Deck 13: Financial Management of Health Information Technology

Question 1

Under HIPAA regulations, healthcare facilities are required to report patient information-related security or privacy breaches that may result in fines. If such breaches are not reported, and the federal government learns of them, then ____.

A) heavier fines are levied
B) the healthcare facility's security officer can be fined
C) the healthcare facility's owners can be fined
D) the employee who failed to report the breaches may face criminal charges

Answer 1

heavier fines are levied

Question 2

Alternative medicine providers such as acupuncturists are not affected by HIPAA.

Answer 2

False

Question 3

HIPAA requires even a sole proprietorship to designate an employee to be a Security Officer in charge of complying with health record security rules.

Answer 3

True

Question 4

The requirement to make healthcare-related electronic transmissions using Accredited Standards Committee X12 Version 5010 starting in 2012 was part of ____

A) HIPAA
B) MIPPA
C) ARRA
D) HITECH

Question 5

Which of the following is true about the National Provider Identifier?

A) It encodes the provider's name, provider type, specialty, and state.
B) It is comprised of 12 alphanumeric characters.
C) It correlates only to the provider's name.
D) Its full implementation will occur in 2015.

Question 6

Which of the following is true regarding the electronic prescription (eRx) program created in MIPPA?

A) It will require use of eRx for Medicare and Medicaid patients by 2014.
B) It is a voluntary program.
C) It reimburses medical facilities for the full costs of installing an eRx system.
D) By 2010, it was in use by approximately half of clinicians.

Question 7

According to the Medical Group Management Association, the key to successful implementation of an electronic health record system is ____.

A) hiring an experienced informatics consultant
B) managing training time
C) following CMS recommendations.
D) contracting for the conversion of all existing paper health records

Question 8

Which of the following includes incentives for the use of electronic prescriptions?

A) American Recovery and Reinvestment Act of 2009
B) Health Information Technology for Economic and Clinical Health Act of 2009
C) Health Insurance Portability and Accountability Act of 1996
D) Medicare Improvements for Patients and Providers Act of 2008

Question 9

Which act established a Physician Quality Reporting System?

A) HIPPA
B) MIPPA
C) ARRA
D) HITECH

Question 10

A healthcare organization that violates HIPAA security or privacy but does not do so out of willful neglect faces a maximum annual penalty of ____.

A) $100,000
B) $250,000
C) $1,000,000
D) $1,500,000

Question 11

An American Hospital Association 2010 survey showed that ____ of survey respondents were ready to meet the CMS requirements for meaningful use of electronic health record (EHR) systems.

A) less than 2%
B) less than 5%
C) around 50%
D) almost 95%

Question 12

The Health Insurance Portability and Accountability Act contains regulations concerned with privacy of patient information.

Question 13

If present trends in the use of CMS-certified electronic health records EHR continue, what will happen in 2015 to the majority of clinicians who treat Medicare patients?

A) They will not be paid for treating Medicare patients.
B) They will have to pay for the use of a web-based EHR run by CMS.
C) They will be paid less by the Medicare program.
D) They will face disciplinary actions from state medical boards.

Question 14

The National Provider Identifier requirement was part of ____.

A) HIPAA
B) MIPPA
C) ARRA
D) HITECH

Question 15

The Healthcare Common Procedure Coding System required by CMS for Medicare patients was based on the Current Procedure Terminology developed and owned by ____.

A) 3M Health Information Systems
B) the American Medical Association
C) the World Health Organization
D) the British National Health Service

Question 16

The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) mandates the use of electronic prescriptions (eRx) for Medicare patients.

Question 17

Which of the following is most likely to occur in medical practices in the year following the implementation of ICD-10-CM in the United States?

A) More accurate diagnosis coding due to more specific codes.
B) Large increase in diagnosis coding errors due to inadequate employee training.
C) Widespread implementation of certified EHR systems that support ICD-10.
D) A reduced need for diagnosis coding consultants.

Question 18

Why do clinicians have to include diagnosis codes (in addition to procedure codes) when submitting claims for medical services to CMS?

A) The IRS cross-checks diagnoses against patient income tax deductions for medical care.
B) CMS will not pay for procedures that don't relate to the diagnosis.
C) Diagnosis-related data is transmitted to the Centers for Disease Control and Prevention so it can detect trends.
D) CMS uses diagnosis and procedure codes to assess the competence of clinicians.

Question 19

The act that provides financial reimbursement to healthcare facilities that meet usage criteria for a certified electronic health record is ____.

A) HIPAA
B) MIPPA
C) Affordable Care Act of 2010
D) HITECH

Question 20

CPT codes are used for patient diagnoses.

Question 21

In the HITECH act the CMS established four Health Outcomes Policy Priorities that would be used to develop "meaningful use" criteria for electronic health records (EHRs). Give reasons why those priorities are hindering the adoption of qualified EHRs by medical practices.

Question 22

The American Recovery and Reinvestment Act of 2009 includes another Act related to electronic health records, called ____________________.

Question 23

The Centers for Medicare & Medicaid Services (CMS) is encouraging the use of electronic prescriptions by offering ____________________ to physicians.

Question 24

Describe the electronic health record security requirements of HIPAA.

Question 25

A physician with a solo practice who switches to and uses a qualified electronic health record system can receive a total incentive payments of up to $____________________ from Medicare and Medicaid combined.

Question 26

List the important changes of ICD-10-CM and ICD-10-PCS.

Question 27

The Act that requires the use of a unique National Provider Identifier for medical service providers, healthcare insurance plans, and other entities that electronically communicate healthcare information is the ____________________.

Question 28

Which of the following Acts had the greatest financial and logistical impact on healthcare insurance companies?

A) The American Recovery and Reinvestment Act of 2009
B) The Health Information Technology and Clinical Health Act of 2009
C) The Health Insurance Portability and Accountability Act of 1996
D) The Patient Protection and Affordable Care Act of 2010

Question 29

Which Act requires medical facilities with paper health records to maintain secure copies of those records at a different location?

A) HIPAA
B) HITECH
C) ARRA
D) There is no such requirement.

Question 30

Most hospitals and many medical practices in the U. S. A. use electronic health record (EHR) systems, but few of them meet the "meaningful use" requirements of HITECH. Which of the following explains that fact?

A) The healthcare facilities are using a mix of electronic and paper health records.
B) Meaningful use requires transmittal of clinical quality measures to governments.
C) The healthcare facilities are using EHR systems that have poor security.
D) The healthcare facilities are using EHR systems that cannot support ICD-10.

Question 31

Which Act required electronic health record (EHR) systems to adopt data record standards, follow specific standards for electronic transactions, and have the capability of interfacing with other EHR systems?

A) ARRA
B) HIPAA
C) MIPPA
D) HITECH

Question 32

Many healthcare providers use standalone electronic prescription systems, but few of them qualify as eRx systems under MIPPA. Which of the following is the most likely reason why electronic prescription systems do not qualify?

A) They do not meet the needs of the medical providers that use them.
B) They transmit prescription information insecurely.
C) They work well but need extensive and costly changes to meet eRx standards.
D) They will have to meet eRx standards by 2015.

Question 33

The new international coding system for diseases is the ____________________.

Question 34

Describe the benefits of electronic prescription systems.

Question 35

Explain why switching to ICD-10 will be expensive for healthcare providers.