Exam (elaborations)
HCCA - CHPC STUDY QUESTIONS (MASTER FLASHCARDS) QUESTIONS AND ANSWERS
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HCCA - CHPC STUDY QUESTIONS (MASTER FLASHCARDS) QUESTIONS AND ANSWERS
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HCCA - CHPC OVERVIEW QUESTIONSAND ANSWERS
HIPAAmbecamemlawm-m1996
WhatmismthempurposemofmHIPAA?m-m•mTommakemhealthminsurancemportablemundermERISA;m
•mTommovemhealthmcaremontomamnationallymstandardizedmelectronicmbillingmplatform;mandm
•mTompreventmfraud,mwastemandmabuse
Intentm-
mpurposemofmthismsubtitlemtomimprovemthemMedicaremprogrammundermtitlemXVIIImofmthemSocia
lmSecuritymAct,mthemMedicaidmprogrammundermtitlemXIXmofmsuchmAct,mandmthemefficiencyman
dmeffectivenessmofmthemhealthmcaremsystem,mbymencouragingmthemdevelopmentmofmamhealt
hminformationmsystemmthroughmthemestablishmentmofmstandardsmandmrequirementsmformthe
melectronicmtransmissionmofmcertainmhealthminformation.
HIPAAmresidesminmwhatmCFRmsectionm-m45mCFRmsectionsm164.102mthroughm164.534
IdentifymthemfourmsectionsminmthemCFRmbymlocationmandmtopicm-mSectionmOne:m164.102m-
m164.318mandm164.530m-m164-534mOrganizational mRequirements
SectionmTwo:m164.500m-m164.514mUsemandmDisclosuremofmInformation
SectionmThree:m164.520m-m164.528mIndividual'smRightsmandmPenaltiesm
SectionmFour:mInteractionmwithmthemHIPAAmSecuritymRule
HowmdomyoumdeterminemifmorganizationmismamCEm-m-
mcomparemthemfunctionsmofmthementitymtomthemthreemprincipalmtypesmofm"coveredmentities"m(
CE),
-mdeterminemifmthementitymelectronicallymtransmitsmonemofmthemninemdefinedmtransactions"
WhatmaremthemdifferentmtypesmofmCEsm-m-mProvider
-mHealthmPlan
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-mOthermTypes
, HowmismamProvidermdefinedm-m-
m"amprovidermofmservicesm(asmdefinedminmsectionm1395xm(u)mofmtitlemXIX)
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XIX)
-manymothermpersonmfurnishingmhealthmcaremservicesmormsupplies.
DoesmamprovidermneedmamstandingmfacilitymtombemconsideredmamCEm-mNO
Whatmdoesm"HealthmPlan"mmean?m-
mAnmindividualmormgroupmplanmthatmprovides,mormpaysmthemcostmof,mmedicalmcare
•mAmgroupmhealthmplan,mbutmonlymifmthemplan:
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m--
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hemplan.
•mAmhealthminsurancemissuer
•mAmhealthmmaintenancemorganization
•mThemMedicaidmprogrammundermtitlemXIX.
•mAmMedicaremsupplementalmpolicym
•mAmlong-termmcarempolicy,mincludingmamnursing
homemfixedmindemnitympolicym
•mAnmemployeemwelfarembenefitmplanmprovidingmhealthmbenefitsmtomthememployeesmofm2morm
morememployers.
•mThemhealthmcaremprogrammformactivemmilitary
•mThemveteran'smhealthmcaremprogramm.
•mThemCivilianmHealthmandmMedicalmProgram
•mThemIndianmHealthmServicemProgram
•mThemFederalmEmployeesmHealthmBenefitmPlan
.
WhatmismamClearinghousem-mmaymbemampublicmormprivatementitymthatmprocesses
ormfacilitatesmthemprocessingmofmnonstandardmdatamelementsmofmhealthminformationmintomst
andardmdata
elements.
WhatmaremothermHIPAAmEntitiesm-mHybrid,mBusinessmAssociate
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AffiliatedmCoveredmEntity
WhatmismamHybridmEntity?m-msinglemlegalmentity,mwhere
onlymsomemofmitsmdivisionsmormprogramsmmeetmthe
CEmdefinitionsmandmismtypicalmofmlargementities
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