Which excludes a provider from being considered a covered entity?
A) only files Medicare claims electronically
B) pays a clearinghouse to submit electronic claims on their behalf
C) doesn't send any claims electronically or employ any other firm to do it
D) employs less than 10 full-time employees

Question

Quizplus · Accepted Answer

A covered entity, as defined by the Health Insurance Portability and Accountability Act (HIPAA), includes health plans, healthcare clearinghouses, and healthcare providers who electronically transmit any health information in connection with transactions for which the Department of Health and Human Services has adopted standards. Therefore, a provider who does not send any claims electronically or employ any other firm to do it (option C) would not be considered a covered entity under HIPAA.

Which Excludes a Provider from Being Considered a Covered Entity