Health Insurance Specialist
Legal Aspects of Health Insurance
Legal and Ethical Issues
The Medical Record, Documentation, and Filing
100

Which coding system is used to report outpatient procedures and services on claims?

CPT


100

What is the right of individuals to keep their information from being disclosed by others?


Privacy

100

What term describes a situation where two ethical principles are in direct conflict with each other?

Ethical dilemma


100

Most filing systems are based on which type of arrangement?

Alphabetical 

200

What is another name for a health insurance specialist?


reimbursement specialist


200

This refers to testimony under oath taken outside of a court. 

Deposition

200

This aspect of HIPAA protects patient health information while providing quality care.

HIPAA Privacy Rule

200

Who is generally the first person to inspect reports?

The medical assistant

300

This is the job title of a person employed by a third-party payer to review claims

claims examiner


300

Court decisions that establish a standard create what type of law

Case law

300

This unlawful taking of money or goods is done in the immediate presence of the owner by use of force or intimidation.

Robbery

300

What type of filing system has the primary benefit of distributing files evenly over given spaces?

Numeric

400

Which code set published by CMS is used to report procedures, services, and supplies not classified in CPT?

National codes/HCPCS Level II

400

Which program authorizes CMS to enter into contracts with entities to perform cost report auditing, medical review, anti-fraud activities, and the Medicare Secondary Payer (MSP) Program

Medicare Integrity Program (MIP)

400

What type of abuse is defined as the failure to provide basic physical or emotional care?

Neglect

400

What portion of the history physical impression plan (HPIP) system of recording medical information contains the diagnosis/assessment?

Impression

500

What type of insurance guarantees repayment for financial losses resulting from an employee's act or failure to act?

Bonding insurance 

500

Medicare Strike Force teams are a key component of which entity?

Health Care Fraud Prevention and Enforcement Action Team (HEAT)

500

For a medical assistant, performing assigned tasks under supervision would be an example of what?

scope of practice

500

What act was signed into law as part of the American Recovery and Reinvestment Act that provides Health and Human Services (HHS) with the authority to establish programs to improve health care quality through the promotion of health information technology?

Health Information Technology for Economic and Clinical Health (HITECH)

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