HCCA - CHPC Study Guide with Answers (300 Solved Questions)
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HCCA - CHPC Study Guide - 300 Questions And
Answers 100% Verified
What is the purpose of HIPAA? - ANSWER--• Protect PHI from unauthorized disclosure/use;
• Prevent fraud, waste and abuse (via Administrative Simplification);
• Make health insurance portable under ERISA;
• Move health care onto a nationally standardized electronic billing platform
HIPAA resides in which CFR section? - ANSWER--45 CFR sections 164.102 through 164.534
What are the subparts of HIPAA part 164? - ANSWER--HIPAA - 45 CFR 164, subparts:
Subpart A - General rules
Subpart C - Security
Subpart D - Breach notification
Subpart E - Privacy
How do you determine if an organization is a "Covered Entity"? - ANSWER--1. compare if the
organization meets one of the 3 types of CE (provider, health plan, clearinghouse)
and
2. determine if the organization electronically transmits one of the 9 defined transactions:
• Health claims or equivalent encounter information
• Health claims attachments
• Enrollment and disenrollment in a health plan
Answers 100% Verified
What is the purpose of HIPAA? - ANSWER--• Protect PHI from unauthorized disclosure/use;
• Prevent fraud, waste and abuse (via Administrative Simplification);
• Make health insurance portable under ERISA;
• Move health care onto a nationally standardized electronic billing platform
HIPAA resides in which CFR section? - ANSWER--45 CFR sections 164.102 through 164.534
What are the subparts of HIPAA part 164? - ANSWER--HIPAA - 45 CFR 164, subparts:
Subpart A - General rules
Subpart C - Security
Subpart D - Breach notification
Subpart E - Privacy
How do you determine if an organization is a "Covered Entity"? - ANSWER--1. compare if the
organization meets one of the 3 types of CE (provider, health plan, clearinghouse)
and
2. determine if the organization electronically transmits one of the 9 defined transactions:
• Health claims or equivalent encounter information
• Health claims attachments
• Enrollment and disenrollment in a health plan
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Subject
Health Care Compliance Association