Ch 16: True and False Flashcards Preview

Health Insurance and Reimbursement > Ch 16: True and False > Flashcards

Flashcards in Ch 16: True and False Deck (15)
Loading flashcards...
1
Q

T/F: Federal regulations now mandate that all healthcare information that is electronically transmitted follow specific rules and guidelines to provide security and protection for PHI

A

True

2
Q

T/F: The Administrative Simplification and Compliance Act (ASCA) requires health plans and healthcare clearinghouses to use certain standard transaction formats and code sets for the electronic transmission of health information

A

True

3
Q

T/F: ASCA made it compulsory for all Medicare claims to be submitted electronically effective October 16, 2003, without exception

A

False

4
Q

T/F: ASCA’s “rule” does not require any other transactions (changes, adjustments, or appeals to the initial claim) to be submitted electronically

A

True

5
Q

T/F: Claims submitted via DDE are considered to be electronic claims for purposes of the “rule”

A

True

6
Q

T/F: The biggest obstacle to getting set up for electronic claims processing is the time that it takes for approval from various federal and state agencies

A

True

7
Q

T/F: The move from paper to electronic submissions will result in significant savings for all medical providers

A

False

8
Q

T/F: ASCA’s “rule” is applicable only to providers, practitioners, and suppliers who submit claims under Part A or Part B of Medicare

A

True

9
Q

T/F: ERA payments can be posted automatically to patient accounts

A

True

10
Q

T/F: Experts predict that computerized medical records can improve the quality of patient care

A

True

11
Q

T/F: The first step for providers to accomplish “meaningful use” is to invest in a certified EMR system

A

True

12
Q

T/F: A small provider of services is a medical facility (e.g., a hospital or skilled nursing facility) with fewer than 25 full-time equivalent (FTE) employees

A

True

13
Q

T/F: A small supplier is a physician, practitioner, facility, or supplier with fewer than 10 FTEs

A

True

14
Q

T/F: Physicians who did not adopt an EMR by 2015 were penalized 10% of Medicare payments, increasing incrementally to 25% by the end of the program

A

False

15
Q

T/F: EMR is a system wherein data representing money are moved electronically between accounts or organizations

A

False