Discussion: regulations in HIPAA

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Discussion: regulations in HIPAA

Discussion: regulations in HIPAA


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109.   Providers that receive reimbursement after health care services have been provided are being compensated under the _______ system.

A. prospective payment   B. retrospective payment   C. capitation   D. UCR


110.   The regulations in HIPAA apply to three groups of individual and corporate entities, each involved in electronic medical records transfer. These groups are collectively referred to as

A. health care administrators.   B. covered entities.   C. provisional health care data collectors.   D. protected personnel.


111.   The largest salivary glands are called the _______ glands.

A. amylase   B. parotid   C. sublingual   D. submandibular


112.   Which modifier indicates a staged or related procedure performed during the postoperative period?

A. -59   B. -57   C. -58   D. -54


113.   The voluntary program that’s financed through a combination of payments from general federal revenues and premiums paid by beneficiaries who elect to participate is called

A. CHAMPVA.   B. Medicare Part B.   C. Medicaid.   D. TRICARE.


114.   What is the full code description for 33536?

A. Repair of postinfarction ventricular septal defect, with or without myocardial resection   B. Coronary artery bypass, using arterial graft(s); 4 or more coronary arterial grafts   C. Repair of double outlet right ventricle with intraventricular tunnel repair   D. Closure of atrioventricular valve (mitral or tricuspid) by suture or patch


115.   Categorically needy and medically needy patients may qualify for

A. Medicaid.   B. CHAMPVA.   C. Champus.   D. Medicare Advantage


116.   ICD-10-CM code S50.351A indicates that the patient has a superficial foreign body of the right elbow. The A indicates that

A. code S50.351A should be assigned to page 1 of the medical record, but not subsequent pages.   B. this is the patient’s first encounter.   C. this is the patient’s second encounter for the same original diagnosis.   D. code S50.351A should be sequenced before secondary codes.

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