CPB HIPAA Exam Study Guide with
Complete Solutions
Healthcare Regulations - Answer️️ -These are not always definitive and
may vary by payer, geographic area, and the setting in which patient care
is provided.
Health Insurance Portability and Accountability Act (HIPAA) -
Answer️️ -Prov...
Certified Professional Biller By: American Academy of Professional Coders(AAPC)
CPB HIPAA Exam Study Guide with
Complete Solutions
Healthcare Regulations - Answer✔️✔️-These are not always definitive and
may vary by payer, geographic area, and the setting in which patient care
is provided.
Health Insurance Portability and Accountability Act (HIPAA) -
Answer✔️✔️-Provides rights and protections for participants and
beneficiaries of health plans.
Healthcare Fraud and Abuse Control Program (HCFAC) - Answer✔️✔️-
Established under HIPAA, to combat fraud and abuse in healthcare.
Designed to coordinate federal,state, and local law enforcement. Annual
reports are made by the US Department of Health and Human Services
(HHS) and Department of Justice (DOJ).
Privacy Rule - Answer✔️✔️-A national standard to secure a patient's
protected health information (PHI), which is "individually identifiable
health information".
Covered entities are defined as health plans, healthcare clearinghouses,
and any healthcare provider who transmits health information.
Certified Professional Biller By: American Academy of Professional Coders(AAPC)
A covered entity may not use or disclose PHI unless the Privacy Rule
permits it, or as the individual authorizes it in writing.
Health Information Technology for Economic and Clinical Health
(HITECH) - Answer✔️✔️-Specifies that an organization that provides data
transmission of PHI (protected health information) to a covered entity and
that require access to PHI routinely will be treated as a business associate
that must follow the privacy rule.
De-Identification - Answer✔️✔️-The process of removing identifying
information from data sets in order to assure the anonymity of individuals.
Uses and Disclosures of PHI - Answer✔️✔️-1. Release of records to the
individual who is the subject of the information.
2. By a covered entity for treatment, payment, and healthcare operation
activities.
3. The individual may grant informal permission by being asked outright,
giving them the opportunity to agree or object in circumstances the
individual is not capable of providing his or her signature.
2
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