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CPSS Test- Ophthalmology Updated 2024/2025 Verified 100%
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HIPAA stands for a. Health Information Portability and Accountability Act b. Health Insurance Portability and Accountability Act c. Health Insurance Protection and Activity Act d. Home Information Protection and Accountability Act. - b. Health Insurance Portability and Accountability Act One ...

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  • September 2, 2024
  • 59
  • 2024/2025
  • Exam (elaborations)
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CPSS Test- Ophthalmology
HIPAA stands for

a. Health Information Portability and Accountability Act

b. Health Insurance Portability and Accountability Act

c. Health Insurance Protection and Activity Act

d. Home Information Protection and Accountability Act. - b. Health Insurance Portability and
Accountability Act



One primary change included in the HIPAA Omnibus Final Rule of 2013 requires a business associate of
the covered entity (physician practice) to sign a Business Associate Agreement with:

a. Subcontractors of professional associations

b. Subcontractors of business associates

c. Subcontractors of optometrists

d. Subcontractors of affiliated hospitals - b. Subcontractors of business associates



T/F. According to the regulations contained in the Omnibus Final Rule of 2013, a patient has the right to
receive a copy of his or her medical record in an electronic format if the associated provider utilizes
electronic health records. - True



Covered entities under HIPAA include:

a. Lawyers

b. Health care providers

c. Health care facilities

d. Librarians

e. a and d.

f. b and c. - b and c.

Health care providers and Health care facilities



Protected Health Information (PHI) includes:

,a. Demographic information on individuals

b. Insurance eligibility and coverage information

c. Billing records, claims data, referral authorizations

d. Medical records, diagnosis, genetic information, and testing

e. c and d

f. All of the above. - f. All of the above.



T/F. Entities covered under HIPAA are required to develop a Notice of Privacy Practices (NPP) and must
make these available to individuals accessing services through the entity. - True



Which of the following disclosures require signed permission from the individual whose PHI is being
requested?

a. Referrals to physicians

b. Consultations between physicians treating individuals

c. Information requested by an attorney without a subpoena

d. Information requested by insurance companies for payment purposes. - c. Information
requested by an attorney without a subpoena



T/F. Patient names on a sign-in form are considered an intentional breach of PHI. - False;
incidental breach



T/F. Under the HITECH Act, the Breach Notification Act does NOT require notification to HHS of the
intentional or unintentional disclosure of PHI to unapproved entities on an annual basis unless the
breach has affected more than 500 individuals. - False



Notice of Privacy Practices (NPP) must be updated in 2013 to include which of the following?

a. Names of the owners of the covered entity

b. Names of companies that have access to PHI

c. Patient's right to restrict disclosures of PHI to a health plan when the patient pays out of pocket and in
full for the health care item or service.

,d. Profitability of the covered entity. - c. Patient's right to restrict disclosures of PHI to a health
plan when the patient pays out of pocket and in full for the health care item or service.



If an individual or staff member has a complaint regarding the use of PHI, the individual must speak with
the facility's:

a. Manager

b. Owner

c. Maintenance coordinator

d. Privacy Officer

e. Chief Physician - d. Privacy officer.



Which of the following is NOT an administrative safeguard requirement?

a. Designating a privacy officer

b. Developing a cost analysis of HIPAA requirements.

c. Obtaining HIPAA-compliant business associate agreements for subcontractors

d. Establishing procedures to prevent terminated employees from obtaining access to confidential
information after termination - b. Developing a cost analysis of HIPAA requirements.



Physical safeguards do NOT include which of the following?

a. Posting PHI on a white board in the facility

b. Storage of PHI in a secure place

c. Shredding of PHI

d. Use of surge-protectors - a. Posting PHI on a white board in the facility



Technical safeguards include which of the following?

a. Encryption of data

b. Computer system log-ins and passwords

c. Anti-virus software and firewalls

d. Information technology (IT) certification review

, e. All of the above - e. All of the above



"Safe" computing includes which of the following?

a. Sharing passwords with other staff members

b. Remaining "logged on" always, to save time

c. Using email and the internet ONLY as allowed by practice protocols

d. Installing personal software on the computer - c. Using email and the internet ONLY as allowed
by practice protocols



T/F. Most elective care focused practices answer the telephone within one or two rings. - True



T/F. It is not necessary to give your name if you have already said the practice name in the greeting. -
False



When a caller inquires about a procedure the receptionist should:

a. Just confirm that they offer the procedure by saying, "Yes we do."

b. Try to engage callers by asking if they have had any similar procedure before.

c. Put callers on hold until they have time to talk.

d. Tell the caller to call back later when we aren't so busy. - b. Try to engage callers by asking if
they have had any similar procedure before.



What percentage of consultants would book appointments with practice they mystery shopped?

a. 10%

b. 28%

c. 57%

d. 91% - c. 57%



T/F. When a caller asks a practice whether it performs a particular procedure, and the receptionist simply
says, "Yes, we do," the next question will likely be, "How much is it?" - True

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