HCISPP Online Practice Questions and Answers

May a health plan require a provider to use a health care clearinghouse to conduct a HIPPA-covered transaction, or must the health plan acquire the ability to conduct the transaction directly with those providers capable of conducting direct transactions?

A. A health plan may conduct its covered transactions through a clearinghouse, and may require a provider to conduct covered transactions with it through a clearinghouse. But the incremental cost of doing so must be borne by the health plan. It is a cost-benefit decision on the part of the health plan whether to acquire the ability to conduct HIPPA transactions directly with other entities, or to require use of a clearinghouse.

B. A health plan may not conduct it's covered transactions through a clearinghouse

C. A health plan may after taking specific permission from HIPPA authorities conduct its covered transactions through a clearinghouse

D. is not as per HIPPA allowed to require provider to conduct covered transactions with it through a clearinghouse

Which of the following is the PRIMARY risk with using open source software in a commercial software construction?

A. Lack of software documentation

B. License agreements requiring release of modified code

C. Expiration of the license agreement

D. Costs associated with support of the software

A multiple payer system is more cumbersome than a single payer system for all of the following reasons except:

A. There are numerous health plans, which is difficult for providers to handle

B. Payments are not standardized across health plans

C. Some healthcare services are covered for people in the north, but not in the south

D. Government programs required extensive documentation proving services were provided before paying providers

Which racial/ethnic group is most likely to drink alcohol?

A. White

B. Black or African American

C. Asian or Pacific Islander

D. Hispanic

The single largest health profession in the United States are.

A. Physician Assistants

B. Pharmacists

C. Physicians

D. Registered nurses

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

A. Have guaranteed payment by a health plan

B. Receive credentialing or licensing as a therapist provider

C. Be guaranteed enrollment as a provider in a health plan

D. Be identified as a unique health care provider during HIPAA transactions

He proved the continuous circulation of blood within a contained system.

A. Lister

B. Koch

C. Harvey

D. Flemming

Jackson broke his ankle while performing with his band 100 Monkeys. Jackson was rushed to the E.R and from there he was referred to a bone specialist. What type of care is Jackson in?

A. Quaternary

B. Primary

C. Secondary

They examine cost of claims to determine whether it is a reasonable or necessary, according to diagnosis.

A. Coders

B. Billers

C. Health Insurance Specialist

Provides assistance, advice and information to the patient.

A. Coder

B. Consultant

C. Medical Transcriptionist