Deck 5: Unique Health Identifiers and Hipaa Myths

Question 1

When a patient refuses to sign a receipt of the NOPP, the facility will ask the patient to leave since they cannot treat the patient without a signature.

Answer 1

False

Question 2

Identify the choice that best completes the statement or answers the question.
The law Congress passed in 1996 mandated identifiers for which four categories of entities?

A)Health plans, employers, health care providers, government insurers
B)Health care providers, health plans, health care clearinghouses, employers
C)Health care clearinghouses, employers, health care providers, patients
D)Health care providers, health plans, patients, employers

Answer 2

Health care providers, health plans, patients, employers

Question 3

Identify the choice that best completes the statement or answers the question.
The adopted standard identifier for employers is the

A)SSN.
B)EIN.
C)TIN.
D)CMS.

Answer 3

EIN.

Question 4

Administrative Simplification focuses on reducing the time it takes to submit health claims.The unique identifiers are part of this simplification.

Question 5

Covered entities who violate HIPAA law are only punished with civil, monetary penalties.

Question 6

Identify the choice that best completes the statement or answers the question.
Enforcement of the unique identifiers is under the direction of

A)Centers for Medicare and Medicaid Services.
B)Office for Civil Rights.
C)Office of E-Health Standards and Services.
D)Office of Inspector General.

Question 7

When a patient is transferred to another facility, access to the medical records by the receiving facility is no longer permitted under HIPAA.

Question 8

Identify the choice that best completes the statement or answers the question.
Use of the EIN on a standard transaction is required

A)to verify an employee's participation in the group health plan.
B)when the sponsor of health plan is a self-insured employer.
C)to identify when an employee is enrolled or disenrolled in a health plan.
D)to identify the employer of a person covered under a health plan, when the employer is not the sponsor.

Question 9

Notice of Privacy Practices (NOPP) must be given to patients every time they visit the facility.

Question 10

The unique identifier for employers is the Social Security Number (SSN) of the business owner.

Question 11

Identify the choice that best completes the statement or answers the question.
Including employers in the standard transaction

A)is not really needed since they are not health plans.
B)gives the employer access to PHI of their employees.
C)is necessary for Workers' Compensation claims and when verifying enrollment in a plan.
D)prohibits employees from enrolling in a group health plan when they change jobs.

Question 12

Prescriptions may only be picked up by the patient to protect the privacy of the individual's health information.

Question 13

HIPAA allows disclosure of PHI in many new ways.

Question 14

All four parties on a health claim now have unique identifiers.

Question 15

Identify the choice that best completes the statement or answers the question.
HIPAA requires that using unique identifiers

A)improve efficiency, effectiveness, and safety of the health care system.
B)be easy to remember so claims become much easier to submit.
C)be optional for use since there are so many health plans and health care providers.
D)be under the direction of each state's insurance commissioner.

Question 16

If a covered entity has disclosed some protected health information (PHI) in violation of HIPAA, a patient can sue the covered entity for damages.

Question 17

HIPAA seeks to protect individual PHI and discloses that information only when it is in the best interest of the patient.

Question 18

The National Provider Identifier (NPI) issued by Centers for Medicare and Medicaid Services (CMS) replaces only those numbers issued by private health plans.

Question 19

When registering a patient for outpatient or inpatient services, the office does not need to enter complete information prior to the encounter.It can be found out later.

Question 20

One reason not to use the SSN for patient identifiers is that there is no check digit for verification of the number.

Question 21

Identify the choice that best completes the statement or answers the question.
Questions other people have asked about HIPAA can be found by searching FAQ at

A)American Medical Association Web site.
B)American Health Lawyers Association Web site.
C)Department of Health and Human Services Web site.
D)Health Level 7 Web site.

