Medical Billing Exam with all Correct & 100% Verified
Answers |Latest Version |Already Graded A+
American Medical Association ✔Correct Answer-AMA
The amount of actual money available to the medical practice ✔Correct Answer-cash flow
Standards of conduct generally accepted as a moral guide for behavior. ✔Correct Answer-ethics
customs, rules of conduct, courtesy, and manners of the medical profession ✔Correct Answer-
etiquette
Health Information Portability and Accountability Act ✔Correct Answer-HIPAA
Incidents or practices, not usually considered fraudulent, that are inconsistent with accepted sound
medical business or fiscal practices. ✔Correct Answer-abuse
A document signed by the patient that is needed for use and disclosure of protected health
information for purposes other than treatment, payment or health care operations ✔Correct
Answer-authorization form
unauthorized release of information ✔Correct Answer-breach of confidential communication
A person, who on behalf of the covered entity, performs or assists in the performance of a function
or activity involving the use or disclosure of individually identifieable health information. ✔Correct
Answer-business associate
An independent organization that receives insurance claims from the physician's office, performs
software edits, and redistributes the claims electronically to various insurance carriers. ✔Correct
Answer-clearinghouse
A process of meeting regulations, recommendations, and expectations of federal and state agencies
that pay for health care services and regulate the industry ✔Correct Answer-compliance
A management plan composed of policies and procedures to accomplish uniformity, consistency, and
conformity in medical record keeping that fulfills offical requirements. ✔Correct Answer-
compliance plan
A privileged communication that may be disclosed only with the patient's permission. ✔Correct
Answer-confidential communication
The state of treating privately or secretly, and not disclosing to other individuals or for public
knowledge, the patient's conversations or medical records. ✔Correct Answer-confidentiality
Verbal or written agreement that gives approval to some action, situation, or statement. ✔Correct
Answer-consent
, A document that is not required before physicians use or disclose protected health information for
treatment, payment, or routine health care operations of the patient. (For other purposes, see
Authorization form) ✔Correct Answer-consent form
An entity that transmits health information in electronic form in connection with a transaction
covered by HIPAA. The covered entity may be a helath care coverage carrier such as Blue Cross, a
health care clearinghouse through which claims are submitted, or a health care provider such as the
primary care physician. ✔Correct Answer-covered entity
The release, transfer, provision of access to, or divulging in any other manner of information outside
the entity holding the information. ✔Correct Answer-disclosure
Any and all transations in which health care information is accessed, processed, stored, and
transferred using electronic technologies. ✔Correct Answer-e-health information management
The mode of electronic transmission (e.g. Internet, extranet, leased phone or dial-up phone lines, fax
modems). ✔Correct Answer-electronic media
A willful act by an employee of taking possession of an employer's money ✔Correct Answer-
embezzlement
An intentional misrepresentation of the facts to deceive or mislead another. ✔Correct Answer-
fraud
A provider of medical or health services and any other person or organization who furnishes bills or
is paid for health care in the normal course of business. ✔Correct Answer-health care provider
Individually identifiable health information
Any part of an individual's health information, including demographic information collected from the
individual, that is created or received by a covered entity. ✔Correct Answer-IIHI
Information consisting of ordinary facts unrelated to the treatment of the patient. The patient's
authorization is not required to disclose the data unless the record is in a specialty hospital or in a
special service unit of a general hospital, such as the psychiatric unit ✔Correct Answer-
nonprivileged information
Under HIPAA, a document given to the patient at the first visit or at enrollment explaining the
individual's rights and the physician's legal duties in regard to protected health information.
