notified of any breaches of phi

question

one of the medical staff committees a st vincent hosp is responsible for reviewing cases of patients redmitted within 14 days of discharge. this review of the record is

answer

healthcare operations

question

copying data onto tapes and storing the tapes in a distant location is an example of

answer

data backup

question

to ensure compliance with the arra CEs should

answer

develop policies and procedures for responding to breaches implement sanctions for workforce members who breach phi review and update BA agreements

question

Under HIPAA, what is named as a covered entity

answer

health plan healthcare clearinghouse healthcare provder

question

an additional category required to be provided on the accounting of disclosures for facilities using EHRs under the ARRA is

answer

for treatment, payment and operation

question

susan is completing her high school community svc hours by serving as a volunteer at a hospital. relative to the hosp under hipaa she is considered

answer

workforce member

question

shirley has written to request an amendment to her phi for bon voyage hosp, stating that incorrect info is present on the document in question. the documentis an incident report that was erroneosly place on ms. dentons health record. the covered entity declines her request base on what provision of the privacy rule

answer

it is not part of the designated record set

question

although hipaa isn't the first piece of federal privacy legislation, it is more expansive than the federal privacy act, which applied privacy rules to

answer

federal agencies

question

hipaa privacy rule

answer

sets a minimum (floor) of privacy requirements

question

Linda is being admitted to the hosp. she is presented with a npp. in the notice, it is explained that her phi will be used and disclosed for tpo. linda doesn't want her phi used

answer

thie hosp is not required to honor her wishes

question

mercy hosp personnel need to review the med records of katie for utilization review purposes (#1). they will also be sending her records to her dr for continuity of care (#2) as they pertain to the hosp, these functions are

answer

use (#1), disclosure (#2)

question

hipaa privacy rule

answer

doesn't only apply to medicare patients doesnt only apply to govt operated healthcare facilites

question

sally was treated for kidney stones at graham hosp. she now wants to see her records in person. she requested to see them in closed room by herself

answer

her request doesnt have to be granted because the hosp is resp for the integrity of the medical record

question

original goal of hipaa administrative simplification was to standardize

answer

the electronic transmission of health data

question

what is an element that makes info "PHI" under the hipaa privacy rule

answer

identifies an individual in the custody of or transmitted by a ce or its ba relates to ones health condition

question

blake hosp retains barry & assoc to handle its audit functions. some of its functions include access to phi. what is true about the co?

answer

it is a business associate because it uses or discloses indiv identifiable health info on behalf of the hosp

question

augusta clinic has requested that furr hosp send its health records from helenas smiths most recent admission to the clinic for her follow up appt. what statement is true

answer

the privacy rules minimum necessary requirement does not apply

question

per the hipaa privacy rule, a hybrid entity is defined as one that

answer

performs both covered and noncovered functions under the privacy rule

question

what is a required element of the npp

answer

effective date of the notice description of how to file a complaint about hipaa privacy rule violations list of indiv rights per the hipaa privacy rule

question

what is a hipaa identifier

answer

license plate number telephone number age, if patient is 75 years old

question

sign-in sheet at a physicians office is best described as

answer

incindental disclosure

question

hipaa authorization

answer

may be revoked as long as it is in writing

question

minimum necessary standard

answer

applies to both uses and disclosures of phi

question

sheri requests a copy of her health record from a provider, per hipaa the provider

answer

may charge for the cost of copying

question

purpose of the implementation specs of the hipaa security rule is to provide

answer

instruction for implementation of standards

question

one of four general requirements a ce must adhere to for compliance with the hipaa security rule is to ensure the confidentiality, integrity and____ of ePHI

answer

availability

question

what are the primary distinctions between the hipaa security rule and teh hipaa privacy rule

answer

the privacy rule applies to all forms of patients phi, whether electroni, written oral, but the security rule covers on electronic phi the security rule provides for far more comprehensive security requirements than the privacy rule and includes a level of detail not provided in the privacy rule