Question 22

Identify the choice that best completes the statement or answers the question.
Congress passed HIPAA to focus on four main areas of our health care system.They are to

A)ensure privacy of information, standardize claims, pay for changes, and maintain security of information.
B)keep electronic information secure, keep all information private, allow continuation of health coverage, and standardize the claims process.
C)protect patient records, secure computer systems, maintain logs of transactions, and identify all health care facilities.
D)reform health insurance claims, standardize methods of treatment, prevent computer disasters, and protect patient information.

Question 23

Identify the choice that best completes the statement or answers the question.
Which government department did Congress direct to write the HIPAA rules?

A)Centers for Medicare and Medicaid Services
B)Office of Inspector General
C)Department of Health and Human Services
D)Office of HIPAA Standards

Question 24

Identify the choice that best completes the statement or answers the question.
Administrative Simplification means that all

A)health claims will be submitted on the same form.
B)facilities will be able to receive payment for all services they post on a bill.
C)health plans will adjudicate in favor of the health care provider every time.
D)office managers will not have to manage billing for services also.

Question 25

Identify the choice that best completes the statement or answers the question.
Fraud and abuse investigation of HIPAA Privacy Rule is under the direction of

A)Office of HIPAA Standards.
B)Office of Inspector General.
C)Office of Interior.
D)Officer for Civil Rights.

Question 26

Match the type of NPI code Type Code 1 or Type Code 2 as mandated by HIPAA for a health care provider with the covered entity listed.

ambulatory surgical center with four physicians

A)Type Code 1: providers who are individuals.
B)Type Code 2: providers who are organizations.

Question 27

Match the type of NPI code Type Code 1 or Type Code 2 as mandated by HIPAA for a health care provider with the covered entity listed.

ophthalmologist in an office located in his home

A)Type Code 1: providers who are individuals.
B)Type Code 2: providers who are organizations.

Question 28

Identify the choice that best completes the statement or answers the question.
Privacy of PHI includes

A)both medical and financial records of patients.
B)the current medical information of a patient on file for the past year.
C)only the medical history of patients.
D)only the financial record of patient payments for services.

Question 29

Identify the choice that best completes the statement or answers the question.
Medical identity theft is

A)stealing the insurance group identification number of a patient.
B)obtaining an individual's SSN from the Internet to use or to steal their money.
C)taking the place of a patient in a hospital bed to receive treatment for your medical problem.
D)obtaining personal medical information for use in submitting false claims or seeking medical care or goods.

Question 30

Identify the choice that best completes the statement or answers the question.
American Health Information Management Association (AHIMA) has found that the problems of complying with HIPAA Privacy Rule are mainly those that

A)deal with finding the best codes to place on transactions.
B)account for the release of PHI.
C)have to do with finding good software programs for the facility.
D)relate to who is a Business Associate.

Question 31

Identify the choice that best completes the statement or answers the question.
Funding to pay for oversight and compliance to HIPAA is provided by

A)local state taxes.
B)federal income taxes.
C)monies received from government to pay for HIPAA services.
D)none of the above.

Question 32

Identify the choice that best completes the statement or answers the question.
Standardization of claims allows covered entities to

A)communicate efficiently and quickly, which saves time and money.
B)save the cost of new computer systems.
C)simplify the billing process since all claims fit the same format.
D)all of the above.
E)both A and C.

Question 33

Identify the choice that best completes the statement or answers the question.
Filing a complaint with the government about a violation of HIPAA is possible

A)only if you have retained a lawyer.
B)if you access the Web site to complete an official form.
C)only if you are a covered entity.
D)by contacting your state's insurance commissioner.

Question 34

Match the type of NPI code Type Code 1 or Type Code 2 as mandated by HIPAA for a health care provider with the covered entity listed.

chiropractic office with two practitioners

A)Type Code 1: providers who are individuals.
B)Type Code 2: providers who are organizations.

Question 35

Identify the choice that best completes the statement or answers the question.
Health plan identifiers defined for HIPAA are

A)the IRS tax number.
B)the TIN (tax identifier number).
C)the same as they always have been.
D)the HPID (health plan identifier).

