CDEO Chapter 2; Questions & Answers
HIPPA Correct Answer-Health Information Portability and Accountability Act
Enacted to ensure to provide rights and protections for participants and
beneficiaries in group health plans.
Also mandates uniform standards for electronic data transmission of
adm...
Billing Services
Repricing Companies
Community Health Management Information Systems
Entities that process non standard health information they receive from another
entity into a standard or vice versa
Healthcare Clearinghouse Correct Answer-Are entities that process non-
standard health information they receive from from another entitiy into a
standard or vice versa
Billing Services
, CDEO Chapter 2; Questions & Answers
Repricing Companies
Community Health Management Information Systems
Value Added Networks & Switches
Must perform the clearing house function on health information received from
some other entity.
Health Plans Correct Answer-Include health insurance companies:
HMO's
Company Health Plans
Government Programs that pay for healthcare, such as Medicare, Medicaid, and
the Military and Veteran's Healthcare program
Employer programs with fewer than 50 participants and which are self
administered are not covered.
Worker's compensation and liability insurances are to covered by HIPPA.
Business Associate Correct Answer-Is covered under HIPPA
A person who performs function or activity on behalf of, or provides services to,
a Covered Entity that involves individually identifiable health information.
Business Associate Agreement Correct Answer-Permitted Users And
Disclosures
Requirement to use appropriate safe guards
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