Question 1

An electronic signature will result in a unique bit string (or computer code)  called a(n)  __________, which is encrypted and appended to the electronic document.

Accepted Answer

A)   electronic transaction
B)   message digest
C)   transmitted version
D)   unique identifierE) A) and C)
F) A) and D)

Question 2

Which is the physician self-referral law that protects patients and federal health care programs from fraud and abuse by curtailing the corrupting influence of money on health care decisions?

Accepted Answer

A)   Federal Anti-Kickback Law
B)   Federal Claims Collection Act
C)   Occupational Safety and Health Act
D)   Social Security ActE) A) and B)
F) B) and D)

Question 3

Which code set is copyrighted by the American Dental Association?

Accepted Answer

A)   CDT
B)   CPT
C)   ICD-10-CM
D)   ICD-O-3E) A) and D)
F) None of the above

Question 4

Which is maintained by the Food and Drug Administration (FDA)  and identifies prescription drugs and some over-the-counter products?

Accepted Answer

A)   CDT
B)   ICD
C)   NDC
D)   NSFE) A) and B)
F) B) and D)

Question 5

Which requires Medicare administrative contractors to attempt the collection of overpayments received by a provider or beneficiary?

Accepted Answer

A)   False Claims Act
B)   Federal Claims Collection Act
C)   Privacy Act of 1974
D)   Stark IE) B) and C)
F) None of the above

Question 6

Which program assesses and measures improper Medicare fee-for-service payments (based on reviewing selected claims and associated medical record documentation) ?

Accepted Answer

A)   CERT
B)   FATHOM
C)   HPMP
D)   PERME) None of the above
F) All of the above

Question 7

Which created the Physician Quality Reporting System that established a financial incentive for eligible professionals who participate in a voluntary quality reporting program?

Accepted Answer

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 2006E) B) and D)
F) None of the above

Question 8

Which is the right of individuals to keep their information from being disclosed to others?

Accepted Answer

A)   authorization
B)   confidentiality
C)   privacy
D)   securityE) B) and D)
F) B) and C)

Question 9

Which amended Title IX of the Public Health Service Act to encourage voluntary and confidential reporting of events that adversely affect patients, creating organizations that collect, aggregate, and analyze confidential information reported by health care providers?

Accepted Answer

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 2006E) C) and D)
F) A) and C) C

Question 10

Which flat file is a series of fixed-length records that is currently used to bill institutional services, such as services performed in hospitals?

Accepted Answer

A)   ANSI ASC X12N 837
B)   CMS-1500
C)   NSF
D)   UB-04E) C) and D)
F) A) and D)

Question 11

Court decisions establish standard use legal decisions that serve as authoritative rules or patterns in future similar cases. The legal term for standard is __________.

Accepted Answer

A)   decision
B)   example
C)   precedent
D)   statuteE) B) and C)
F) A) and C)

Question 12

Which is an order of the court that requires a witness to appear at a particular time and place to testify?

Accepted Answer

A)   deposition
B)   interrogatory
C)   subpoena
D)   subpoena duces tecumE) A) and B)
F) B) and C)

Question 13

Which is the format of the EIN?

Accepted Answer

A)   000000000
B)   00-0000000
C)   000-00-0000
D)   000-000-000E) A) and D)
F) C) and D)

Question 14

Which increased resources available to CMS to combat abuse, fraud, and waste in the Medicaid program, creating the Medicare Improvement Program (MIP) ?

Accepted Answer

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 2006E) C) and D)
F) A) and C) A

Question 15

Which of the following is an example of abuse?

Accepted Answer

A)   billing noncovered services/procedures as covered services/procedures
B)   falsifying health care certificates of medical necessity plans of treatment
C)   misrepresenting ICD-10-CM and CPT/HCPCS codes to justify payment
D)   submitting claims for services and procedures knowingly not providedE) None of the above
F) A) and B)

Question 16

Which requires documents, such as a patient record, to be produced in court?

