CBCS questions and answers all correct
When was the Health Information and Accountability Act (HIPAA) created? Correct Answer: 1996
What are Medical Ethics? Correct Answer: Standards of conduct based on moral principals.
What are the two provisions of HIPPA? Correct Answer: 1. Insurance Reform
2. Administrative Simplification
What is the False Claims Act (FCA) Correct Answer: A Federal law that prohibits submitting a false claim
or making a false statement or representation in connection with a claim.
What is the National Correct Coding Initiative (NCCI)? Correct Answer: Initiative developed by CMS to
promote national correct coding methods and control improper coding that leads to wrong payments of
Part B health claims.
What are the two types of edits that the NCCI implements? Correct Answer: 1. Column 1/ Column 2;
identified unbundled codes.
2. Mutually Exclusive Edits: Codes that are unlikely to be performed on the same patient in the same
day.
Who investigates and prosecutes Health Care fraud? Correct Answer: Office of Inspector General (OIG)
When can a provider share PHI without specific permission from the patient? Correct Answer: 1. For
treatment (discussing the case with another professional)
2.Payment (When providers submit claims on the patient's behalf).
3. Operations: Staff training and Quality Improvement.
What is Employer Liability? Correct Answer: Physicians are legally responsible for their actions and their
employee's actions. a.k.a Respondant Superior. (Let the master answer.)
What is Employee Liability Insurance? Correct Answer: Protection against loss of money caused by
failure through error or unintentional omission of the individual or service submitting the claim.
What is in a Medical Record? Correct Answer: -Social and Medical History
-Family History
-Physical Exam Findings
-Progress Notes
-Lab/Rad Results
-Consultation Reports
-Correspondence to the patient
When billing an insurance company, what information must be included? Correct Answer: -Date of
Service (DOS)
-Place of Service (POS)
, -Type of Service (TOS)
-Diagnosis
-Procedure(s)
How long should Medical Records be retained? Correct Answer: Governed by State and Local laws;
should be retained indefinitely. For deceased patients, they should be kept at least 5 years.
-algia Correct Answer: Pain
-emia Correct Answer: Blood Condition
-itis Correct Answer: Inflammation
-megaly Correct Answer: -Enlargement
-meter Correct Answer: Measure
-oma Correct Answer: Mass
-osis Correct Answer: Abnormal condition
-pathy Correct Answer: Disease Condition
-rrhagia Correct Answer: Bursting forth blood
-rrhea Correct Answer: Discharge, Flow
-sclerosis Correct Answer: Hardening
-scopy Correct Answer: To view
-centisis Correct Answer: Surgical Puncture
-ectomy Correct Answer: Removal, Excision, Resection
-gram Correct Answer: Record
-lysis Correct Answer: Separation, Breakdown
-pexy Correct Answer: Surgical Fixation
-plasty Correct Answer: Surgical Repair
-rrhaphy Correct Answer: Suture
-scopy Correct Answer: Visual Examination
-stomy Correct Answer: Opening
When was the Health Information and Accountability Act (HIPAA) created? Correct Answer: 1996
What are Medical Ethics? Correct Answer: Standards of conduct based on moral principals.
What are the two provisions of HIPPA? Correct Answer: 1. Insurance Reform
2. Administrative Simplification
What is the False Claims Act (FCA) Correct Answer: A Federal law that prohibits submitting a false claim
or making a false statement or representation in connection with a claim.
What is the National Correct Coding Initiative (NCCI)? Correct Answer: Initiative developed by CMS to
promote national correct coding methods and control improper coding that leads to wrong payments of
Part B health claims.
What are the two types of edits that the NCCI implements? Correct Answer: 1. Column 1/ Column 2;
identified unbundled codes.
2. Mutually Exclusive Edits: Codes that are unlikely to be performed on the same patient in the same
day.
Who investigates and prosecutes Health Care fraud? Correct Answer: Office of Inspector General (OIG)
When can a provider share PHI without specific permission from the patient? Correct Answer: 1. For
treatment (discussing the case with another professional)
2.Payment (When providers submit claims on the patient's behalf).
3. Operations: Staff training and Quality Improvement.
What is Employer Liability? Correct Answer: Physicians are legally responsible for their actions and their
employee's actions. a.k.a Respondant Superior. (Let the master answer.)
What is Employee Liability Insurance? Correct Answer: Protection against loss of money caused by
failure through error or unintentional omission of the individual or service submitting the claim.
What is in a Medical Record? Correct Answer: -Social and Medical History
-Family History
-Physical Exam Findings
-Progress Notes
-Lab/Rad Results
-Consultation Reports
-Correspondence to the patient
When billing an insurance company, what information must be included? Correct Answer: -Date of
Service (DOS)
-Place of Service (POS)
, -Type of Service (TOS)
-Diagnosis
-Procedure(s)
How long should Medical Records be retained? Correct Answer: Governed by State and Local laws;
should be retained indefinitely. For deceased patients, they should be kept at least 5 years.
-algia Correct Answer: Pain
-emia Correct Answer: Blood Condition
-itis Correct Answer: Inflammation
-megaly Correct Answer: -Enlargement
-meter Correct Answer: Measure
-oma Correct Answer: Mass
-osis Correct Answer: Abnormal condition
-pathy Correct Answer: Disease Condition
-rrhagia Correct Answer: Bursting forth blood
-rrhea Correct Answer: Discharge, Flow
-sclerosis Correct Answer: Hardening
-scopy Correct Answer: To view
-centisis Correct Answer: Surgical Puncture
-ectomy Correct Answer: Removal, Excision, Resection
-gram Correct Answer: Record
-lysis Correct Answer: Separation, Breakdown
-pexy Correct Answer: Surgical Fixation
-plasty Correct Answer: Surgical Repair
-rrhaphy Correct Answer: Suture
-scopy Correct Answer: Visual Examination
-stomy Correct Answer: Opening
