COMPREHENSIVE EXAM
QUESTIONS WITH DETAILED
VERIFIED AND 100% CORRECT
ANSWERS BRAND NEW EXAM
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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
Ref. https://quizlet.com/6202453/hcca-chpc-overview-flash-cards/
More on HIPAA: https://www.hhs.gov/hipaa/index.html
HIPAA resides in which CFR section? - 🧠 ANSWER ✔✔45 CFR sections
164.102 through 164.534
https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-C/part-164
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
,https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-C/part-164
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
• Eligibility for a health plan
• Health care payment and remittance advice
• Health plan premium payments
• First report of injury
• Health claim status
• Referral certification and authorization
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, In addition, business associates of covered entities must follow parts of the
HIPAA regulations.
https://www.hhs.gov/hipaa/for-individuals/guidance-materials-for-
consumers/index.html
This Act established in 1974 was created for government agencies placing
restrictions on how the government can share the information maintained in
Federal systems of records that might infringe on an individual's privacy
rights with other individuals and agencies. - 🧠 ANSWER ✔✔The Privacy
Act of 1974
Which of the following is not considered a HIPAA Entity Designation:
1. Affiliated covered entity
2. Entity that performs healthcare and non-healthcare component activities
including both covered and non-covered functions
3. A group health plan
4. Contract arrangement with FEDEX carrier - 🧠 ANSWER ✔✔4. Contract
arrangement with FEDEX carrier
What is Gramm-Leach-Bliley Act (GLBA)? - 🧠 ANSWER ✔✔Gramm-Leach-
Bliley Act (GLBA), also known as the Financial Services Modernization Act