CDC Compliance, Ethics, & Legal Considerations 3

Question 1

Under the ADA Code of Professional Conduct, which principle requires a dentist to act in the patient's best interest even when it may not benefit the dentist financially?

Accepted Answer

Beneficence

Answer

Beneficence requires dental professionals to promote the patient's welfare above their own financial interests.

Question 2

A dental office's Notice of Privacy Practices (NPP) must be provided to new patients:

Accepted Answer

No later than the date of the first service delivery

Answer

HIPAA requires covered entities to provide the NPP no later than the date of the first service delivery to the individual.

Question 3

A dental practice that accepts Medicare or Medicaid is considered a:

Accepted Answer

Covered Entity

Answer

Under HIPAA, healthcare providers that transmit health information electronically in connection with covered transactions — including those billing Medicare or Medicaid — are covered entities.

Question 4

Which OIG compliance program element involves conducting internal reviews to detect potential coding and billing errors before they become external audits?

Accepted Answer

Internal monitoring and auditing

Answer

The OIG's seven elements of an effective compliance program include internal monitoring and auditing as a proactive measure to identify and correct compliance problems.

Question 5

A patient's estranged spouse calls the dental office requesting information about the patient's upcoming procedure. Under HIPAA, the office should:

Accepted Answer

Decline to confirm or deny the patient is even a client without patient authorization

Answer

Without patient authorization or a legal basis for disclosure, the office must not release PHI to unauthorized individuals, including family members who are not listed as personal representatives.

(CDC) Certified Dental Coder Practice Test

(CDC) Certified Dental Coder Practice Test

CDC Compliance, Ethics, & Legal Considerations 3