11/24/24, 4:37 PM HCCA CHPC EXAM 2024 NEWEST EXAM COMPLETE 400 QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORR…
HCCA CHPC EXAM 2024 NEWEST EXAM
COMPLETE 400 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS)
/ALREADY GRADED A+
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Terms in this set (87)
HIPAA became law 1996
• To make health insurance portable under ERISA;
What is the purpose of • To move health care onto a nationally standardized
HIPAA? electronic billing platform; and
• To prevent fraud, waste and abuse
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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
Intent
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 45 CFR sections 164.102 through 164.534
section
Section One: 164.102 - 164.318 and 164.530 - 164-534
Organizational Requirements
Section Two: 164.500 - 164.514 Use and Disclosure of
Identify the four sections
Information
in the CFR by location and
topic
Section Three: 164.520 - 164.528 Individual's Rights
and Penalties
Section Four: Interaction with the HIPAA Security Rule
- compare the functions of the entity to the three
How do you determine if principal types of "covered entities" (CE),
organization is a CE - determine if the entity electronically transmits one of
the nine defined transactions"
- Provider
What are the different - Health Plan
types of CEs - Clearing House
- Other Types
- "a provider of services (as defined in section 1395x
(u) of title XIX)
- a provider of medical or other health services (as
How is a Provider defined
defined in section 1395x (s) of title XIX)
- any other person furnishing health care services or
supplies.
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Does a provider need a NO
standing facility to be
considered a CE
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.
What does "Health Plan"
• A Medicare supplemental policy
mean?
• 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
.
may be a public or private entity that processes
or facilitates the processing of nonstandard data
What is a Clearinghouse
elements of health information into standard data
elements.
Hybrid, Business Associate
What are other HIPAA
Organized Health Care Arrangement
Entities
Affiliated Covered Entity
single legal entity, where
What is a Hybrid Entity? only some of its divisions or programs meet the
CE definitions and is typical of large entities
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HCCA CHPC EXAM 2024 NEWEST EXAM
COMPLETE 400 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS)
/ALREADY GRADED A+
Practice questions for this set
Learn
Studied 7 terms
Nice work, you're crushing it
Continue studying in Learn
Terms in this set (87)
HIPAA became law 1996
• To make health insurance portable under ERISA;
What is the purpose of • To move health care onto a nationally standardized
HIPAA? electronic billing platform; and
• To prevent fraud, waste and abuse
https://quizlet.com/975685061/hcca-chpc-exam-2024-newest-exam-complete-400-questions-with-detailed-verified-answers-100-correct-answers-alre… 1/17
,11/24/24, 4:37 PM HCCA CHPC EXAM 2024 NEWEST EXAM COMPLETE 400 QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORR…
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
Intent
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 45 CFR sections 164.102 through 164.534
section
Section One: 164.102 - 164.318 and 164.530 - 164-534
Organizational Requirements
Section Two: 164.500 - 164.514 Use and Disclosure of
Identify the four sections
Information
in the CFR by location and
topic
Section Three: 164.520 - 164.528 Individual's Rights
and Penalties
Section Four: Interaction with the HIPAA Security Rule
- compare the functions of the entity to the three
How do you determine if principal types of "covered entities" (CE),
organization is a CE - determine if the entity electronically transmits one of
the nine defined transactions"
- Provider
What are the different - Health Plan
types of CEs - Clearing House
- Other Types
- "a provider of services (as defined in section 1395x
(u) of title XIX)
- a provider of medical or other health services (as
How is a Provider defined
defined in section 1395x (s) of title XIX)
- any other person furnishing health care services or
supplies.
https://quizlet.com/975685061/hcca-chpc-exam-2024-newest-exam-complete-400-questions-with-detailed-verified-answers-100-correct-answers-alre… 2/17
, 11/24/24, 4:37 PM HCCA CHPC EXAM 2024 NEWEST EXAM COMPLETE 400 QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORR…
Does a provider need a NO
standing facility to be
considered a CE
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.
What does "Health Plan"
• A Medicare supplemental policy
mean?
• 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
.
may be a public or private entity that processes
or facilitates the processing of nonstandard data
What is a Clearinghouse
elements of health information into standard data
elements.
Hybrid, Business Associate
What are other HIPAA
Organized Health Care Arrangement
Entities
Affiliated Covered Entity
single legal entity, where
What is a Hybrid Entity? only some of its divisions or programs meet the
CE definitions and is typical of large entities
https://quizlet.com/975685061/hcca-chpc-exam-2024-newest-exam-complete-400-questions-with-detailed-verified-answers-100-correct-answers-alre… 3/17
