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HCCA - CHPC OVERVIEW QUESTIONS AND ANSWERS WITH SOLUTIONS 2024 $12.49   Add to cart

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HCCA - CHPC OVERVIEW QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

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  • HCCA - CHPC
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  • HCCA - CHPC

HCCA - CHPC OVERVIEW QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

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  • September 3, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • HCCA - CHPC
  • HCCA - CHPC
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HCCA - CHPC OVERVIEW QUESTIONS
AND ANSWERS WITH SOLUTIONS 2024
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•RToRpreventRfraud,RwasteRandRabuse



IntentR-
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tyRAct,RtheRMedicaidRprogramRunderRtitleRXIXRofRsuchRAct,RandRtheRefficiencyRandReffectivenessRofRtheRheal
thRcareRsystem,RbyRencouragingRtheRdevelopmentRofRaRhealthRinformationRsystemRthroughRtheRestablishm
entRofRstandardsRandRrequirementsRforRtheRelectronicRtransmissionRofRcertainRhealthRinformation.



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R164.318RandR164.530R-R164-534ROrganizationalRRequirements




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SectionRThree:R164.520R-R164.528RIndividual'sRRightsRandRPenaltiesR



SectionRFour:RInteractionRwithRtheRHIPAARSecurityRRule



HowRdoRyouRdetermineRifRorganizationRisRaRCER-RANSWERRR-
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-RdetermineRifRtheRentityRelectronicallyRtransmitsRoneRofRtheRnineRdefinedRtransactions"



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,-RHealthRPlan

-RClearingRHouse

-ROtherRTypes



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-RanyRotherRpersonRfurnishingRhealthRcareRservicesRorRsupplies.



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RANSWERRRAnRindividualRorRgroupRplanRthatRprovides,RorRpaysRtheRcostRof,RmedicalRcare




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R --RhasR50RorRmoreRparticipantsR

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•RARMedicareRsupplementalRpolicyR

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homeRfixedRindemnityRpolicyR

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•RTheRveteran'sRhealthRcareRprogramR.

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•RTheRIndianRHealthRServiceRProgram

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elements.



WhatRareRotherRHIPAAREntitiesR-RANSWERRRHybrid,RBusinessRAssociate

OrganizedRHealthRCareRArrangement

AffiliatedRCoveredREntity



WhatRisRaRHybridREntity?R-RANSWERRRsingleRlegalRentity,Rwhere

onlyRsomeRofRitsRdivisionsRorRprogramsRmeetRthe

CERdefinitionsRandRisRtypicalRofRlargeRentities



WhatRisROrganizedRHealthRCareRArrangementR(OHCA)?R-
RANSWERRRclinicallyRintegratedRcareRsettingRwhereRindividualsRreceiveRhealthRcareRfromRmoreRthanRoneRhe

althRcareRprovider.



WhatRisRAffiliatedRCoveredREntity?R-
RANSWERRRlegallyRdistinctRentitiesRthatRshareRcommonRcontrolRorRcommonRownershipRandRchooseRtoRdesi

gnateRthemselvesRasRoneRaffiliatedRCERforRtheRpurposesRofRcomplyingRwithRtheRHIPAARPrivacyRstandard



WhatRmustRaRAffiliatedREntityRagreeRto?R-
RANSWERRRBeRtreatedRasRaRsingleRCE.RMustRagreeRtoRfollowRaRstandardRpolicyRandRprocedure




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RCERtoReitherRgetR"assurances"RforRprivacyRandRsecurityRstandardsRfromRtheirRbusinessRpartnersRorRtoRinclu

deRaRBARamendmentRtoRaRcontract.

-RwhereRaRseparateRlegalRentityRusesRorRdisclosesRIndividuallyRIdentifiableRInformationRonRbehalfRofRtheRCE.



WhatRareRexamplesRofRaRBA?R-RANSWERRRclaimsRprocessing

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