Question 1

Select the correct statement regarding the definition of the term "disclosure" as used in the HIPAA regulations.

Accepted Answer

"Disclosure" in HIPAA refers to the release, transfer, or divulging of Individually Identifiable Health Information (IIHI) to another covered entity or outside the entity.

Question 2

Select the best statement regarding organized health care arrangements (OHCA).

Accepted Answer

An OHCA involves multiple providers delivering care in a clinically integrated setting, such as hospitals or networks of providers working together.

Question 3

ANSI X12 specifies the use of a (an):

Accepted Answer

ANSI X12 specifies the use of an envelope structure for transactions, which is a standardized format for electronic data interchange (EDI) to ensure data is properly organized and transmitted.

Question 4

Policies requiring workforce members to constantly run an updated anti-virus program on their workstation might satisfy which implementation specification?

Accepted Answer

Running an updated anti-virus program is a measure to protect systems from malicious software, aligning with the "Protection from Malicious Software" implementation specification.

Question 5

Dr. Jones, a practicing dentist, has decided to directly implement an EDI solution to comply with the HIPAA transaction rule. Dr. Jones employs a small staff of 4 persons for whom he has sponsored a health care plan. Dr. Jones has revenues of less than $1 million. Select the code set that Dr. Jones should consider supporting for his EDI system.

Accepted Answer

The answer of Dr. Jones, a practicing dentist, has decided...

Question 6

Which of the following is example of "Payment" as defined in the HIPAA regulations?

Accepted Answer

The answer of Which of the following is example of...

Question 7

The State of Nebraska's Medicaid Program has decided to implement an EDI solution to comply with the HIPAA transaction rule. Select the transaction or code set that would not apply to them.

Accepted Answer

The U8-92 code set is not a recognized HIPAA transaction or code set. The other options are standard transactions or code sets used in healthcare EDI under HIPAA.

Question 8

When submitting a Health Care Claim Status Request, it is important to provide the proper tracking information to exactly identify the previously submitted claim Select the information that would be most important to the claim inquiry/ process.

Accepted Answer

The answer of When submitting a Health Care Claim Status...

Question 9

The National Provider Identifier (NPI) will eventually replace the:

Accepted Answer

The NPI will eventually replace the Unique Physician Identification Number (UPIN).

Question 10

Select the best statement regarding the definition of protected health information (PHI).

Accepted Answer

Protected Health Information (PHI) includes all individually identifiable health information (IIHI) that is transmitted or maintained in any form or medium, including electronic, paper, or oral.

Question 11

A covered entity that fails to implement the HIPAA Privacy Rule would risk:

Accepted Answer

A covered entity that wrongfully discloses Protected Health Information (PHI) under the HIPAA Privacy Rule can face fines of up to $50,000 per violation.

Question 12

Select the FALSE statement regarding the X12N Implementation Guides.

Accepted Answer

The X12N Implementation Guides are not merely instructive; they must be followed strictly as they are adopted as standards for HIPAA transactions.

Question 13

Select the FALSE statement regarding health-related communications and marketing in The I-IIPAA regulations:

Accepted Answer

A promotional gift of nominal value provided by the covered entity is allowed by the regulations without an authorization.

Question 14

This is a documented and routinely updated plan to create and maintain, for a specific period of time, retrievable copies of information:

Accepted Answer

A Data Backup Plan is specifically designed to create and maintain retrievable copies of information for a certain period, ensuring data can be restored in case of loss or damage.

Question 15

A grouping of functional groups, delimited by a header/trailer pair, is called a:

Accepted Answer

The answer of A grouping of functional groups, delimited by...

Exam 1: Certified HIPAA Professional (CHP)