HCCA CHPC CERTIFICATION EVALUATION
2026 LATEST ACTUAL QUESTIONS AND
ACCURATE ANSWERS GRADED A+
⩥HIPAA resides in what CFR section. Answer: 45 CFR sections
164.102 through 164.534
⩥Identify the four sections in the CFR by location and topic. 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. Answer: compare the
functions of the entity to the three principal types of "covered entities"
(CE)
⩥What are the different types of CEs. Answer: - Provider
- Health Plan
,- Clearing House
- Other Types
⩥How is a Provider defined. Answer: Supports medical or health
services such as SNFs, home health, hospitals, physician clinics, etc that
transmit in electronic form
⩥Does a provider need a standing facility to be considered a CE.
Answer: No, a provider does not need a standing facility to be
considered a CE
⩥What is a Health Plan. Answer: (1) A healthcare organization that
provides or pays the cost of medical care
(2) Includes Medicaid, Medicare, and self funded plans
⩥What is a Clearinghouse. Answer: (1) processes health information
from a nonstandard data elements of health information into standard
data
elements
(2) includes billing services, health information systems, etc
(3) does NOT include Third Party Administrations ( TPAs)
⩥What are the three Organizational Arrangements. Answer: Organized
Health Care Arrangement (OHCA)
,Affiliated Covered Entities (ACE)
Hybrid Covered Entity (HCE)
⩥What is a Hybrid Covered Entity (HCE). Answer: single covered
entity with non-health care components
⩥What is an Organized Health Care Arrangement (OHCA)?. Answer:
clinically integrated care setting where individuals receive health care
from more than one covered entity
⩥What is an Affiliated Covered Entity (ACE)?. Answer: (1) legally
separate covered entities that share common control or common
ownership
(2) choose to designate themselves as one affiliated CE for the purposes
of complying with the HIPAA Privacy standard
⩥What must a Affiliated Entity agree to?. Answer: Be treated as a single
CE. Must agree to follow a standard policy and procedure
⩥What is a Business Associate?. Answer: (1) Separate entity working on
behalf of the CE providing Treatment, Payment, and Healthcare
Operations (TPO) and/or associated activities requiring access and/or
will create, receive, maintain, and/or transmit PHI
(2) Must have a business associate agreement
, ⩥Who is allowed to access PHI?. Answer: (1) Workforce: employees,
volunteers, trainees, and others under control of the CE
(2) Business Associates: Separate entity working on behalf of the CE
providing Treatment, Payment, and Healthcare Operations (TPO) and/or
associated activities requiring access and/or use of PHI
⩥What is an example of a BA?. Answer: claims processing
data analysis
billing
benefit management
quality assurance
quality improvement
practice management
legal
actuarial
accounting
accreditation
other administrative services
⩥What has been the main complaint with holding a BA accountable
under the 2000 Privacy Rule?. Answer: - lack of penalties for non-
compliance
- federal penalties could only be levied against the CE
2026 LATEST ACTUAL QUESTIONS AND
ACCURATE ANSWERS GRADED A+
⩥HIPAA resides in what CFR section. Answer: 45 CFR sections
164.102 through 164.534
⩥Identify the four sections in the CFR by location and topic. 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. Answer: compare the
functions of the entity to the three principal types of "covered entities"
(CE)
⩥What are the different types of CEs. Answer: - Provider
- Health Plan
,- Clearing House
- Other Types
⩥How is a Provider defined. Answer: Supports medical or health
services such as SNFs, home health, hospitals, physician clinics, etc that
transmit in electronic form
⩥Does a provider need a standing facility to be considered a CE.
Answer: No, a provider does not need a standing facility to be
considered a CE
⩥What is a Health Plan. Answer: (1) A healthcare organization that
provides or pays the cost of medical care
(2) Includes Medicaid, Medicare, and self funded plans
⩥What is a Clearinghouse. Answer: (1) processes health information
from a nonstandard data elements of health information into standard
data
elements
(2) includes billing services, health information systems, etc
(3) does NOT include Third Party Administrations ( TPAs)
⩥What are the three Organizational Arrangements. Answer: Organized
Health Care Arrangement (OHCA)
,Affiliated Covered Entities (ACE)
Hybrid Covered Entity (HCE)
⩥What is a Hybrid Covered Entity (HCE). Answer: single covered
entity with non-health care components
⩥What is an Organized Health Care Arrangement (OHCA)?. Answer:
clinically integrated care setting where individuals receive health care
from more than one covered entity
⩥What is an Affiliated Covered Entity (ACE)?. Answer: (1) legally
separate covered entities that share common control or common
ownership
(2) choose to designate themselves as one affiliated CE for the purposes
of complying with the HIPAA Privacy standard
⩥What must a Affiliated Entity agree to?. Answer: Be treated as a single
CE. Must agree to follow a standard policy and procedure
⩥What is a Business Associate?. Answer: (1) Separate entity working on
behalf of the CE providing Treatment, Payment, and Healthcare
Operations (TPO) and/or associated activities requiring access and/or
will create, receive, maintain, and/or transmit PHI
(2) Must have a business associate agreement
, ⩥Who is allowed to access PHI?. Answer: (1) Workforce: employees,
volunteers, trainees, and others under control of the CE
(2) Business Associates: Separate entity working on behalf of the CE
providing Treatment, Payment, and Healthcare Operations (TPO) and/or
associated activities requiring access and/or use of PHI
⩥What is an example of a BA?. Answer: claims processing
data analysis
billing
benefit management
quality assurance
quality improvement
practice management
legal
actuarial
accounting
accreditation
other administrative services
⩥What has been the main complaint with holding a BA accountable
under the 2000 Privacy Rule?. Answer: - lack of penalties for non-
compliance
- federal penalties could only be levied against the CE
