HCCA – CHPC EXAM WITH GUARANTEED ACCURATE ANSWERS |VERIFIED
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Course
HCCA - CHPC
Institution
HCCA - CHPC
HIPAA became law - ACCURATE ANSWERS 1996
What is the purpose of HIPAA? - ACCURATE ANSWERS • To make health insurance portable under ERISA;
• To move health care onto a nationally standardized electronic billing platform; and
• To prevent fraud, waste and abuse
Intent - ACCURATE ANSW...
HCCA – CHPC EXAM WITH
GUARANTEED ACCURATE
ANSWERS |VERIFIED
HIPAA became law - ACCURATE ANSWERS✔✔ 1996
What is the purpose of HIPAA? - ACCURATE ANSWERS✔✔ • To
make health insurance portable under ERISA;
• To move health care onto a nationally standardized electronic billing
platform; and
• To prevent fraud, waste and abuse
Intent - ACCURATE ANSWERS✔✔ purpose of this subtitle to improve
the Medicare program under title XVIII of the Social Security Act, the
Medicaid program under title XIX of such Act, and the efficiency and
effectiveness of the health care system, by encouraging the development
of a health information system through the establishment of standards
and requirements for the electronic transmission of certain health
information.
HIPAA resides in what CFR section - ACCURATE ANSWERS✔✔ 45
CFR sections 164.102 through 164.534
Identify the four sections in the CFR by location and topic -
ACCURATE ANSWERS✔✔ Section One: 164.102 - 164.318 and
164.530 - 164-534 Organizational Requirements
,Section Two: 164.500 - 164.514 Use and Disclosure of Information
Section Three: 164.520 - 164.528 Individual's Rights and Penalties
Section Four: Interaction with the HIPAA Security Rule
How do you determine if organization is a CE - ACCURATE
ANSWERS✔✔ - compare the functions of the entity to the three
principal types of "covered entities" (CE),
- determine if the entity electronically transmits one of the nine defined
transactions"
What are the different types of CEs - ACCURATE ANSWERS✔✔ -
Provider
- Health Plan
- Clearing House
- Other Types
How is a Provider defined - ACCURATE ANSWERS✔✔ - "a provider
of services (as defined in section 1395x (u) of title XIX)
- a provider of medical or other health services (as defined in section
1395x (s) of title XIX)
- any other person furnishing health care services or supplies.
, Does a provider need a standing facility to be considered a CE -
ACCURATE ANSWERS✔✔ NO
What does "Health Plan" mean? - ACCURATE ANSWERS✔✔ An
individual or group plan that provides, or pays the cost of, medical care
• A group health plan, but only if the plan:
-- has 50 or more participants
-- is administered by an entity other than the employer who established
and maintains the plan.
• A health insurance issuer
• A health maintenance organization
• The Medicaid program under title XIX.
• A Medicare supplemental policy
• A long-term care policy, including a nursing
home fixed indemnity policy
• An employee welfare benefit plan providing health benefits to the
employees of 2 or more employers.
• The health care program for active military
• The veteran's health care program .
• The Civilian Health and Medical Program
• The Indian Health Service Program
• The Federal Employees Health Benefit Plan
.
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