The purpose of the Federal Register is to
Multiple select question.
inform citizens of their rights and obligations.
provide a forum for public
... [Show More] participation in the democratic process.
inform healthcare providers of upcoming coding audits.
document the actions of federal agencies. - correct answer inform citizens of their rights and obligations.
provide a forum for public participation in the democratic process.
document the actions of federal agencies.
What is the highest law in the United States?
Multiple choice question.
Federal law
State law
City law
Local law - correct answer Federal law
Laws that are enacted by federal and state legislature is called ______ laws.
Multiple choice question.
statutory
executive
administrative
common - correct answer Statuatory
Which of the following is created by judicial decisions made during court trials?
Multiple choice question.
Common law
Administrative law
Statutes
Executive orders - correct answer Common law
Laws that are created and monitored by administrative agencies are called ______ laws.
Multiple choice question.
administrative
executive
statutory
common - correct answer Administrative
The daily journal of the U.S. federal government is called the ______.
Multiple choice question.
Federal Plan
Working Papers
Federal Register
Bill of Rights - correct answer Federal Register
Driving under the influence is considered _____.
Multiple choice question.
a civil crime
a felony
legal
a misdemeanor - correct answer a misdemeanor
Which of the following is the hierarchy of law in the United States?
Multiple choice question.
Federal laws, state laws, local laws
Local laws, state laws, federal laws
State laws, federal laws, local laws
Federal laws, local laws, state laws - correct answer Federal laws, state laws, local laws
Laws that govern the relationships between people and between businesses is known as ______ law.
Multiple choice question.
administrative
criminal
common
civil - correct answer civil
Select all that apply
In regards to federal statutes, which of the following statements are true?
Multiple select question.
HIPAA is an example of a federal law that provides flexibility for state law to be more exact.
House and Senate vote on the law to "enact."
State and local laws take precedence over federal statutes.
Members of Congress are responsible for writing the law. - correct answer HIPAA is an example of a federal law that provides flexibility for state law to be more exact.
House and Senate vote on the law to "enact."
Members of Congress are responsible for writing the law.
As a coder, you should not use a code on a claim form
Multiple choice question.
without ensuring the nurse has informed the patient.
without ensuring the supporting documentation is present.
without verifying with the patient.
without confirming test results. - correct answer without ensuring the supporting documentation is present
The official policies issued by the president of the United States is called executive ______.
Multiple choice question.
orders
summons
privilege
laws - correct answer orders
Which term refers to the process of coding diagnoses and procedures not based on the accuracy of the code, but instead based on what the insurance company will pay for?
Multiple choice question.
Patient-centered coding
Upcoding
Unbundling
Coding for coverage - correct answer Coding for coverage
Who mandates the reporting of infectious diseases? - correct answer CDC
Select all that apply
Which of the following are types of infractions for criminal activity?
Multiple select question.
Violation
Misdemeanors
Conspiracy
Felonies - correct answer Misdemeanors
Felonies
If additional services provided come to light AFTER the claim has already been filed, you must
Multiple choice question.
file an amended claim.
write off the service charge.
refile the same claim.
file a new claim. - correct answer File an amended claim
Violation of a patient's confidentiality is prohibited by what?
Multiple choice question.
Criminal law
Civil law
Common law
Administrative law - correct answer civil law
When is the OIG workplan released each year?
Multiple choice question.
December 31st
January 1st
October 1st
June 15th - correct answer October 1st
Codes indicated on the health claim form must represent the
Multiple select question.
supporting documentation.
services actually performed.
service with the most reimbursement.
diagnoses used on previous claims. - correct answer Supporting documentation
Services actually performed
Which of the following is true of the FCA?
Multiple choice question.
Was enacted by President Bush
Makes submission of all insurance claims easier
Makes submission of a fraudulent claim to a federal agency illegal
Makes submission of Medicare claims easier - correct answer Makes submission of a fraudulent claim to a federal agency illegal
Select all that apply
Which of the following statements are true regarding coding for coverage?
