HCCA - CHPC Study Questions
(MASTER FLASHCARDS) Exam
Question And Answers 2024
What is the purpose of HIPAA? - correct answers✅•
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? - correct
answers✅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? - correct
answers✅HIPAA - 45 CFR 164, subparts:
Subpart A - General rules
Subpart C - Security
Subpart D - Breach notification
,HCCA - CHPC Study Questions
(MASTER FLASHCARDS) Exam
Question And Answers 2024
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"? - correct answers✅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
,HCCA - CHPC Study Questions
(MASTER FLASHCARDS) Exam
Question And Answers 2024
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. - correct
answers✅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 - correct
answers✅4. Contract arrangement with FEDEX carrier
What is Gramm-Leach-Bliley Act (GLBA)? - correct
answers✅Gramm-Leach-Bliley Act (GLBA), also known
, HCCA - CHPC Study Questions
(MASTER FLASHCARDS) Exam
Question And Answers 2024
as the Financial Services Modernization Act of 1999,
includes The Financial Privacy Rule and The Safeguards
Rule requires all financial institutions to protect
customer's personal financial information.
What is an OHCA? - correct answers✅OHCA (Organized
Health Care Arrangement) it's a clinically integrated care
setting where individuals receive health care from more
than one provider.
These are joint arrangements/activities and have an
Integrated Delivery System for easy exchange of PHI
data. See 45 CFR 160.103. OHCAs can also utilize a joint
NPP. See 45 CFR § 164.520(d).
ACE (Affiliated Covered Entity) do not have an Integrated
Delivery System because these are legally separate
covered entities that are associated in business, or
affiliated as a result of some common control or
ownership.
Both the OHCA and the ACE would allow sharing of PHI
across participating entity lines for treatment, payment,
operations purposes (TPO).
(MASTER FLASHCARDS) Exam
Question And Answers 2024
What is the purpose of HIPAA? - correct answers✅•
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? - correct
answers✅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? - correct
answers✅HIPAA - 45 CFR 164, subparts:
Subpart A - General rules
Subpart C - Security
Subpart D - Breach notification
,HCCA - CHPC Study Questions
(MASTER FLASHCARDS) Exam
Question And Answers 2024
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"? - correct answers✅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
,HCCA - CHPC Study Questions
(MASTER FLASHCARDS) Exam
Question And Answers 2024
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. - correct
answers✅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 - correct
answers✅4. Contract arrangement with FEDEX carrier
What is Gramm-Leach-Bliley Act (GLBA)? - correct
answers✅Gramm-Leach-Bliley Act (GLBA), also known
, HCCA - CHPC Study Questions
(MASTER FLASHCARDS) Exam
Question And Answers 2024
as the Financial Services Modernization Act of 1999,
includes The Financial Privacy Rule and The Safeguards
Rule requires all financial institutions to protect
customer's personal financial information.
What is an OHCA? - correct answers✅OHCA (Organized
Health Care Arrangement) it's a clinically integrated care
setting where individuals receive health care from more
than one provider.
These are joint arrangements/activities and have an
Integrated Delivery System for easy exchange of PHI
data. See 45 CFR 160.103. OHCAs can also utilize a joint
NPP. See 45 CFR § 164.520(d).
ACE (Affiliated Covered Entity) do not have an Integrated
Delivery System because these are legally separate
covered entities that are associated in business, or
affiliated as a result of some common control or
ownership.
Both the OHCA and the ACE would allow sharing of PHI
across participating entity lines for treatment, payment,
operations purposes (TPO).
