Assignment 1 Review Questions

692 Words3 Pages
Chapter 1 page 2-6 Assignment 1-1 Review Questions #2 a.) Acute care hospitals b.) Skilled nursing facilities c.) Rehabilitation centers #4 a.) Multi-skilled health practitioner (MSHP) b.) claims assistance professional (CAP) c.) insurance billing specialist #5 a.) Abstract health information from patient records b.) Exhibits an understanding of ethical and medico legal responsibilities related to insurance billing programs c.) Operates computer to transmit insurance claims #9 a.) Failure to verify insurance plan benefits b.) obtain authorization or precertification c.) collect copayments and deductibles #12 a.) Illegal b.) illegal c.)…show more content…
True #21. False #22. True Chapter 2 Pages 16-18 Assignment 2-2: Critical Thinking-Incidental Disclosure versus HIPAA Violation #2. (V) When someone calls you always make sure who you are talking to. Never give patient information to anyone without confirming information regarding the patient first. #3. (N) When sending a fax there is a cover page. Noted at the bottom of the cover page it should say that the fax is intended for the person wrote on the line, if you are not that person please send fax back to the number it was faxed from. #4. (ID) It is great that people try to speak softly, but there are times that other’s won’t hear you. #6. (ID) When talking to some patients on the phone you need to speak loudly and clearly. Walls are thin in a doctor’s office. No matter how hard you try to speak softly, someone is going to heat something of the conversation. #9. (V) When leaving a message tells the person who you are and that they need to return your call, and leave number. Never leave information on an answering machine. #10. (V) When calling a patient, call by their first name or say Mr. or Mrs. And say their last name. Never call a patient by full name when others are…show more content…
(F) Billing for services not provided so that a physician can get paid for more time is fraud. #3. (A) Charging excessively for service or supplies is abuse. #5. (F) Altering medical records to generate fraudulent payments is fraud. #6. (F) Split billing schemes is fraud. #10. (A) Abuse to other patients. It is not fair that one person would not have to pay their deductible or copayment and others do. Pages 21-22 Assignment 2-4: Critical Thinking-Consent versus Authorization #1. I would ask for consent and authorization, and perform other office procedures. I would first ask the nurse to fax over something that states or shows that Mary Ann is in the hospital on the hospitals letterhead. Once that is done I would ask that the consent form to release information that was signed by patient be faxed over. When I had all information I would then release information. #2. I would first have Mr. Fellow identify himself by birth date, last four of social security number, and address. I would then release the information requested. #3. I would have Mrs. Lopez come to office and sign a consent form. The patient is a minor, therefore, the mother would need to sign consent for the office to do so, and identify the patient by name, address, social security number, and birth date. Once all the forms were signed and identity clarified, I would send

More about Assignment 1 Review Questions

Open Document