What is A part of HIPAA that requires the health care industry to use certain standards for the electronic exchange of health care data to protect confidentiality of patient’s records. It is in Title II
100
Inpatient
What type of patient is admitted to a health care facility for services that require overnight stay?
100
Inpatient Hospital Services
The per-diem payment method is used for which services?
100
1996
What year was the Health Insurance Portability and Accountability Act made?
100
Fee-For-Service
Cost- based reimbursement is also known as?
200
Consumer-driven health Plan(CDHP)
Type of medical insurance that combines a high – deductible health plan with a medical savings plan which covers some out – of – pocket expenses.
200
Outpatient
What type of patient receives health care in a medical setting without an overnight admission; the length of stay is generally less than 23 hours?
200
Cost based reimbursement, per diem, Prospective Payment
What are 3 major ways payers determine the payments are made under insurance plans?
200
Access, copy and inspect their PHI obtain accounting information
Name just an entity that must be disclosed to a patient when requested
200
Provider and Payer
The per-diem rate is negotiated by who in advanced?
300
HIPAA Electronic Health Care Transactions and Code sets(TCS)
HIPAA standards governing the electronic exchange of health information using standard formats and standard code sets.
300
Acute Care Facilities
What type of health care facility that provides continuous professional medical care to patients with acute conditions or illnesses?
300
Procedure must be appropriate for patient’s diagnosis and procedure is not elective
What is Medical Necessity?
300
Name, Address, Birthdate, Social security #, Phone #, email address, medical record #, fax #, account #
Name only 6 of the patients protected health information (PHI) that is covered under HIPAA privacy rule?
300
Medicare
The prospective payment method was created by who?
400
Intermediate care Facility(ICF)
A health care facility providing care to patients who do not require professional medical or skilled nursing services.
400
Skilled Nursing Facilities
This type of healthcare facility provides daily care for inpatients who required medical or nursing care or rehabilitation services for injuries, disabilities, or sickness.
400
State-based groups of physicians that conduct assessments of medical necessity
What is Quality Improvement Organizations (QIOs)
400
Court orders, workers compensation cases, statutory reports, research
What are 4 types of disclosures that do not require a release of authorization?
400
Prospective Payment
Which payment method pays each hospital the same amount for each service?
500
Managed Care Organization(MCO)
Organization offering some type of managed health care plan.
500
Intermediate Care Facilities
This health care facility provides care to patients who do not require professional medical or a skilled nursing services.
500
Medical data from which individual identifiers have been removed; also known as redacted or blinded record
De-identified health information
500
HIPAA standard of Privacy of individually Identifiable Health Information