HIPAA & COMPLIANCE CHAPTER #2
EXAM QUESTIONS AND ANSWERS
What is a covered entity? - Answer-an entity that transmit health information in
electronic form in connection with a transaction covered by the HIPAA
What is a security officer? - Answer-a person who protects the computer and
networking systems within the practice and implement protocols.
What is a state preemption? - Answer-a complex technical issue not within the scope of
the health care provider's role; refers to instances when state law takes precedence
over federal law.
What is a privacy officer? - Answer-an individual designated to help the provider remain
in compliance by setting policies and procedures and by training and managing the staff
regarding HIPAA and patient rights.
Privacy - Answer-the condition of being secluded from the presence or view of others.
Confidentiality - Answer-the state of treating privately or secretly, and not disclosing to
other individuals or for public knowledge.
Disclosure - Answer-the release, transfer, provision of access to, or divulging in any
other manner of information outside the entity holding the information.
Consent - Answer-a document that is required before physicians use or disclose PHI for
treatment, payment or routine health care operations of the patient.
2 rules in HIPAA - Answer-Privacy & Security
2 privileges in confidentiality - Answer-Privileged & Non-Privileged
What is fraud? - Answer-Knowingly, willingly, and intentionally submit false information
What is an abuse? - Answer-Inconsistent with accepted medical business or fiscal
practices
What is a federal false claims act? - Answer-Qui Tam provision
What is a Stark I & II - Answer-Stark Law is a set of United States Federal laws that
prohibit physician self-referral
What is an Anti-back? - Answer-Is a criminal statute that prohibits the exchange of
anything of value, in an effort to induce the referral
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