Accepted Answer

A)   deposition
B)   interrogatory
C)   subpoena
D)   subpoena duces tecumE) B) and C)
F) B) and D)

Question 17

Which is an abbreviation for the Latin phrase qui tam pro domino rege quam pro sic ipso in hoc parte sequitur, meaning "who as well for the king as for himself sues in this matter"?

Accepted Answer

A)   qui tam
B)   res gestae
C)   respondeat superior
D)   subpoena duces tecumE) A) and B)
F) All of the above A

Question 18

Which restricts patient information access to those with proper authorization and maintains the security of patient information?

Accepted Answer

A)   authorization
B)   confidentiality
C)   privacy
D)   securityE) A) and B)
F) C) and D)

Question 19

Which is the official document that contains new and changed Medicare policies and/or procedures that are to be incorporated into a specific CMS program manual?

Accepted Answer

A)   bulletins
B)   companion guides
C)   face sheets
D)   transmittalsE) B) and C)
F) A) and B)

Question 20

The proposed standard for an electronic signature is __________, which applies a mathematical function to the electronic document.

Accepted Answer

A)   decrypted
B)   digital
C)   manual
D)   standardE) A) and B)
F) A) and D)

Exam 5: Legal and Regulatory Issues

An electronic signature will result in a unique bit string (or computer code) called a(n) __________, which is encrypted and appended to the electronic document.

Correct AnswerverifiedShow Answer

Which is the physician self-referral law that protects patients and federal health care programs from fraud and abuse by curtailing the corrupting influence of money on health care decisions?

Correct AnswerverifiedShow Answer

Which code set is copyrighted by the American Dental Association?

Correct AnswerverifiedShow Answer

Which is maintained by the Food and Drug Administration (FDA) and identifies prescription drugs and some over-the-counter products?

Correct AnswerverifiedShow Answer

Which requires Medicare administrative contractors to attempt the collection of overpayments received by a provider or beneficiary?

Correct AnswerverifiedShow Answer

Which program assesses and measures improper Medicare fee-for-service payments (based on reviewing selected claims and associated medical record documentation) ?

Correct AnswerverifiedShow Answer

Which created the Physician Quality Reporting System that established a financial incentive for eligible professionals who participate in a voluntary quality reporting program?

Correct AnswerverifiedShow Answer

Which is the right of individuals to keep their information from being disclosed to others?

Correct AnswerverifiedShow Answer

Which amended Title IX of the Public Health Service Act to encourage voluntary and confidential reporting of events that adversely affect patients, creating organizations that collect, aggregate, and analyze confidential information reported by health care providers?

Correct AnswerverifiedC

Which flat file is a series of fixed-length records that is currently used to bill institutional services, such as services performed in hospitals?

Correct AnswerverifiedShow Answer

Court decisions establish standard use legal decisions that serve as authoritative rules or patterns in future similar cases. The legal term for standard is __________.

Correct AnswerverifiedShow Answer

Which is an order of the court that requires a witness to appear at a particular time and place to testify?

Correct AnswerverifiedShow Answer

Which is the format of the EIN?

Correct AnswerverifiedShow Answer

Which increased resources available to CMS to combat abuse, fraud, and waste in the Medicaid program, creating the Medicare Improvement Program (MIP) ?

Correct AnswerverifiedA

Which of the following is an example of abuse?

Correct AnswerverifiedShow Answer

Which requires documents, such as a patient record, to be produced in court?

Correct AnswerverifiedShow Answer

Which is an abbreviation for the Latin phrase qui tam pro domino rege quam pro sic ipso in hoc parte sequitur, meaning "who as well for the king as for himself sues in this matter"?

Correct AnswerverifiedA

Which restricts patient information access to those with proper authorization and maintains the security of patient information?

Correct AnswerverifiedShow Answer

Which is the official document that contains new and changed Medicare policies and/or procedures that are to be incorporated into a specific CMS program manual?

Correct AnswerverifiedShow Answer

The proposed standard for an electronic signature is __________, which applies a mathematical function to the electronic document.

Correct AnswerverifiedShow Answer

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