B administrative safeguards c physical safeguards d

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b) administrative safeguards. c) physical safeguards. d) civil penalties. Question 11 5 / 5 points Which one of the following choices was created to improve HIPAA privacy and security? Question options: a) CMS b) NCQA c) EPHI d) HITECH Question 12 5 / 5 points The primary intent of HIPAA is to provide better access to health insurance, to reduce administrative costs, and to Question options: a) limit fraud and abuse. b) implement mandatory governmental health care coverage. c) privatize the health care industry. d) standardize insurance premiums. Question 13 5 / 5 points
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Which part of an MCO contract should contain a list of CPT codes and the rate for those services? Question options: a) Payment b) Covered medical expenses c) Network d) Fee maximum Question 14 5 / 5 points Managed care contracts contain a list of medical services covered in the contract under the Question options: a) schedule of benefits. b) preauthorization form. c) hold harmless document. d) health insurance claim. Question 15 5 / 5 points Which one of the following choices is one of the main reasons that privacy complaints are filed? Question options: a) No insurance benefit is recorded in a patient's record. b) A patient isn't issued the Bill of Rights. c) A patient can't gain access to his or her record. d) Reimbursement codes are inaccurately assigned. Question 16 5 / 5 points
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Under a capitated agreement, the primary care provider is compensated based on Question options: a) RBRVS. b) PAR. c) PMPM. d) COB. Question 17 5 / 5 points Which one of the following choices requires that an MCO plan being reviewed for accreditation demonstrates that it has done a thorough credentialing process for providers? Question options: a) PPO b) NCQA c) PMPM d) RBRVS Question 18 5 / 5 points You had an appointment with Dr. Smith for an illness, but Dr. Smith isn't a provider within the MCO. Dr. Smith is known as a(n) Question options: a) PAR. b) PPO. c) RBRVS. d) non-PAR. Question 19 5 / 5 points
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Under HIPAA, which one of the following choices can be given to a patient's friend or relative without a signed authorization? Question options: a) DME b) EDI c) EMR d) PHI Question 20 5 / 5 points Which one of the following choices may use PHI to better understand and review product recall situations? Question options: a) CMS b) HIPAA c) HITECH d) FDA 5 / 5 points You work in a hospital and you're speaking with the person responsible for receiving complaints from patients about their health information. You may be speaking to the Question options: a) medical coder.
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  • Winter '19
  • MCO, HIPAA Exam

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