Question

1. Name three transactions for which the Department of Health and Human Services (HHS) has established standards under HIPAA.

2. Is PHI individually identifiable health information that includes demographic data that relates to the past, present, or future payment for the provision of health care to the individual?

3. What is the overarching criterion for payment in addition to the individual requirements of the reported CPT code?

4. Name three key uses of medical documentation.

5. Name three things that should not be documented in medical records.

Answer 1

1.Some of the transactions which the department of Health and Human Services has established standards under HIPAA are

• Claim status
• Premium payments
• Referrals
• Authorization
• Eligibility

2.The PHI or the protected health information or personal health information consists of the data happened between the patient and the healthcare professionals which can be from past,current and used for diagnosis and treatment purposes

Ans:True

3. In addition to the individual requirements of the reported CPT code the overarching criterion required is the services of Medical necessity

4.Tue various uses of medical documentation are

• In order to record the data of patient which can be used in furure fir reference and providing quality care
• For legal purposes and abod anu sort of malpractice
• The payment offered to the services can be made

5.The things which cannot be recorded in the medical documentation are

• If patient provides any data regarding the financial status
• If the patient tries to verbalises any abuse or harm or blame others which is not related to medical conditions irrationally
• Ideas of the patient based on opinion