Question 36

Identify the choice that best completes the statement or answers the question.
Two of the reasons for patient identifiers are

A)it has been written as law by HIPAA and the government will be better able to oversee health care.
B)enhanced quality of care and coordination of medications to avoid adverse reactions.
C)pharmacies will be able to coordinate medications to avoid duplication and physicians can improve quality of care.
D)quality of emergency care will be improved and claims will be reimbursed faster.

Question 37

Identify the choice that best completes the statement or answers the question.
The source documents for original federal documents such as the Federal Register can be found at

A)Congressional Record Web site.
B)HIPAA Hotline Web site.
C)Office for Civil Rights Web site.
D)Government Printing Office Web site.

Question 38

Identify the choice that best completes the statement or answers the question.
Which federal government office is responsible to investigate non-privacy complaints about HIPAA law?

A)Office of E-Health Services and Standards.
B)Office of Inspector General.
C)Office for Civil Rights.
D)Department of Justice.

Question 39

Identify the choice that best completes the statement or answers the question.
In keeping with the "minimum necessary" policy, an office may leave

A)only the doctor's office phone number on voicemail.
B)the date, time, and doctor's name on voicemail.
C)nothing on voicemail.
D)only a message to call back since almost everyone has caller ID.

Question 40

Match the type of NPI code Type Code 1 or Type Code 2 as mandated by HIPAA for a health care provider with the covered entity listed.

community hospital

A)Type Code 1: providers who are individuals.
B)Type Code 2: providers who are organizations.

Question 41

Match the reason given concerning patients' unique identifiers with the proper concern-either a positive reason for the identifier or a negative reason for the identifier.

a truly unique individual identifier

A)Positive reason for patient identifiers
B)Negative reason for patient identifiers

Question 42

Match the reason given concerning patients' unique identifiers with the proper concern-either a positive reason for the identifier or a negative reason for the identifier.

issues dealing with accurate implementation of records by all entities

A)Positive reason for patient identifiers
B)Negative reason for patient identifiers

Question 43

Match the reason given concerning patients' unique identifiers with the proper concern-either a positive reason for the identifier or a negative reason for the identifier.

physicians easily coordinate medications and avoid adverse reactions to medication or treatment

A)Positive reason for patient identifiers
B)Negative reason for patient identifiers

Question 44

Match the reason given concerning patients' unique identifiers with the proper concern-either a positive reason for the identifier or a negative reason for the identifier.

enhanced quality of health care due to accurate and rapid identification of medical history

A)Positive reason for patient identifiers
B)Negative reason for patient identifiers

Question 45

Match the reason given concerning patients' unique identifiers with the proper concern-either a positive reason for the identifier or a negative reason for the identifier.

confidentiality and privacy intrusions

A)Positive reason for patient identifiers
B)Negative reason for patient identifiers

Question 46

Match the reason given concerning patients' unique identifiers with the proper concern-either a positive reason for the identifier or a negative reason for the identifier.

costs associated with moving to a new identifier

A)Positive reason for patient identifiers
B)Negative reason for patient identifiers

Question 47

Match the type of NPI code Type Code 1 or Type Code 2 as mandated by HIPAA for a health care provider with the covered entity listed.

solo physician in a rural town

A)Type Code 1: providers who are individuals.
B)Type Code 2: providers who are organizations.

Question 48

Match the reason given concerning patients' unique identifiers with the proper concern-either a positive reason for the identifier or a negative reason for the identifier.

legal protection of the information

A)Positive reason for patient identifiers
B)Negative reason for patient identifiers

Question 49

Match the reason given concerning patients' unique identifiers with the proper concern-either a positive reason for the identifier or a negative reason for the identifier.

ease of identity theft

A)Positive reason for patient identifiers
B)Negative reason for patient identifiers

Question 50

Match the type of NPI code Type Code 1 or Type Code 2 as mandated by HIPAA for a health care provider with the covered entity listed.

a long-term care facility

A)Type Code 1: providers who are individuals.
B)Type Code 2: providers who are organizations.