FREE CBCS Ethics and Professionalism Questions and Answers

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Which of the following best describes a breach of patient confidentiality?

Correct! Wrong!

A breach of patient confidentiality occurs when a patient’s private health information is disclosed without proper authorization or consent. Sharing a patient's information with a family member without consent violates HIPAA privacy rules, while discussing cases in secure settings and using de-identified information are compliant with privacy standards.

What should a billing specialist do if they discover a significant billing error that could affect reimbursement?

Correct! Wrong!

The ethical course of action is to promptly notify the insurance company about any discovered errors and request an adjustment. This ensures transparency and maintains the integrity of the billing process. Ignoring the error or failing to address it could result in compliance issues and legal repercussions.

Which of the following best demonstrates effective communication skills in a billing and coding role?

Correct! Wrong!

Effective communication involves providing clear, understandable explanations and being responsive to patient questions. This approach helps ensure that patients are well-informed and comfortable with their billing and insurance processes.

How should a billing specialist handle a situation where they realize a billing error could lead to overpayment by a patient?

Correct! Wrong!

Ethical practice requires that billing errors be corrected, and the patient be informed. If the error leads to overpayment, the billing specialist should issue a refund. This ensures transparency and upholds the integrity of the billing process.

What is the primary purpose of HIPAA's privacy rule?

Correct! Wrong!

The primary purpose of HIPAA’s Privacy Rule is to safeguard individuals’ health information and ensure it is not accessed or disclosed without proper authorization. While HIPAA also addresses other aspects like electronic transactions and data security, the privacy rule specifically focuses on protecting health information.

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