✔Correct Answer-Notice of Privacy Practices
Billing for services not performed ✔Correct Answer-phantom billing
the condition of being secluded from the presence or view of others. ✔Correct Answer-privacy
An individual designated ot help the provider remain in compliance by setting policies and
procedures in place, and by training and managing the staff regarding HIPAA and patient rights;
usually the contact person for questions and complaints. ✔Correct Answer-privacy officer
Data related to the treatment and progress of the patient that can be released only when written
authorization of the patient or guardian is obtained. ✔Correct Answer-privileged information
Answers |Latest Version |Already Graded A+
American Medical Association ✔Correct Answer-AMA
The amount of actual money available to the medical practice ✔Correct Answer-cash flow
Standards of conduct generally accepted as a moral guide for behavior. ✔Correct Answer-ethics
customs, rules of conduct, courtesy, and manners of the medical profession ✔Correct Answer-
etiquette
Health Information Portability and Accountability Act ✔Correct Answer-HIPAA
Incidents or practices, not usually considered fraudulent, that are inconsistent with accepted sound
medical business or fiscal practices. ✔Correct Answer-abuse
A document signed by the patient that is needed for use and disclosure of protected health
information for purposes other than treatment, payment or health care operations ✔Correct
Answer-authorization form
unauthorized release of information ✔Correct Answer-breach of confidential communication
A person, who on behalf of the covered entity, performs or assists in the performance of a function
or activity involving the use or disclosure of individually identifieable health information. ✔Correct
Answer-business associate
An independent organization that receives insurance claims from the physician's office, performs
software edits, and redistributes the claims electronically to various insurance carriers. ✔Correct
Answer-clearinghouse
A process of meeting regulations, recommendations, and expectations of federal and state agencies
that pay for health care services and regulate the industry ✔Correct Answer-compliance
A management plan composed of policies and procedures to accomplish uniformity, consistency, and
conformity in medical record keeping that fulfills offical requirements. ✔Correct Answer-
compliance plan
A privileged communication that may be disclosed only with the patient's permission. ✔Correct
Answer-confidential communication
The state of treating privately or secretly, and not disclosing to other individuals or for public
knowledge, the patient's conversations or medical records. ✔Correct Answer-confidentiality
Verbal or written agreement that gives approval to some action, situation, or statement. ✔Correct
Answer-consent
, A document that is not required before physicians use or disclose protected health information for
treatment, payment, or routine health care operations of the patient. (For other purposes, see
Authorization form) ✔Correct Answer-consent form
An entity that transmits health information in electronic form in connection with a transaction
covered by HIPAA. The covered entity may be a helath care coverage carrier such as Blue Cross, a
health care clearinghouse through which claims are submitted, or a health care provider such as the
primary care physician. ✔Correct Answer-covered entity
The release, transfer, provision of access to, or divulging in any other manner of information outside
the entity holding the information. ✔Correct Answer-disclosure
Any and all transations in which health care information is accessed, processed, stored, and
transferred using electronic technologies. ✔Correct Answer-e-health information management
The mode of electronic transmission (e.g. Internet, extranet, leased phone or dial-up phone lines, fax
modems). ✔Correct Answer-electronic media
A willful act by an employee of taking possession of an employer's money ✔Correct Answer-
embezzlement
An intentional misrepresentation of the facts to deceive or mislead another. ✔Correct Answer-
fraud
A provider of medical or health services and any other person or organization who furnishes bills or
is paid for health care in the normal course of business. ✔Correct Answer-health care provider
Individually identifiable health information
Any part of an individual's health information, including demographic information collected from the
individual, that is created or received by a covered entity. ✔Correct Answer-IIHI
Information consisting of ordinary facts unrelated to the treatment of the patient. The patient's
authorization is not required to disclose the data unless the record is in a specialty hospital or in a
special service unit of a general hospital, such as the psychiatric unit ✔Correct Answer-
nonprivileged information
Under HIPAA, a document given to the patient at the first visit or at enrollment explaining the
individual's rights and the physician's legal duties in regard to protected health information.
✔Correct Answer-Notice of Privacy Practices
Billing for services not performed ✔Correct Answer-phantom billing
the condition of being secluded from the presence or view of others. ✔Correct Answer-privacy
An individual designated ot help the provider remain in compliance by setting policies and
procedures in place, and by training and managing the staff regarding HIPAA and patient rights;
usually the contact person for questions and complaints. ✔Correct Answer-privacy officer
Data related to the treatment and progress of the patient that can be released only when written
authorization of the patient or guardian is obtained. ✔Correct Answer-privileged information
