EHR Technology Practice wk5
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School
University of Phoenix *
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Course
140T
Subject
Health Science
Date
Dec 6, 2023
Type
docx
Pages
4
Uploaded by AdmiralDinosaurPerson685
Assignment Content
1.
This week, Sonya is learning more about her work in medical billing and coding.
She’s learning about the electronic data interchange (EDI) and the billing
workflow process she uses every day. Practice the terms and acronyms with
Sonya to explore the impact of HIPAA privacy requirements and regulations on
health care practices.
2.
Question 1
10/10
Final Grade: 10 points out of 10 points possible
Match the acronym to its associated full name.
Prompts
Answers
1.
1
EDI
Correct:
Electronic data interchange
2.
2
HIPAA
Correct:
Health Insurance Portability and Accountability Act of 1996
3.
3
COB
Correct:
Coordination of benefit claims
4.
4
EOB
Correct:
Explanation of benefits
5.
5
RA
Correct:
Remittance advice
6.
6
TPO
Correct:
Treatment, payment, and health care operations
3.
Question 2
6.66/10
Final Grade: 6.6667 points out of 10 points possible
Match the term with its definition or purpose.
Partial and negative credit
Points may have been deducted for incorrect answers.
Prompts
Answers
1.
1
HIPAA privacy rule
Correct:
Gives patients the right to access the information found in their
health record
2.
2
HIPAA security rule
Correct:
Addresses protection of protected health information (PHI) in
electronic form (ePHI)
3.
3
270/271 transaction
Correct:
An eligibility/benefit inquiry
4.
4
Administrative Simplification standards
Incorrect:
Administrative, technical, and physical standards
Correct answer:
Provisions introduced in 2010 concerning the use of
transactions
5.
5
HIPAA requirements that specify how health care information is stored and
accessed in the EHR
Incorrect:
Provisions introduced in 2010 concerning the use of
transactions
Correct answer:
Administrative, technical, and physical standards
6.
6
EDI transactions in health care
Correct:
They standardize electronic transactions so all information
systems can send and receive the same electronic transactions as
mandated by HIPAA
4.
Question 3
10/10
Final Grade: 10 points out of 10 points possible
Match the term with its definition.
Prompts
Answers
1.
1
HIPAA privacy rule
Correct:
Gives patients the right to access the information found in their
health record
2.
2
HIPAA security rule
Correct:
Addresses protection of protected health information (PHI) in
electronic form (ePHI)
5.
Question 4
10/10
Final Grade: 10 points out of 10 points possible
Match the term with its components.
Prompts
Answers
1.
1
Basic medical billing workflow
Correct:
Verifying insurance eligibility, billing third-party plans, using
codes and patient registration, submitting claims, managing payment and
patient accounts, coordinating benefit claims (COB), reviewing co-pays
and explanation of benefits (EOB)
2.
2
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HIPAA privacy requirements
Correct:
A patient’s identification can only be shared with authorized
health care providers; a patient’s identification and health information
must be kept out of public view; a patient’s consent must be received
when patient information needs to be shared with others; staff must
complete annual HIPAA training and education
3.
3
Necessity of c
oordination of benefits
(COB)
Correct:
When patients are covered by more than one health plan
4.
4
HIPAA covered entities
Correct:
Health plans, health care clearinghouses, and health care
providers who transmit health information electronically for transactions
that have standards established by U.S. Health and Human Services,
commonly billing and payment for services and insurance coverage