Exam 16: The Role of Computers in Health Insurance

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Although EMRs may be the wave of the future,hackers ultimately may be able to penetrate EMRs despite security precautions.

(True/False)
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Specific areas of administrative simplification addressed by HIPAA include all but which of the following?

(Multiple Choice)
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____are among the administrative simplifications addressed by HIPAA.Briefly explain the purpose of identifiers in your own words.

(Short Answer)
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The numbers used in the administration of healthcare to distinguish individual healthcare providers,health plans,employers,and patients are:

(Multiple Choice)
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List at least four of the six ways computers are commonly used today from a health insurance perspective.

(Essay)
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The most cost-effective way of submitting claims when submitting primarily to one carrier is by using:

(Multiple Choice)
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One of the main concerns of electronic medical records is:

(Multiple Choice)
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Identify which of the following is not one of the three main components of meaningful use.

(Multiple Choice)
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A physician,practitioner,facility,or supplier with fewer than 10 full-time equivalent employees can be considered a/an:

(Multiple Choice)
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The Secretary of HHS grants a "waiver" for the electronic claims submission mandate for "unusual circumstances." Identify two of these "unusual circumstances."

(Essay)
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List two concerns with electronic medical records.

(Essay)
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Standards for electronic healthcare transactions changed from Version 4010/4010A1 to Version 5010 in January of 2012,which accommodates the ______________ codes.

(Short Answer)
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An electronic file wherein patients' health information is stored in a computer system is called a/an _______________.

(Short Answer)
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____are among the administrative simplifications addressed by HIPAA.Briefly explain the purpose of security standards in your own words.

(Short Answer)
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Disadvantages to EMRs include all except which of the following?

(Multiple Choice)
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Claims submitted via direct data entry (DDE)fall under the category of "other type of electronic claims" and are not subject to the "rule."

(True/False)
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A medical facility,physician,practitioner,or supplier with fewer than 10 FTEs is called a "small supplier."

(True/False)
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The Secretary of HHS finds that a waiver of the electronic submission requirement is appropriate in the case of _____________.

(Short Answer)
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A hospital,skilled nursing facility,home health agency,or hospice with fewer than 25 FTEs is called a/an ______________.

(Short Answer)
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A(n)_____ acts as an intermediary between the medical facility and the insurance carrier.

(Multiple Choice)
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