HCA 327 Ch 1-10 Exam Questions and Answers 100% Pass

HCA 327 Ch 1-10 Exam Questions and Answers 100% Pass a ____ is a unit of measurement used in continuing education programs. - ANSWER -continuing education unit which of the following is the term for the treatment provided by the healthcare professional? - ANSWER -procedure if an obstetrician delivered a baby in the hospital, which service would she bill for? - ANSWER -the use of the delivery suite a healthcare facility that provides same-day surgical services to patients on an outpatient basis i called a(n) - ANSWER -ambulatory surgical center (ASC) which of the following types of healthcare practices would most likely have providers of multiple healthcare specialties? - ANSWER -large group practice a ___ sends a referral or prior authorization request to a patient's insurance so that the patient may be seen by a ___. - ANSWER -primary care provider; healthcare specialist the percentage of codes that are correctly identified from a documented encounter is referred to as: - ANSWER -coding accuracy which of the following types of healthcare practices is a large facility that provides specialized medical treatments and has a large staff of healthcare providers and nurses? - ANSWER -hospital which of the following types of healthcare practices reports ICD-10-PCS codes? - ANSWER -inpatient facilities 2 | P a g e Created by Grace Amelia © 2025, All Rights Reserved. ____ safeguards refer to the activities that a covered entity must perform in relation to e-PHI from an administrative perspective, such as creating office policies. - ANSWER -administrative HIPAA stands for - ANSWER -health insurance portability and accountability act an amount of money the patient must pay before being seen - ANSWER -copayment patient responsibility based on a percentage of the allowed amount - ANSWER -coinsurance a preset amount that must be paid in full before insurance benefits will begin - ANSWER -deductible a service not covered by the insurance policy and that must be paid by the patient - ANSWER - noncoverd service which of the following types of health insurance is maintained by a for-profit company - ANSWER - commercial which of the following reimbursement types include separately billing each procedure, service, or treatment provided by the healthcare practitioner? - ANSWER -free-for-service sets standards for the protection of personal health information by covered entities - ANSWER - HIPAA privacy rule regulate the technical and nontechnical safeguards put in place to keep PHI secure - ANSWER - HIPAA security rule contains provisions regarding compliance to HIPAA regulations, investigations into privacy breaches, and imposition of penalties - ANSWER -HIPAA enforcement rule which of the HIPAA rules specifies the fines and penalties that a covered entity would have to pay if a breach were to happen? - ANSWER -HIPAA enforcement rule 3 | P a g e Created by Grace Amelia © 2025, All Rights Reserved. medicare is managed by which of the following entities? - ANSWER -centers for medicare and medicaid services in fee-for-service reimbursement, the dollar amount charged for each service is referred to as the - ANSWER -charge amount which of the following groups, which deals directly with PHI, must comply with HIPAA regulations? - ANSWER -covered entities ____ is the reason why a medical procedure is performed - ANSWER -medical necessity what is a modifier? - ANSWER -a two-character code that adds information to a procedure description code 99213 is an example of which type of code? - ANSWER -CPT which of the following are the numeric or alphanumeric translations of the services, supplies, treatments, diagnosis, and other reasons for healthcare encounter? - ANSWER -healthcare codes how many characters does an ICD-10-PCS code have? - ANSWER -7 HCPCS stands for - ANSWER -healthcare common procedure coding system the answer to the question, why did the doctor do it? is a - ANSWER -diagnosis which of the following code sets has its origins in the London Bills of Mortality, which was used in 17th century England? - ANSWER -ICD