question

if a hipaa security rule implementation specs is addressable, this means that

answer

an alternative may be implemented

question

hipaa security awareness and training administrative safeguard requires all of the addressable implementation programs for an entitys workforce

answer

login monitoring password management security reminders

question

which of the following statemens is true about the security officer. he (all)

answer

is generall the indiv within the healthcare org responsible for overseeing the info security program generally reports to upper level administrator within the healthcare org is given the authority to effectively manage the security program, apply sanctions and influence employees

question

noncompliance with the hipaa security rule can lead to

answer

civil penalties up to $25k per person per year criminal penalties up to $250k and 10years in prison

question

which of the statements about hipaa training is true (all)

answer

different levels of training are needed depending on an emplyees position in the org all employees in a health care org need hipaa training training is required under the hipaa security rule

question

what term is also used to denote the hipaa requirement of contingency planning

answer

emergency mode of operation

question

hipaa security rule contains the following safeguards

answer

technical administrative physical

question

enforcement agency for security rule is

answer

office of civil rights

question

hipaa security rule requires that the ce

answer

protect ePHI from reasonably anticipated threats

question

hipaa security rule allows flexibility in implementation based on reasonableness and appropriateness. What does the ce use to make these determinations

answer

size of the ce security capabilities of teh ce system costs of security measures

question

addressable standards, the ce may do all of what

answer

implement the standard as written implement an alternative standard determine the risk of not implementing is negligible

question

hipaa security rule requires that passwords

answer

be updated by organizational policy

question

according to the hipaa security rule, how should a covered entity instruct a physician who needs a new smart phone and her current smart phone contains ePHI

answer

turn in her old phone

question

nurse admin who doesn't typically take calls gets called in overthe weekend to staff the emergency dept. she doesn't have access to enter notes since this is nota part of her typical role. in order to meet the intent of the hipaa security rule, the hosp policy should include

answer

a provision to allow heremergency access to the system

question

hipaa security rule contains what provision about encryption

answer

it is required based on organizational policy

question

admissions dept is getting new computers. the director is excited and doesnt contact IT and installs the computer over the weekend. since the computers werent checked for presence of ePHI, the admissions director has violated with provision of the HIPAA security rule

answer

device and media controls

question

vp of finance wants to consider sending all of the medical transcriptionists home to work. what security issues should be included in the risk analysis?

answer

access of data by unauthorized persons

question

home health nurses at a ce want to use laptop computers to record patient notes. the director of nursing asks for guidance about whether or not this is a hipaa vioation. the most appropriate response from security office is

answer

need additional training as remote workers

question

some of the best steps that workers can btake to comply with the hipaa security rule include ensuring

answer

all employees receive appropriate training

question

security procedure that causes a computer session to end after a predetermined perio of inactivity is

answer

automatic log off

question

greatest threats to organizational security stem from

answer

internal threats

question

director of health info services is allowed access to the medical record tracking system when providing the proper log in and password. Under what access security mechanism is the director allowed access to the system?

answer

user-based

question

indiv designated as an inpatient coder may haveaccess to an electronic medical record in order to code the record. under what access security mechanism is the coder allowed access to the system

answer

role-based

question

under what access security mechanism would an indiv be allowed access to ePHI if they have a proper log in and password, belong to a specified group and their workstation is located in a specifi place within the facility?

answer

context-based

question

purpose of entity authentication is to

answer

read predetermined criteria to determine if a user is who he or she claims

question

what is the most common method for implementing entity authentication

answer

password systems

question

what would be considered a two-factor authentication system

answer

user id with a password user id with voice scan password and swipe card

question

what is the best option for password management

answer

system auto assigns password

question

audit trail is good tool for

answer

holding an indiv employees accountable for actions reconstructing electronic events detecting a hacker recognizing when a system is having problems

question

what is true about a firewall

answer

it is a system or combo of systems that supports an access control policyt between two netowrks the most common place to find a firewall is between the healthcare org internal network and the internet a firewall can limit internal users from accessing various portions of the internet

question

what type of data encryption is primarily used in a wireless network environment

answer

wep

question

what is the most common type of security threat to a health info system?

