Anatomy
This area means "pertaining to the chest".
What is the thoracic?
When did HIPAA become law?
What is August 21, 1996
Example: Billing Medicare for appointments the patient failed to keep is a form of?
What is fraud?
The words that follow a code number in the CPT manual are called?
What is procedure/service descriptors?
A set of nine standards defined by the HIPAA Security Rule.
What are Administrative safeguards?
Let's pray we know what the patella's are.
What are the knee caps?
What does the acronym HIPAA mean?
What is the Health Insurance Portability and Accountability Act of 1996
When a healthcare provider unknowingly or unintentionally submits an inaccurate claim for payment. "bending the rules" is
What is abuse?
Procedures that are experimental, newly approved, or seldom used are reported with what type of code?
What is unlisted. category III
A method for monitoring attempts to gain access to a computer information system.
What is Audit controls?
The collar bones are also called the?
What are the clavicle bones?
What is a covered entity?
What are health plans, Medicare prescription drug card sponsors, health care clearing houses, most health care providers, and business associates.
Name three types of Fraud and abuse.
What is:
Medical identity theft. Billing for unnecessary services or items. Billing for services or items not rendered. Upcoding. Unbunding, Billing for non-covered services or items, kickbacks.
Which punctuation mark between codes indicated two codes are available?
What is a comma?
A chronological record of electronic systems activities.
What is Audit trail?
What is the medical term for the thigh bone?
What is the femur?
Define the acronym PHI?
What is Protected Health Information?
Criminal penalties for submitting false claims may include?
What is fines, imprisonment, or both.
CPT stands for?
What is Current Procedural Terminology?
Any set of codes used to encode data elements; includes both codes and their descriptions.
What are Code sets?
What is another name for the Acetabulum?
What is a hip socket
Are business associates liable to civil and criminal penalties under HITECH?
What is Yes.
The HITECH Act made this sweeping change.
Reviews past Medicare FFS claims for potential overpayments or underpayments, reviewing medical records when necessary to make appropriate determinations.
What is the Medicare Recovery Auditors?
Which term reflects the tecnologic advances?
What is revisions?
The restoration of lost data or the reconciliation of conflicting or erroneous data after a system failure.
What is Data recovery?