1|Page
CMOM PRACTICE MANAGEMENT INSTITUTE
EXAM LATEST WITH ACTUAL QUESTIONS AND
CORRECT VERIFIED ANSWERS ALREADY
GRADED A+ 100% GUARANTEED PASS!
HIPPA REGULATION: Privacy Overview - .....ANSWER
...✔✔ There are three major areas addressed in the
Privacy Regulation: 1. Use and disclosure of PHI, 2.
Patient rights 3. Security administrative and physical
Business Associates - .....ANSWER ...✔✔ can be held
directly accountable by federal or state authority for
failure to comply with HIPAA statutory or regulations.
ex. IT techs, Janitors, Cleaning Services, Vendors,
Collection agencies, Consultants and Billing Services.
Entities - .....ANSWER ...✔✔ ex. doctors, hospitals,
pharmacy
Breach - .....ANSWER ...✔✔ unauthorized acquisition
access, use or disclosure of protected health information,
ex. ALGH issue on breach where health info was spread
with no consents from patients.
,2|Page
What is NOT considered a breach? - .....ANSWER
...✔✔ 1. Where an authorized person who received
the health info. cannot reasonably have been able to
retain it.
2. If an unintentional acquisition, access, or use occurs
within the scope of employ. and info doesn't go any
further.
3. If it is an inadvertent disclosure that occurs within a
facility, and the information does not go any further.
Tiered Increase in Civil Monetary Penalties -
.....ANSWER ...✔✔ HIPPA violation at $50,000 per
violation and an annual maximum of $1.5million.
What are examples that could not result in HIPPA
violation by DHHS? - .....ANSWER ...✔✔ -Overheard
phone or nursing station conversation
-Joint treatment areas
-Sign-in sheets
-Calling names in reception areas
-Hospital rounds
Solutions would be to speak quietly, cubicles, curtains,
dividers, asking patients to step back, or closing doors.
,3|Page
Health Information (PHI) - .....ANSWER ...✔✔ Any
info. whether oral or recorded in any form or medium
that is created or received by a health care provider,
health, plan public health authority, employer, life
insurer, school or university, or health care clearinghouse,
and related to the past, present or future physical or
mental health or condition.
Individual Identifiable Health Information (IIHI) -
.....ANSWER ...✔✔ Information that is a subset of
health information, including demographic, information
collected from an individual.
Identifiers - .....ANSWER ...✔✔ -Email address
-Social Security number
-Medical record number
-Vehicle identifier
-Full face photograph
The Notice of Privacy Practices should be... -
.....ANSWER ...✔✔ In a written language, tape, or
video that the patient understands, be clearly posted in
the practice or facility, and if applicable, on the
practice website.
, 4|Page
Fraud - .....ANSWER ...✔✔ the intentional deception
or misrepresentation that an individual knows to be false
or does not believe to be true and makes, knowingly
that the deception could result in some unauthorized
benefit to himself/herself or some other person.
ex. Billing for services that were not furnished and or
supplies that were not provided
-Billing for services as if performed by a particular
entity when they were, in fact, performed by another
entity not eligible to be paid by Medicare
-Using in incorrect or inappropriate provider number ni
order to be paid (using a deceased provider number to
defraud Medicare).
Abuse - .....ANSWER ...✔✔ describes practices that
either directly or indirectly result in unnecessary costs to
the Medicare Program. Acts committed knowingly,
willfully and intentionally.
ex. Charging in excess for services or supplies
Providing medical unnecessary services
Whistleblower - .....ANSWER ...✔✔ or the "qui tam"
provision as it is formally called allows a person that has
knowledge of a false claim against the government to
CMOM PRACTICE MANAGEMENT INSTITUTE
EXAM LATEST WITH ACTUAL QUESTIONS AND
CORRECT VERIFIED ANSWERS ALREADY
GRADED A+ 100% GUARANTEED PASS!
HIPPA REGULATION: Privacy Overview - .....ANSWER
...✔✔ There are three major areas addressed in the
Privacy Regulation: 1. Use and disclosure of PHI, 2.
Patient rights 3. Security administrative and physical
Business Associates - .....ANSWER ...✔✔ can be held
directly accountable by federal or state authority for
failure to comply with HIPAA statutory or regulations.
ex. IT techs, Janitors, Cleaning Services, Vendors,
Collection agencies, Consultants and Billing Services.
Entities - .....ANSWER ...✔✔ ex. doctors, hospitals,
pharmacy
Breach - .....ANSWER ...✔✔ unauthorized acquisition
access, use or disclosure of protected health information,
ex. ALGH issue on breach where health info was spread
with no consents from patients.
,2|Page
What is NOT considered a breach? - .....ANSWER
...✔✔ 1. Where an authorized person who received
the health info. cannot reasonably have been able to
retain it.
2. If an unintentional acquisition, access, or use occurs
within the scope of employ. and info doesn't go any
further.
3. If it is an inadvertent disclosure that occurs within a
facility, and the information does not go any further.
Tiered Increase in Civil Monetary Penalties -
.....ANSWER ...✔✔ HIPPA violation at $50,000 per
violation and an annual maximum of $1.5million.
What are examples that could not result in HIPPA
violation by DHHS? - .....ANSWER ...✔✔ -Overheard
phone or nursing station conversation
-Joint treatment areas
-Sign-in sheets
-Calling names in reception areas
-Hospital rounds
Solutions would be to speak quietly, cubicles, curtains,
dividers, asking patients to step back, or closing doors.
,3|Page
Health Information (PHI) - .....ANSWER ...✔✔ Any
info. whether oral or recorded in any form or medium
that is created or received by a health care provider,
health, plan public health authority, employer, life
insurer, school or university, or health care clearinghouse,
and related to the past, present or future physical or
mental health or condition.
Individual Identifiable Health Information (IIHI) -
.....ANSWER ...✔✔ Information that is a subset of
health information, including demographic, information
collected from an individual.
Identifiers - .....ANSWER ...✔✔ -Email address
-Social Security number
-Medical record number
-Vehicle identifier
-Full face photograph
The Notice of Privacy Practices should be... -
.....ANSWER ...✔✔ In a written language, tape, or
video that the patient understands, be clearly posted in
the practice or facility, and if applicable, on the
practice website.
, 4|Page
Fraud - .....ANSWER ...✔✔ the intentional deception
or misrepresentation that an individual knows to be false
or does not believe to be true and makes, knowingly
that the deception could result in some unauthorized
benefit to himself/herself or some other person.
ex. Billing for services that were not furnished and or
supplies that were not provided
-Billing for services as if performed by a particular
entity when they were, in fact, performed by another
entity not eligible to be paid by Medicare
-Using in incorrect or inappropriate provider number ni
order to be paid (using a deceased provider number to
defraud Medicare).
Abuse - .....ANSWER ...✔✔ describes practices that
either directly or indirectly result in unnecessary costs to
the Medicare Program. Acts committed knowingly,
willfully and intentionally.
ex. Charging in excess for services or supplies
Providing medical unnecessary services
Whistleblower - .....ANSWER ...✔✔ or the "qui tam"
provision as it is formally called allows a person that has
knowledge of a false claim against the government to