answer

internal to the org

question

with whom may patients file a complaint if they suspect medical identity theft violations

answer

federal trade commission

question

what requires financial institutions develop written medical identity theft programs

answer

fair and accurate credit transactions act

question

role of the him prof isn medical identity theft protection programs includes all of the following

answer

ensure safeguards are in place to protect the privacy and security of phi balance patient privacy protection with disclosing medical identity theft to victims identify resources to assist patients who are victims of medical identity theft

question

elements to include in a security system risk analysis program include all

answer

limiting access to the min necessary requiring user names and passwords installing protective hardward devices

question

what is an example of two-factor authentication

answer

user name & password and token

question

predetermined time for an automatic logoff from the system is mandated by

answer

facility policy

question

capture of data by a hosp data security system that shows multiple invalid attempts to access the patients database is an example of

answer

audit trail

question

what defines the study of encryption and decryption techniques

answer

cryptography

question

common safeguards utilized to protect email communication include

answer

anti spam software email filtering encryption software

question

key components to a contingency or disaster plan mandated by the hipaa security rule include

answer

data backup, data recovery and emergency mode of operations

question

most important protection against loss of data is

answer

user compliance with policy and procedures

question

when determing the appropriate password composition, the him prof should refer to

answer

organization policy

question

what is an access contro lcommonly utilized by ce for compliance with hipaa security rule

answer

user based access passwords tokens

question

mr smith was admitted to univ hosp by dr collins. mr smiths hosp bill will be paid by blue cross insur. upon discharge from the hosp, who owns the health record

answer

univer hosp

question

all of the following are examples of unusual events that health care facilities typically must report

answer

falls resulting in fractures wrong site surgery medical errors

question

what must ber reported to the medical examiner

answer

accidental deaths

question

required reportable deaths often include all

answer

homicidal suicidal suspicious

question

which generally describes a coroner and a medical examiner

answer

medical examiner is physician, coroner is appointed or elected and may or may not be physician

question

employees in the hosp business office may have legitimate access to patient health info without patient auth based on what hipaa standard/principle

answer

minimum necessary

question

release of info regarding reportable conditions under state laws and regulations must be included in the accounting of disclosures maintained by the facility

answer

true

question

purpose of the immunization registry is to promote disease prevention and control

answer

true

question

uniform health care decision act refers to

answer

selecting an indiv to make healthcare decisions for an incapacitated adult

question

which actions are included about a physican in the npdb

answer

malpractice action disciplinary actions credentialing info from other facilities

question

who must sign the death cert in most states

answer

physician

question

what is a vital record

answer

birth marriage death

question

birth cert must be filed for every live birth regardless of where it occured

answer

true

question

baby of a mother who is 15 was recently discharged from hosp. the mother is seeking access to the babys record. who mush sign the auth for release of the babys record

answer

mother of baby

question

under what conditions is the patients auth required for the use of disclosure of medical info

answer

when a patients life insur co requires info

question

best response to complete the statement..natural parents of a child who has been adopted by adoptive parents..

answer

relinguish the right to inspect their childs health record once their parental rights have been terminated.

question

mary jones has been declared legally incompetent by the court. mrs jones sister hsa been appointed her legal guardian. her sister is requesting a copy of mrs jones health records. whatis the best course of action

answer

comply with the sisters rquest but first request documentation from sister she is marys legal guardian

question

what rights does a competent indiv have in regard to his healthcare

answer

right to consent to treatment right to refuse treatment right to access his own phi

question

employer has contacted the him dept and requested health info on one of his employees. whatis the best course of action

answer

request the employees written auth prior to responding to the request

question

mr smith was admitted to university hosp by dr collins. mr smiths hosp bill will be paid by clue cross insur. upon discharge from hosp who owns the health record

answer

univ hosp

question

dr smith a member of the medical staff ass to see the records of his adult daughter who was hospitilized for a tonsillectomy at 16. the daughter os now 25. dr jones was the patients dr. what is the best course of action?

