Administrative Duties and Records Flashcards
7 cards from real NHI practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Administrative Duties and Records flashcards as text
What does 'SOAP' stand for in clinical documentation?
Answer: Subjective, Objective, Assessment, Plan
SOAP is a structured documentation format: Subjective (patient complaints), Objective (clinical findings), Assessment (diagnosis), and Plan (treatment).
Which of the following best describes the function of a co-payment?
Answer: A fixed fee the patient pays at the time of service
A co-payment is a fixed dollar amount the patient pays at the time of a healthcare visit, separate from deductibles and coinsurance.
When a medical record is amended after an error is discovered, what is the correct procedure?
Answer: Draw a single line through the error, initial, date, and add the correction
Proper correction technique requires drawing a single line through the error so the original entry remains legible, then initialing, dating, and adding the correct information.
What is the primary purpose of obtaining prior authorization from an insurance company?
Answer: To confirm the insurer will cover a specific procedure or medication
Prior authorization is a payer requirement to confirm coverage and medical necessity before certain procedures, referrals, or medications are provided.
Which document outlines the financial responsibilities of the patient before receiving non-emergency services?
Answer: Financial policy or patient financial agreement
A financial policy or patient financial agreement informs patients of their payment responsibilities, including co-pays, deductibles, and billing procedures.
What is the function of the National Provider Identifier (NPI) number?
Answer: It is a unique 10-digit number assigned to healthcare providers for billing purposes
The NPI is a unique 10-digit identifier assigned by CMS to healthcare providers and is required on all HIPAA-covered electronic transactions.
A staff member accidentally sends a patient's PHI to the wrong fax number. What should happen next?
Answer: Report it as a potential HIPAA breach per the practice's breach notification policy
Accidental PHI disclosure must be assessed and reported as a potential HIPAA breach, following the practice's incident response and notification procedures.