FINAL

Question 1

breach of data over this number means press release needs to be sent out

Answer 1

500

Question 2

privacy rule protects any format. true or false?

Answer 2

true

Question 3

administrative safeguards: name 3

Answer 3

policies
procedures
security management process
risk analyses
security  officer
security awareness & training

Question 4

locked doors are an example of what type of privacy safeguard?

Answer 4

physical

Question 5

what are examples of technical safeguards to protect privacy?

Answer 5

passwords and encryption

Question 6

privacy is

Answer 6

WHAT is protected

Question 7

security is

Answer 7

HOW info is protected

Question 8

Why is HIPAA important?

Answer 8

portability

Question 9

title II fraud and abuse components

Answer 9

• administrative simplification
• transaction and code sets
• national provider identifier (NPI)
• privacy* to protect PHI
• security*

Question 10

who are covered entities under HIPAA

Answer 10

healthcare providers
healthcare plans
clearinghouses

Question 11

what do clearinghouses do?

Answer 11

make sure claims are clean

& complete, send bad claims back to provider, send good claims to third party payer

Question 12

how to protect PHI

Answer 12

consent
authorization
min. necessary info

Question 13

only ___ should work with blanket authorization

Answer 13

physicians

Question 14

what are patients’ rights regarding PHI

Answer 14

ask for copy, have corrections made (not omissions), report of when and why info shared

Question 15

people can charge a reasonable amount to provide records. true or false?

Answer 15

true

Question 16

data is ___ while ___ is usable & meaningful data

Answer 16

raw

information

Question 17

4 parts of medicare

Answer 17

A-inpt. hospital care
B-outpt
C-medicare advantage (optional, replaces A, B, and D)
D-Rx

Question 18

most important function of health record

Answer 18

store patient health information

Question 19

hospitals have ___ status

Answer 19

deemed

Question 20

4 entities for rules/reg
A
B
C
L

Answer 20

accreditation
bylaws
certification (conditions of participation)
licensure (state/gov’t)

Question 21

consent is given for

Answer 21

TPO

treatment, payment, operations

Question 22

authorization is for TPO. T/F?

Answer 22

false, authorization is for anything beyond TPO, like ROI

Question 23

CAHIIM

Answer 23

accredits colleges

Question 24

___ registry has people with severe injuries

Answer 24

trauma

Question 25

physician index

Answer 25

list of pts by ID

Question 26

authorization has to have ___

Answer 26

expiration date because otherwise ROI would be forever

Question 27

name some secondary uses of data

Answer 27

- research - quality, performance, pt. safety - population health reporting - administrative

Question 28

what is HIT's most important role?

Answer 28

make sure data is complete, accurate, standardized (data dictionary)

Question 29

people ___ need to give additional consent to be in index/registry

Answer 29

do not, because TPO covers it

Question 30

indexes are smaller/larger than registries?

Answer 30

smaller, facility-based, examples are MPI or disease registry of a hospital

Question 31

what is the legal term for no consent for treatment given?

Answer 31

battery

Question 32

aggregated data is ___

Answer 32

deidentified

Question 33

what's the primary data source?

Answer 33

health record

Question 34

MDS

Answer 34

long term care

Question 35

HEDIS

Answer 35

insurance plans, administrative claims, health record review data

Question 36

joint commission's data set

Answer 36

ORYX

Question 37

what data set do they use in the ER?

Answer 37

DEEDS

Question 38

which data set for home health

Answer 38

OASIS

Question 39

Which data set for inpatient, like hospital

Answer 39

UHDDS

Question 40

which data set for outpt?

Answer 40

UACDS

Question 41

Data fields and data definitions are common in ___

Answer 41

data dictionary

Question 42

what is it called if a facility gets to take medicare patients

Answer 42

deemed status

Question 43

consent is for ___ while authorization is for ___

Answer 43

TPO; | ROI

Question 44

What are ICD-10-CM AND ICD-PCS used for?

Answer 44

reimbursement

Question 45

SNOMED-CT

Answer 45

150,000 TERMS; Language so everyone can speak to one another

Question 46

CPT

Answer 46

procedures for outpt

Question 47

what is the formal approval process for academic programs called?

Answer 47

accreditation

Question 48

what is the formal process for conferring a HIM credential

Answer 48

certification

Question 49

what is access control?

Answer 49

identifying which data employees should have a right to use

Question 50

aiding in billing and reimbursement is a ___ fcn of health record

Answer 50

secondary

Question 51

third-party payers and government policymakers are ___ users of the health record

Answer 51

institutional

Question 52

___ is a software program that tracks every access to data in the system

Answer 52

audit trail

Question 53

___ is required of hospitals by states to provide healthcare

Answer 53

licensure

Question 54

___ is not documented in the acute-care (urgent care) health record

Answer 54

immunizations

Question 55

when does pt have the opportunity to agree or object?

Answer 55

when court order received

Question 56

___ is used to describe expected data values

Answer 56

data precision

Question 57

in long-term care, the care plan is dependent on data from

Answer 57

MDS version 3.0

Question 58

a consumer interested in comparing performance of health plans should review data from

Answer 58

HEDIS

Question 59

If you take part of a data set and put it together to form a statistic, the data is

Answer 59

aggregated

Question 60

what are the four main sources of documentation standards?

Answer 60

Accreditation Bylaws Certification Licensure