answer

inform dr smith that he cannot access his daughters record without her signed auth allowing him to

question

securing the auth of the attending physician, in addition to the patients auth, for the release of med info to the patients insurance co is

answer

not legally required

question

secretary in the nursing office was recently hospitalized with ketoacidosis. she comes to the him dept and requests to review her record. whatis the best course of action

answer

allow her to review her record after getting auth from her

question

st joseph has apsychiatric service on the 6th floor. a 31 year old male has come to the him deptand requested to see a copy of his medical record. he indicated he was a patient of dr schmidt, a psychiatrist, and that he was on the 6th floor. these records a not psychotherapy notes. what is the best course of action

answer

allow the patient to access his record if, after contacting his dr, his dr does not feel it will be harmful to the patient

question

competent adult may appoint another person to be is personal rep which givers that person the right to

answer

make healthcare desisions for the indiv request healthcare info related to the indiv receive info on the mental health of the indiv request info on the personal affairs of the indiv

question

uniform health care decision act (UHCDA) refers to

answer

selecting an indiv to make healthcare deciision for a competent adult

question

competent adult female has a diagnosis of ovarion cancer and while on the operating table sufferes from a stroke and is in a coma, her son wants to see her records from a clinic she recebtly visited for pain in her arm. the patient is married and lives with her husband and two grown children. according th UHCDA who is the logical person to request and sign an authorization to access her records from the clinic

answer

spouse

question

minors a basically deemd legally imcompetent to access, use or disclose their health info. what resource should be cnsulted in therms of who may authorize access, use and disclose the records of minors

answer

state law since hipaa defers to state lws on matters related to minors

question

in some states if an indiv has filed a workers comp claim, who may access the indiv health info w/o the indiv auth

answer

patients employer employers insurer employers lawyer employees attorney

question

dr williams is on the med staff of sutter hosp and he has asked to see the health record of his wife whio was recently hospitalized. dr jones was the patients dr. what is the best course of action

answer

inform dr williams that he cant acces his wifes health info unless she authorizes access thru a written release of info

question

in the situation of hehavioral healthcare info on a hc provider may disclose health info on a patient w/o the patients auth under what circumstances

answer

court order duty to warn involuntary commitment proceedings

question

tarasoff v. the regents of the univ of ca is a landmark case related to the release of psychiatric patient info w/o patient auth. the healthcare provider must release such info based on what circumstances

answer

duty to warn

question

substance abuse patient info is afforded fed protection thru hipaa and alcohol and drug abuse regulations. if a minor wishes to auth relese of his or her health info he may do so if

answer

state statute allows the minor to auth release state statue allows minor and parent to auth release

question

ted and mary are the adoptive parents of susan a minor. what is the best way for them to obtain a copy of her operative report

answer

present an auth that at least tod or may has signed

question

define a fetal death

answer

the death of a fetus of a weight and week gestation determined by state law

question

purpose of the trauma registry is to

answer

reduced mortality and morbidity from injuries to determine where most accidents occur to develop remedial plans for traffic control

question

who must sign a death cert in most states

answer

physician

question

NPDB requires reporting of all of the following circumstances as related to a hc provider on staff at a hosp

answer

medical malpractice pymt settlement reports suspension of privileges

question

what must be reported to the medical examiner

answer

accidental deaths

question

medical device reporting is allowable w/o patient auth under hipaa for

answer

tracking product recalls conducting post marketing surveillance collecting or reporting of adverse events

question

disclosure regarding reportable conditions under state laws and regulations

answer

must be included in the AOD maintained by the facility

question

nofification of a designated organ procurement agency in a timely manner fter patient death is required by

answer

federal law

question

what is true regarding the reporting of communicable diseases?

