HCCA-CHPC EXAM LATEST 2023-2024 ACTUAL
EXAM 400 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |AGRADE
How do you
... [Show More] determine if an entity is subject to HIPAA? - ....ANSWER...By
understanding the applicability (healthcare component), entities that transmit health
information and fall under the 3 types of CE (health plans, clearinghouses, and
providers)
HIPAA provide standards for the access, disclosure, transmission, and retention of PHI,
and created a national baseline for health information Privacy and Security. At the state
level, they can also develop health information statutes but only adding higher or more
restrictive standards than the Federal HIPAA rules. This is referred as:
a. HIPAA status
b. HIPAA assurance
c. HIPAA preemption
d. HIPAA state law - ....ANSWER...c. HIPAA preemption
What is the intent of HIPAA?
a. standardize healthcare billing and coding to comply with national accounting
principles
b. increase payment from providers given the rising cost of healthcare and fraud
violations
c. allow group health plans collect premiums after individual has left a job/employer
d. improve healthcare programs and data flow between providers to data mine for
fraudulent behavior - ....ANSWER...d. improve healthcare programs and data flow
between providers to data mine for fraudulent behavior
The intent of HIPAA is to improve healthcare programs and the delivery of services
through the two largest health plans in the U.S., This is accomplished by improved data
flows that leads to better outcomes using national standards formats and specific
transactions to increase accuracy and rapid way to data mine ad detect fraudulent
behavior.
The specific data flows are outlined in the Transaction & Code Set Rules 45 CFR
162.100 - 162.1902
https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-C/part-162
True or False:
A physician is required to have a business associate contract with a laboratory as a
condition of disclosing protected health information for the treatment of an individual. -
....ANSWER...FALSE
Remember, use and disclosure of PHI for purposes of TPO requires no specific
authorization
True or False:
A hospital laboratory is not required to have a business associate contract to disclose
protected health information to a reference laboratory for treatment of the individual. -
....ANSWER...TRUE
Remember, use and disclosure of PHI for purposes of TPO requires [Show Less]