HCCA - CHPC Overview Questions And Answers Graded A+.
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HCCA - CHPC
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HCCA - CHPC
HCCA - CHPC Overview Questions And Answers Graded A+.
HIPAA became law - correct answer. 1996
What is the purpose of HIPAA? - correct answer. • To make health insurance portable under ERISA;
• To move health care onto a nationally standardized electronic billing platform;...
HCCA - CHPC Overview Questions And
Answers 2024-2025 Graded A+.
HIPAA became law - correct answer. 1996
What is the purpose of HIPAA? - correct answer. • 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 - correct answer. 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 - correct answer. 45 CFR sections 164.102
through 164.534
Identify the four sections in the CFR by location and topic - correct answer. 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 - correct answer. - 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 - correct answer. - Provider
, - Health Plan
- Clearing House
- Other Types
How is a Provider defined - correct answer. - "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 - correct answer. NO
What does "Health Plan" mean? - correct answer. 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
.
What is a Clearinghouse - correct answer. may be a public or private entity that
processes
or facilitates the processing of nonstandard data elements of health information into
standard data
elements.
What are other HIPAA Entities - correct answer. Hybrid, Business Associate
Organized Health Care Arrangement
Affiliated Covered Entity
What is a Hybrid Entity? - correct answer. single legal entity, where
only some of its divisions or programs meet the
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