answer

reporting is required bc of the public health threat they present the usual reporting time is 24 hours the diseases to be reported are established by state law

question

cancer registries are established

answer

voluntarily or by state law

question

info collected in a cancer registryt typically include

answer

type of cancer stage of cancer patient demographic info

question

disclosure of workers comp records is governed by

answer

state statutes

question

required reportable deaths often include all of the following

answer

homicidal suicidal sudden

question

reporting events for the conduct of public health surveillance is allowd under the doctrine of

answer

preemption

question

registry is a collection of data on diseases which are collected for the purpose of

answer

health policy control prevention

question

in all of the following scenerios a hc provider may disclose phi to public health entities w/o direction by specific law

answer

surveillance investigation intervention

question

admission to emergency dept and dealth of 16 yr old from a gunshot must be reported bc

answer

dealth resulted from a criminal activity involving a gun death was a result of violence

question

under the privacy rule, the following must be included in a patient accounting of disclosures

answer

state mandated report of a secually transmitted disease

question

risk mgmt and quality improvement programs are rleated because of what reasons

answer

they share similar underlying processes

question

systematic means of determining potential losses defins the process of

answer

risk identification

question

sentinel event in a joint commission accredited facility is

answer

significant and should be investigated and evaluated every time it occurs

question

what is enough info to be classified as a reviewable sentinel event according to tjc

answer

wrong leg amputated during surger

question

purpose of root cause analysis (rca) is to

answer

understand the causes of a sentinel event

question

IOM objectives for improvement include

answer

safety, timeliness, efficiency, effectiveness, equitable, patient centered care (STEEEP)

question

EMTALA regulations include all..

answer

transfers of non stabilized patients must only occur under certain specific conditions ever patient arriving at the er must receive an appropriate medical screening exam if an emergency med condition exists, the hosp must treat and stabilize the emergency condition or transfer of patient

question

what are examples of a private or govt group focused on quality

answer

institute for hc improvement commonweath fund leapfrog group

question

an example of a documentation indicator in a health record, signaling a problem, would be

answer

a correction in a record is obliterated so only new info can be seen

question

darling v. charleston community mem hosp is most often credited for

answer

eliminating the doctrine of charitable immunity

question

quality improvement orgs (QIO) are responsible for all of the following

answer

improving quality of care for medicare beneficiaries protecting beneficiaries by adressing complaints ensuring that services paid for are mecially necessary

question

risk analysis invilves the condiseration of

answer

quality thresholds

question

after an adverse patient event, what shoud occur with regard to the health record

answer

the record itself should be secured

question

TJCs safety goals include

answer

time outs prior to procedures use of a least two patient identifiers read back of verbal orders

question

TJCs quality improvement activities for health record documentation include

answer

acute myocardial infarction pregnancy an related conditions heart failure

question

american hosp assoc patient care partnership was orignially called the

answer

patient bill of rights

question

npdb is assoc most closely with which hosp function

answer

credentialing

question

american with disabilities act

answer

applies to impairments that substantially limit major life activities

question

with regard to seclusion and restraint, fed law

answer

restrict their use

question

what is a precursor to QIOs

answer

prof standards review org (PSRO)

question

what is a precursor to QIOs

answer

peer review org

question

what has initiatives in place to reduce medical errors and improve patient safety

answer

private orgs state govt fed govt

question

pay for performance

answer

will encourage better health outcomes

question

risk mgmt programs are more commonly governed by

answer

state law

question

if an HIM dept acts in deliberate ignorance or in disregard to official coding guidelines, it may be committing

answer

fraud

question

if an HIM dept receives gifts from vendors in exchange for purchasing a specific encoder software this is

answer

kickback

question

exceptions to the fed anti-kickback statute that allows legitimate business arrangement and are not subject to presecution are

answer

safe harbors

question

fed physician self referral statute is also know as the

answer

stark law

question

OIG has specific compliance guidance for all of the following entities

answer

hosp home health agencies hospice

question

examples of high risk billing practices which create compliance risks for hc orgs include

answer

altered claim forms duplicate billing unbundled procedures

question

this law establishes criminal penalties for paying to induce business for which pymt from fed hc programs may be received

