HIPAA Exam Questions with 100% Correct Solutions

HIPAA Exam Questions with 100%
Correct Solutions

AOD - ANSWER-ACCOUNTING AND DISCLOSURE

CE - ANSWER-COVERED ENTITY: transmits health information in electronic form in
connection with a transaction covered by HIPAA. The covered entity may be (1) a
health insurance carrier (2) a health care clearinghouse through which claims are
submitted (3) a health care provider such as the primary care physician

CMS - ANSWER-CENTERS FOR MEDICARE AND MEDICAID: previously known as
the Health Care Financing Administration (HCFA) enforces the insurance portability and
transaction and code set requirements of HIPAA

DIRECTORY - ANSWER-DAILY LIST OF PATIENTS THAT ARE IN THE HOSPITAL

ePHI - ANSWER-ELECTRONIC PROTECTED HEALTH INFORMATION

Breach of Confidential Communication - ANSWER-Unauthorized release of information
is called breach of confidential communication and is also considered an HIPAA
violation.

Confidentiality between physician and patient is automatically waived in the following
situations - ANSWER-1. When a patient is a member of a managed care organization

Confidentiality between physician and patient is automatically waived in the following
situations - ANSWER-2. When patients have certain communicable diseases that are
highly contagious or infectious

Confidentiality between physician and patient is automatically waived in the following
situations - ANSWER-3. When a medical device breaks or malfunctions, the Food and
Drug Administration requires providers to report certain information

Confidentiality between physician and patient is automatically waived in the following
situations - ANSWER-4. When a patient is suspect in a criminal investigation or to assist
in locating a missing person, material witness, or suspect, police have the right to
request certain information

Confidentiality between physician and patient is automatically waived in the following
situations - ANSWER-5. When the patient's records are subpoenaed or there is a
search warrant

, Confidentiality between physician and patient is automatically waived in the following
situations - ANSWER-6. When the patient is suing someone, such as an employer

Confidentiality between physician and patient is automatically waived in the following
situations - ANSWER-7. When there is a suspicious death or suspected crime victim,
providers must report cases

Confidentiality between physician and patient is automatically waived in the following
situations - ANSWER-8. When the physician examines a patient at the request of a third
party

Confidentiality between physician and patient is automatically waived in the following
situations - ANSWER-9. Good of society

Confidentiality between physician and patient is automatically waived in the following
situations - ANSWER-10. Medicare information

When was HIPAA enacted? - ANSWER-Congress wrote law to be enacted for August
1996. The final modifications were done by April 2003.

HIPAA Title I - ANSWER-Health insurance reform

HIPAA Title II - ANSWER-Administration simplification

HIPAA - Title I - ANSWER-1. Major goal is to assure that individuals' health information
is properly protected.
2. A broad law that covers many issues.
3. Allows people to move their health insurance with them as they change jobs.

HIPAA - Title II - ANSWER-1. Governs how information is shared with other healthcare
workers.
2. Governs computer sharing between patient care givers and insurance companies.

Who is covered by HIPAA? - ANSWER-Individual and group plans that pay the cost of
medical care:
1. Health plans - MediCal
2. Dental plans - Long-term Care
3. Vision plans
4. Prescriptions
5. HMO's
6. Medicare

Who is considered a Healthcare Provider under HIPAA? - ANSWER-1. Anyone who
provides care for patients