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HCCA-CHPC EXAM LATEST ACTUAL EXAM 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES $10.49   Add to cart

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HCCA-CHPC EXAM LATEST ACTUAL EXAM 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES

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HCCA-CHPC EXAM LATEST ACTUAL EXAM 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES HIPAA became law - Answer️️ -1996 What is the purpose of HIPAA? - Answer️️ -• To make health insurance portable under ERISA; • To move health care onto a nationally standardized electronic ...

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  • September 18, 2024
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EmillyCharlotte
TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
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FIRST PUBLISHED: SEPTEMBER 2024

HCCA-CHPC EXAM LATEST ACTUAL EXAM
80 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES

HIPAA became law - Answer✔️✔️-1996


What is the purpose of HIPAA? - Answer✔️✔️-• To make health insurance portable under

ERISA;

• To move health care onto a nationally standardized electronic billing platform; and

• To prevent fraud, waste and abuse

Intent - Answer✔️✔️-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 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 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

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
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),

- determine if the entity electronically transmits one of the nine defined transactions"

What are the different types of CEs - Answer✔️✔️-- Provider

- Health Plan

- Clearing House

- Other Types

How is a Provider defined - Answer✔️✔️-- "a provider of services (as defined in section

1395x (u) of title XIX)

- a provider of medical or other health services (as defined in section 1395x (s) of title

XIX)

- any other person furnishing health care services or supplies.

Does a provider need a standing facility to be considered a CE - Answer✔️✔️-NO

What does "Health Plan" mean? - Answer✔️✔️-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

, TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
-- 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.

• A Medicare supplemental policy

• 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

.

What is a Clearinghouse - Answer✔️✔️-may be a public or private entity that processes

or facilitates the processing of nonstandard data elements of health information into

standard data

elements.

What are other HIPAA Entities - Answer✔️✔️-Hybrid, Business Associate

Organized Health Care Arrangement

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