answer

fed anti-kickback statute

question

states that insufficient or missing docs and what are responsible for 70% of bad claims sent to meicare

answer

failure to document medical necessity

question

what activity is not one that should be audited and monitored in a compliance program

answer

referrals

question

deficit reduction at of 06

answer

made compliance programs mandatory

question

healthcare fraud is all of the following

answer

false representation of fact failure to disclose a material fact damage to another party that reasonably relied on misreprestation

question

act is used to combat medicare fraud by penalizing those that submit incorrect info to the program

answer

false claims act

question

corp compliance programs became common after adoption of what

answer

federal sentencing guidelines

question

healthcare abuse relates to practices that my result it

answer

medically unnecessary services

question

services that are statutorily non covered by medicare can be located on the

answer

medicare notice of exclusions from medicare benefits

question

responsibility for the filing of accurate claims ultimately belongs to the

answer

provider

question

healthcare fraud and abuse laws provide a whistleblower provision aka

answer

qui tam

question

codiing and billing documentation must be based on the

answer

providers documentation

question

unbundling refers to

answer

failure to use a comprehensive code to inapprpriately max reimbursement

question

submission of incorrect medicare claims is due to

answer

lack of dr understanding of coding failure of hc facilites to invest time and resources in education to coding complexity and changing nature of medicare rules

question

what fed law mandated the creation of recovery audit contractor services

answer

tax relief and health care act

question

OIG has issued specific compliance guidance for the following entities

answer

hosp clinical labs home health agencies

question

fraud enforcement and recovery act expands

answer

the govts investigative powers

question

stark law

answer

prohibits physicians from ordering from entities that they have financial relationship

question

what is an example of false claims

answer

altered claim forms duplicate billing unbundling

question

systematic means of tedermining potential losses defins the process of

answer

risk identification

question

which of the following gives enough info to be classified as a reviewable sentinel event, according to TJC

answer

wrong leg amputated during surgery

question

EMTALA regulations include

answer

transfers of nonstabilized patients must only occur under specific conditions every patient arriving at the er must received an appropriate medical screening exam if an emergency med condition exists,the hosp must treat and stabilize the emergency condition or transfer the patient

question

NPDB is associated most closely with which hosp function

answer

credentialing

question

healthcare fraud and abuse laws exist at both fed and state levels

answer

true

question

what has initiatives in place to reduce med errors and improve patient safety

answer

private org state gov fed gove

question

HIM dept receives gifts from vendors in exchange for purchasing specific encoder software, this is

answer

kickback

question

examples of high risk billig practices which create compliance risks for healthcare org include

answer

altered claim forms duplicate billings unbundled procedures

question

healthcare frauds is all of

answer

false repesentation of fact

question

failure to disclose material fact is

answer

damage to another party that reasonably relied on misrepresentation false representation of fact failure to disclose material fact

question

sentinel even in a Joint commission accredited facility is

answer

signifacant and should be investigated and evaluated every time it occurs

question

quality improvement org (QIO) are responsible for all...

answer

improving quality of care for medicare beneficiaries protecting beneficiaries by addressing complaints ensuring services paid for are medically necessary

question

fed physician selfreferral statute is aka

answer

stark law

question

responsibility for the filing of accurate claims ultimately belongs to

answer

provider

question

american hosp assoc patient care partnership was orig called

answer

patient bill of rights

question

example of a documentation red flag in a health record would be

answer

correction in the record is obliterated so that only newly added and correct info appears

question

OIG states that insufficient or missing documentation and ___ are responsible for 70% of bad claims submitted to medicare

answer

failure to document medical necessity

question

unbundling refers to

answer

failure to use a comprehensive code to inappropriately maximize reimbursement

question

coding and billing documentation must be base on the

answer

provider documentation

question

TJC safety goals include

answer

timeouts prior to procedures use of at least two patient identifiers read back of verbal orders

question

HIM dept acts in deliberate ignorance or in desregard to official coding guidelines, it may be committing

answer

fraud

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