moa 160 hippa test – Flashcards
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a health plan may be offered by an employer, a private insurer, a goverment entity or other group
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True
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title I of HIPPA covers administrative simplification
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false
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COBRA guarantees health coverage for an employee leaving a job for a least three years
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false
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an electronic data interchange is an exchange between a person and a computers
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false
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HIPPA always has preemption over state laws
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false
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there is a diference in the length of time allowed for compliance with HHS standars between large health plans and small health plans
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true
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bussines asociates must follow HIPPA standars
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true
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patient's medical records may be withheld from patients under certain specific conditions
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true
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electronical medical records are generally thought to reduce medical errors
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true
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all covered entities must have a notice of privacy practices and make available to their patients/members
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true
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a patient must always be notified if a minor is pregnant
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false
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there are no restrictions on realease of de-identified health information
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true
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the rules for release do not cover court orders that are received bu the covered entity
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true
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state laws require the reporting by physicians of certain diseases
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true
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patients have the right to request restrictions on the use and disclosure of their PHI
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true
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covered entities may not charge patients for copying medical records
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false
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patients can request amendments to their medical records
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true
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PHI stands for private health information
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false
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medical records are legal documents
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true
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under HIPPA the concept of integrity of ePHI is making sure that information is not changed during transmission
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true
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malware is a type of secure software
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false
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encryption is the encoding of a message
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true
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under HIPPA, all covered entities are required to performe risk analysis
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true
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national identifiers have been set up for patients
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false
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HIPPA standars apply only to electronic transactions conducted by covered entities
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false
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a remmittance advice statements includes how health plan arrived at a payment or why a claim was denied
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true
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fraud is international while abuse may not neccesarly be on purpose
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true
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using PHI for profit can result in prision and a $250,000 fine
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true
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you should feel confortable sharing your paswoord with others in the office, specially if the physician gave you his password
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false
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many offices have sign in sheets where patients are required to sign in as they enter. this give the receptionist a priority list if whi should be seen next. This list has been banned by HIPPA
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false
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the health care provider's NPI will change each year
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false
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a crosswalk will not be created to match UPIN's to NPI's
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false
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health care providers must obtain permission from a patient before nitifying public health authoritoes of occurence of a reportable disease
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false
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the HIPPA privacy rule prohibits health plans and providers from using debt collections agencies
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false
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when more than one doctor is trating a patient, a signed autorization is needed in order to send medical records to another provider
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true
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what do the inicials HIPPA stands for
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health insurance portability and accountability act
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medical coverage offered by employers to employees is
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group health plan
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a law firm that does business with a health care provider is a(n)
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business associate
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an example of an indirect provider is
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a laboratory
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COBRA requires that
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an employee who is leaving a job be given the option to continue coverage
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HIPPA rules apply to
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health care workers, providers, and insurance
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the following are health care providers
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chiropractors, ophthalmologist, and hospitals
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under HIPPA a health plans can "look back: for preexisting conditions for a period of
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twelve months
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preexisting condition exclusions for pregnancy apply for up to
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do not apply
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providers who have fewer than _ full time or equivalent employees are not required to send medicare claims electronically
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10
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security estandars are enforced by
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CMS
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use and disclosure of PHI may be defined as the realese of information
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for treatments, payments, and health care operations
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the HIPPA privacy rules require that
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covered entities safeguard patients records
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a privacy officer must be
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a member of the provider's staff
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patients may revoke autorizations
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a any time
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to legally release PHI for purposes other than treatment, payment, or health care operations, a signed ____ is required
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authorization
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under HIPPA risk management is
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a plan for reducing threats to security
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cryptography is
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encoding of messages
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the technical issues of the HIPPA security standards address
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access to ePHI
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medical records should be retained for
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indefinitely
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under HIPPA the following are required to send Medicare claims electronically
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hospitals
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CPT includes codes for
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procedures
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HCPCS includes codes for
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supplies
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an HCPCS code may be for
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DME
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the national provider identifier NPI is assigned by
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HHS
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NPIs are mandated for use:
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now
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violations of the privacy rule are enforced by
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OCR
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when a business associate violates its agreement to protect PHI:
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the CE must take steps to end the violation
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under HIPPA fraud includes
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upcoding
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an external audits is triggered by
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an enforncing agency
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the following is a violation of the privacy rule
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telling another patient about a patient's diagnosis
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the following is a violation of the starks laws
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refering a patient to a pharmacy in which you are part owner
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the following is a violation of the Sarbanes-oxley act
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punishing a whistleblower
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who regulates HIPPA?
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U.S. goverment
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what is the HIPPA privacy?
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hippocrates oath 400bc, PHI is protected and held confidential, security standars for privacy and confidentiality, ALL THE ABOVE
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who is the health care organization is responsible for knowing where the written policies regarding HIPPA compliance are located?
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privacy officer or official
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who is permited to file a complaint alleging a violation of HIPPA provetions?
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anyone
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the ttempted or successful unauthorized access, use, disclosure, modification, destruction of information or interference with system operations in an information system
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security incident
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the process whereby cost-effective security and control measures may be selected by balancing the cost of various security/control measures against the losses that would be expected if these measeres were not in place
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risk analysis
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receives a standard transactions from another entity and processes or facilitates the processing of information into nonstandard format or nonstandard data content for a receiving entity
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clearinghouse
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a plan including applications and data criticality analysis, a data backup plan, a disaster recovery plan, and emergency mode operation plan, and testing and revision procedures
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contingency plan