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Which program provides consumers with quality of care information so they can make more informed decisions about health care options?


A) Hospital Inpatient Quality Reporting (Hospital IQR)
B) Medicaid Integrity Program (MIP)
C) Recovery Audit Contractor (RAC)
D) Zone Program Integrity Contractor (ZPIC)

E) A) and D)
F) A) and B)

Correct Answer

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Encoding or __________ a computer file makes it safe for electronic transmission so that unauthorized parties cannot read it.


A) decrypting
B) digesting
C) encrypting
D) interchanging

E) B) and D)
F) A) and B)

Correct Answer

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Federal and state __________ are laws passed by legislative bodies, such as federal Congress and state legislatures.


A) policies
B) procedures
C) regulations
D) statutes

E) B) and D)
F) None of the above

Correct Answer

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Which unique identifier is assigned to health care providers as a 10-digit numeric identifier, including a check digit in the last position?


A) EIN
B) HPID
C) NPI
D) UPIN

E) A) and B)
F) B) and C)

Correct Answer

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Record retention is the __________ of documentation for an established period of time, usually mandated by federal and/or state law.


A) destruction
B) privacy and security
C) release
D) storage

E) A) and C)
F) A) and D)

Correct Answer

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Which established the CERT, FATHOM, HPMP, PEPPER, and PERM programs?


A) Deficit Reduction Act of 2005
B) Improper Payments Information Act of 2002
C) Patient Safety and Quality Improvement Act of 2005
D) Tax Relief and Health Care Act of 2006

E) B) and C)
F) B) and D)

Correct Answer

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The HIPAA Privacy Rule creates national standards to protect individuals' medical records and other personal health information, and it also provides patients with __________.


A) conveniences, like not signing an authorization
B) greater access to their own medical records
C) less control over how their PHI is used
D) the ability to collect monetary penalties

E) None of the above
F) A) and B)

Correct Answer

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HIPAA defines fraud as an __________ deception or misrepresentation that someone makes, knowing it is false, that could result in an unauthorized payment.


A) accidental
B) intentional

C) A) and B)
D) undefined

Correct Answer

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Release of information (ROI) by a covered entity about protected health information (PHI) requires the patient (or representative) to sign an authorization to release information, which is reviewed for authenticity and processed within a HIPAA-mandated __________ time limit.


A) 10-day
B) 30-day
C) 60-day
D) 90-day

E) None of the above
F) C) and D)

Correct Answer

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