HIPAA HIO-201 Exam - Topic 3 Question 50 Discussion

Actual exam question for HIPAA's HIO-201 exam

Question #: 50
Topic #: 3

Dr. Jones, a practicing dentist, has decided to directly implement an EDI solution to comply with the HIPAA transaction rule. Dr. Jones employs a small staff of 4 persons for whom he has sponsored a health care plan. Dr. Jones has revenues of less than $1 million. Select the code set that Dr. Jones should consider supporting for his EDI system.

A837 - Professional

B834

CCPT*4

D837 - Institutional

ECDT

Show Suggested Answer

Suggested Answer: A

by Rory at Apr 01, 2023, 03:06 AM

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Haydee

8 months ago

Not sure if CDT is enough for compliance, though...

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Gaynell

8 months ago

Totally agree, CDT is the way to go for Dr. Jones!

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Ludivina

8 months ago

Wait, isn't 834 for enrollment? Why would he need that?

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Lisandra

8 months ago

I thought 837 - Professional was the right choice for dentists?

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Kenneth

8 months ago

Definitely go with E - CDT codes for dental claims!

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Tawanna

9 months ago

I’m a bit confused about the difference between the 837 - Professional and the 837 - Institutional. Wouldn't both be relevant for a dental practice?

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Brent

9 months ago

I practiced a question similar to this, and I believe the 834 is more about enrollment, which doesn't seem to fit Dr. Jones's needs.

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Tran

9 months ago

I think the CDT code set is specifically for dental procedures, so that might be the right choice for Dr. Jones since he’s a dentist.

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Allene

9 months ago

I remember that the 837 forms are used for submitting claims, but I'm not sure if Dr. Jones needs the professional or institutional one.

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Huey

9 months ago

I think the key here is to identify the "critical functions" and then determine which functions provide support to those. Option A seems like the most logical choice.

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Cassie

9 months ago

Alright, let me go through the options carefully. I'm leaning towards option D, where all the PDBs are upgraded, but I want to double-check the details to make sure I'm not missing anything.

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Shasta

9 months ago

This question seems straightforward. I think the answer is A - the non-agnostic business process logic is located in one place and separated from agnostic logic.

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Sharika

1 year ago

Ah, the age-old debate - 837 or bust! Dr. Jones should definitely go with the 837 - Professional code set. It's like choosing between a tooth extraction or a root canal - the 837 is the lesser of two evils.

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Hoa

12 months ago

The 837 - Professional code set will make EDI implementation much smoother for Dr. Jones.

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Stacey

12 months ago

It's definitely the best choice for a small practice like his.

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Nida

1 year ago

I agree, the 837 - Professional code set is the way to go for Dr. Jones.

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Marva

1 year ago

I wonder if Dr. Jones has considered the humorous option of using carrier pigeons for his EDI transactions? Just kidding, the 837 - Professional code set is definitely the way to go.

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Dorethea

1 year ago

Agreed, it will help ensure the security and privacy of patient information.

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Margarita

1 year ago

It's important for him to comply with the HIPAA transaction rule.

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Simona

1 year ago

Yes, that would be the most appropriate option for his practice.

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Cathern

1 year ago

I think Dr. Jones should consider supporting the 837 - Professional code set.

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Derick

1 year ago

I don't think carrier pigeons would be very efficient for EDI transactions, but the 837 - Professional code set is definitely the way to go.

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Eileen

1 year ago

The 837 - Institutional code set might be a good choice for Dr. Jones as well.

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Raina

1 year ago

I think Dr. Jones should also consider supporting the 834 code set for his EDI system.

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Roy

1 year ago

I agree, the 837 - Professional code set is the best option for Dr. Jones.

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Marvel

1 year ago

The 837 - Professional code set makes the most sense here. With a small staff and low revenues, that's likely the most efficient and cost-effective option for Dr. Jones.

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Gerry

1 year ago

Yes, it's definitely the most practical option for a small practice like his.

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Margurite

1 year ago

I agree, the 837 - Professional code set is the best choice for Dr. Jones in this situation.

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Regenia

1 year ago

I'm not sure, I think Dr. Jones should consider option D) 837 - Institutional instead.

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Orville

1 year ago

I agree with An, option A) 837 - Professional seems like the best choice for Dr. Jones.

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Denna

1 year ago

Hmm, this seems straightforward. As a small dental practice with less than $1 million in revenues and a staff of 4, I'd say the 837 - Professional code set is the way to go for Dr. Jones' EDI system.

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