What does the abbreviation MSHP designate? Show Multiskilled health practitioner Cost pressures on health care providers are forcing employers to reduce personnel costs by hiring multiskilled health care practitioners administrative medical office responsibilities include claims submission A claims assistance professional works for the consumer and helps patients file insurance claims What is “cash flow” in a medical practice? The actual money available to a medical practice Front office medical duties have become increasingly important because diagnostic and procedure coding must be reviewed for it correctness and completeness Which level of education is generally required for one who seeks employment as an insurance coder? Completion of an accredited program for coding certification Which organization published diagnostic and procedure coding competencies for outpatient services and diagnostic coding and reporting requirements for physician billing? American Health Information Management Association (AHIMA) The amount of money an insurance billing specialist earns is dependent on which of the following factors? Knowledge, Experience, and size of employing institution A billing specialist is entrusted with? holding patients’ medical information in confidence, collecting money, and being a reliable resource for co-workers medical etiquette consideration for others medical ethics include standards of conducts The earliest written code of ethical principles for the medical profession is the code of hammurabi What is the name of the modern code of ethics that the American Medical Association (AMA) adopted in 1980? The Principles of Medical Ethics What should you do if you discover that a patient of your physician employer is under the care of another physician for the same ailment? Notify your physician Reporting incorrect information to private insurance carriers is considered unethical The Internet Healthcare Coalition has developed the ________ Code of Ethics eHealth Reporting incorrect information to government-funded programs is illegal Insurance specialist certificate programs include anatomy, diagnostic coding, computer technology The doctrine stating that physicians are legally responsible for both their own conduct and that of their employees is known as respondeat superior, let the master answer, and vicarious liability The AHIMA Code of Ethics is appropriate for health information specialists, coders, and insurance billing specialists. Why are multiskilled health practitioners (MSHPs) in demand? They are cross-trained to provide more than one function, often competent in more than one discipline offer more flexibility to their employer Which code of ethics is most appropriate for an insurance billing specialist who handles medical records? The american Health Information Management Association (AHIMA) code of ethics AHIMA publishes diagnostic and procedure coding competencies for outpatient services and diagnostic coding and reporting requirements A self-employed medical insurance biller who does independent contracting is responsible for advertising, billing, accounting Using code number to increase payment when case documentation does not warrant it both illegal and unethical Reporting incorrect information to medicare illegal coding services that were not performed for payment both illegal and unethical reporting incorrect information to a private insurance carrier unethical unbundling services when an available single code includes all services both illegal and unethical assigning a code without documentation from the provider both illegal and unethical health care provider individual who renders medical services, furnishes bills, or is paid for health care in the normal course of business clearinghouse Third-party administrator who receives insurance claims from the physicians office performs edits, and redistributes the claims electronically to various insurance carriers covered entity A health care coverage carrier clearinghouse or physician who transmits health information in electronic form in connection with a transaction covered by HIPAA business associate individual who is hired by a medical practice to process claims to a third-party payer privacy officer, privacy official Individual who is designated to help a provider remain in compliance by setting policies and procedures in place training staff regarding HIPAA Privacy guidelines and acting as the contact person for questions and complaints The process of meeting regulations, recommendations, and expectations of federal and state agencies that pay for health care services and regulate the industry is known as eHealth information management False Under HIPAA guidelines, an outside billing company that manages claims and accounts for a medical clinic is known as a covered entity False to give, release, or transfer information to another entity is called consent false A HIPAA compliance exception to the right of privacy and privileged communication is a patients records pertaining to his or her industrial accident case. true Confidentiality between the physician and the patient is automatically waived when the patient is being treated in a workers compensation case true Notes, papers, and memos regarding patient information should be disposed of using a shredding device True A patient has the right to obtain a copy of his or her confidential health information true The HITECH Act replaced the HIPAA privacy laws False Disclosing PHI as authorized by the laws relating to workers’ compensation does not require a signed authorization true Confidential information includes everything that is _______ a patient. heard about, read about, seen regarding What is the correct response when a relative calls asking about a patient? Have the physician return the phone call Forgiving the deductible or copayment for a Medicare patient fraud Filing insurance claims for services not medically necessary abuse billing medicare beneficiaries at a higher rate than other patients abuse changing the date of service fraud What do administrative medical office responsibilities include?They are responsible for front office duties, including tasks ranging from answering phones and greeting patients to managing health records and transcribing medical documents. Some of the work requires specialized skills, such as the usage of medical terminology or medical coding.
What is cash flow in a medical practice?Simply put, cash flow refers to the amount of money and cash-equivalents flowing in and out of a medical practice at any given time.
What is the name of the modern code of ethics of the American medical Association adopted in 1980?The AMA Code of Ethics was adapted from the ethical code of conduct published in 1794 by Thomas Percival. This was the first code to be adopted by a national professional organization. The current AMA code of ethics (2001) has nine articles which is two more than the previous version (1980).
Which level of education is generally required for one who seeks employment as an insurance coder?Medisoft Final. |
A self-employed medical insurance biller who does independent contracting is responsible for
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