Multiple select question.
Coding for coverage means choosing codes based on what the insurance company will pay for.
Coding for coverage does not allow patients to get treatment they need paid for by the insurance company.
Coding for coverage is dishonest.
Coding for coverage is considered fraud. - correct answer Coding for coverage means choosing codes based on what the insurance company will pay for.
Coding for coverage is dishonest.
Coding for coverage is considered fraud.
A demand for money or property made directly to the Federal Government is known as a(n) _____.
Multiple choice question.
liability
acquisition
claim
requisition - correct answer claim
If you resubmit a claim that has been lost, identify it as a(n) _____ to avoid double billing.
Multiple select question.
tracer
new
second submission
unbundled claim - correct answer tracer
second submission
Which of the following is also referred to as deliberate ignorance?
Multiple choice question.
Willful ignorance
Actual knowledge
Disregard
Qui tam provision - correct answer willful ignorance
You must code all conditions and complications that are relevant to the _____ encounter(s).
Multiple choice question.
previous
current
past 6
past 3 - correct answer current
The government rewards the person(s) reporting fraud with a percentage of the total amount recovered by the federal or state government as a result of a qui tam lawsuit. This reward can be _____.
Multiple choice question.
15% to 30%
5% to 10%
25% to 50%
30% to 60% - correct answer 15% to 30%
To lessen fines and penalties from the OIG, it's best to uncover and correct coding and billing errors
Multiple choice question.
before auditors show up.
after auditors show up.
at the request of the OIG.
during an OIG audit. - correct answer before auditors show up
Select all that apply
Who is responsible for ensuring that a facility or provider complies with the False Claims Act?
Multiple select question.
Billing clerk
Coder
Compliance officer
Patient - correct answer Billing clerk
Coder
Compliance officer
One part of HIPAA is known as the Privacy Rule. This rule was written to
Multiple choice question.
protect patients' privacy while still allowing flow of information for treatment.
protect patients' privacy by requiring their permission before information is shared for treatment.
protect providers from lawsuits.
allow patients access to their medical records. - correct answer protect patients' privacy while still allowing flow of information for treatment.
The False Claims Act's specific definition of claim states, "a _____ for money or property made directly to the Federal Government or to a contractor, grantee, or other recipient."
Multiple choice question.
demand
bill
call
request - correct answer demand
Select all that apply
Who is responsible for obeying the HIPAA Privacy Rule?
Multiple select question.
Health care clearinghouse
Physician's office
Insurance carrier
Patient
Dental office - correct answer Health care clearinghouse
Physician's office
Insurance carrier
Dental office
Select all that apply
Which of the following empowers private citizens to file a lawsuit on behalf of the federal or state government against a facility for noncompliance?
Multiple select question.
Whistleblower Statute
False Claims Act
Health Information Portability and Accountability Act
Qui tam provision - correct answer Whistleblower Statute
Qui tam provision
Which of the following statements is true?
Multiple choice question.
A coder only sees a patient's current diagnosis.
A coder can discuss a friend's condition with coworkers.
A coder sees patients' past and present health history.
A coder only sees the physician's notes in the patent's medical record. - correct answer A coder sees patients' past and present health history
Which of the following terms refers to the sharing of information between individuals working for the same entity?
Multiple choice question.
Use
Disclosure
Privacy
Relevance - correct answer Use
Under HIPAA's Privacy Rule, which individuals have access to the patient record without the need for patient permission?
Multiple select question.
Coder
Security
Therapist
Janitor - correct answer Coder
Therapist
Select all that apply
Which of the following are true regarding a Release of Information form?
Multiple select question.
Identifies organization that will be disclosing information
Does not allow for retraction of authorization
Contains an expiration date
Written in plain language - correct answer Identifies organization that will be disclosing information
Contains an expiration date
Written in plain language
Select all that apply [Show Less]