Question 1

A business associate must agree to:

Accepted Answer

A business associate must report any security incidents to the covered entity as part of their obligations under HIPAA.

Question 2

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

Accepted Answer

Claims Management is considered a "Payment" activity under HIPAA as it involves activities related to obtaining reimbursement for the provision of healthcare.

Question 3

Individually identifiable health information (IIHI) includes information that is:

Accepted Answer

Individually identifiable health information (IIHI) is any information, including demographic data, that relates to the individual's health, healthcare, or payment for healthcare, and can identify the individual. A health care clearinghouse processes or facilitates the processing of health information, making option D correct.

Question 4

Select the correct statement regarding the administrative requirements of the HIPAA privacy rule

Accepted Answer

The answer of Select the correct statement regarding the administrative...

Question 5

Which one of the following is a required implementation specification of the Security Management Process?

Accepted Answer

Risk Analysis is a required implementation specification under the Security Management Process according to the HIPAA Security Rule.

Question 6

The Security Rule requires that the covered entity identifies a security official who is responsible for the development and implementation of the policies and procedures. This is addressed under which security standard?

Accepted Answer

The Assigned Security Responsibility standard requires that a covered entity designates a security official who is responsible for the development and implementation of security policies and procedures.

Question 7

The Health Care Claim Status Response (277) can be used in a number of ways. Select the correct usage.

Accepted Answer

The Health Care Claim Status Response (277) is specifically used as a response to a health care claim status request, providing information about the status of a claim.

Question 8

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

Accepted Answer

The HIPAA Privacy Rule violations can lead to fines up to $50,000 per violation, especially if there is wrongful disclosure of Protected Health Information (PHI).

Question 9

Select the correct statement regarding the responsibilities of providers and payers under HIPAA's privacy rule.

Accepted Answer

Under HIPAA's privacy rule, providers and payers are required to develop methods for disclosing only the minimum necessary amount of protected health information (PHI) to accomplish the intended purpose. This is known as the "minimum necessary" standard.

Question 10

Within the context of a transaction set, the fields that comprise a hierarchical level are referred to as a(n):

Accepted Answer

A loop is a hierarchical level within a transaction set.

Question 11

Information in this transaction is generated by the payer's adjudication system:

Accepted Answer

The Remittance Advice (835) is generated by the payer's adjudication system to provide details about the payment of claims, including any adjustments made during the adjudication process.

Question 12

This code set describes drugs:

Accepted Answer

The National Drug Code (NDC) is a unique identifier for medications intended for human use, describing drugs.

Question 13

The code set that must be used to describe or identify dentist's services and procedures is:

Accepted Answer

CDT (Current Dental Terminology) is the code set specifically designed for describing and identifying dental services and procedures.

Question 14

Select the FALSE statement regarding the responsibilities of providers with direct treatment relationships under HIPAA's privacy rule.

Accepted Answer

Providers are not required to obtain a written authorization for each and every Treatment, Payment, and Healthcare Operations (TPO) event. Authorization is only needed for uses and disclosures not related to TPO.

Question 15

Health information is protected by the Privacy Rule as long as:

Accepted Answer

The Privacy Rule protects health information that is held or transmitted by a covered entity, such as healthcare providers, health plans, and healthcare clearinghouses.

Question 16

Which one of the following security standards is part of Technical Safeguards?

Accepted Answer

Access control is part of Technical Safeguards, which are designed to protect electronic health information and manage who has access to it.

Question 17

The key objective of a contingency plan is that the entity must establish and implement policies and procedures to ensure The:

Accepted Answer

The key objective of a contingency plan is to ensure the integrity of health information during and after an emergency, meaning the information remains accurate, complete, and reliable.

Question 18

A business associate:

Accepted Answer

A business associate is defined as a person or entity that performs functions or activities on behalf of a covered entity involving the use or disclosure of protected health information.

Question 19

A doctor sends patient records to another company for data entry services. A bonded delivery service is used for the transfer. The records are returned to the doctor after entry is complete, using the same delivery service. The entry facility and the network they use are secure. The doctor is named as his own Privacy Officer in written policies. The doctor has written procedures for this process and all involved parties are documented as having been trained in them The doctor does not have written authorizations to disclose Protected Health Information (PHI). Is the doctor in violation of the Privacy Rule?

Accepted Answer

The doctor is not in violation because the disclosure to a business associate for data entry services is allowed under HIPAA without patient authorization, provided there is a business associate agreement in place.

Question 20

The office manager of a small doctor's office wants to donate several of their older workstations to the local elementary school. Which Security Rule Standard addresses this situation?

Accepted Answer

The Device and Media Controls standard addresses the disposal and reuse of hardware and electronic media, ensuring that sensitive information is properly removed before donating or discarding devices.

Exam 1: Certified HIPAA Professional (CHP)