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QUESTION 6

Employers often advocate on behalf of their employees in benefit disputes and appeals, answer question nos with regard to the health plan, and generally help them navigate their health benefits. Is individual consent required?

  1. A. No
  2. B. Sometimes
  3. C. Yes
  4. D. The answer is indeterminate

Correct Answer: C

QUESTION 7

Sammy applied for and received her National Provider Identifier online. What may she now do?

  1. A. Have guaranteed payment by a health plan
  2. B. Receive credentialing or licensing as a therapist provider
  3. C. Be guaranteed enrollment as a provider in a health plan
  4. D. Be identified as a unique health care provider during HIPAA transactions

Correct Answer: D
Sammy may now be identified as a unique health care provider during HIPAA transactions.

QUESTION 8

HIPPA gave the option to adopt other financial and administrative transactions standards, "consistent with the goals of improving the operation of health care system and reducing administrative costs" to

  1. A. ASCA prohibits HHS from paying Medicare claims that are not submitted electronically after October 16, 2003.
  2. B. ASCA prohibits HHS from paying Medicare claims that are not submitted on paper after October 16, 2003
  3. C. ASCA prohibits HHS from paying Medicare claims that are not submitted electronically after October 16, 2003, unless the Secretary grants a waiver from this requirement
  4. D. No

Correct Answer: C

QUESTION 9

This hospital is owned by corporations and makes up 15% of hospitals in the United States.

  1. A. Government
  2. B. Volunteer
  3. C. Teaching
  4. D. Proprietary

Correct Answer: D

QUESTION 10

Which of the following BEST describes the purpose of performing security certification?

  1. A. To identify system threats, vulnerabilities, and acceptable level of risk
  2. B. To formalize the confirmation of compliance to security policies and standards
  3. C. To formalize the confirmation of completed risk mitigation and risk analysis
  4. D. To verify that system architecture and interconnections with other systems are effectively implemented

Correct Answer: B

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