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CHPC Exam 400 Questions Prep – HIPAA Privacy Rule, Compliance & PHI Regulations 2026 – HCCA

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This document contains approximately 400 comprehensive exam-style questions and detailed answers for the Certified in Healthcare Privacy Compliance (CHPC) exam, focusing on HIPAA regulations, privacy compliance, and healthcare data protection. It begins with foundational concepts such as the purpose of HIPAA—protecting PHI and preventing fraud and abuse (page 1)—and expands into detailed regulatory frameworks including 45 CFR Part 164 Privacy, Security, and Breach Notification Rules. The material provides in-depth coverage of HIPAA core principles, including Covered Entities, Business Associates, Minimum Necessary standard, and permitted uses and disclosures (TPO). It also explores complex compliance structures such as Organized Health Care Arrangements (OHCA), Affiliated Covered Entities (ACE), hybrid entities, and Business Associate Agreements, along with key legislation like HITECH, ARRA, and the Privacy Act of 1974. Additionally, the document covers critical operational and legal topics such as breach risk assessment (LoProCo), authorization requirements (including the six core elements and required statements), de-identification methods (Safe Harbor and Expert Determination), and patient rights under HIPAA (access, amendments, restrictions, and confidential communications). It also includes extensive content on research compliance (IRB, Common Rule, Certificates of Confidentiality), enforcement mechanisms, civil and criminal penalties, and real-world compliance scenarios involving law enforcement requests, reproductive health privacy, and emergency disclosures. This resource is ideal for professionals and students in healthcare compliance, health information management (HIM), healthcare administration, nursing, and legal/regulatory healthcare programs. It is particularly valuable for those preparing for CHPC certification, as well as roles such as compliance officers, privacy officers, auditors, and healthcare consultants. It also supports coursework in healthcare law, medical ethics, health policy, and data governance. The content aligns with the HCCA Privacy Compliance Handbook and official HIPAA regulatory guidance (45 CFR Parts 160, 162, and 164), ensuring accuracy and direct relevance to certification standards. It serves as a complete and practical study guide for mastering healthcare privacy laws, compliance frameworks, and exam success. Keywords: CHPC exam prep, HIPAA privacy rule, healthcare compliance certification, PHI protection regulations, business associate agreements, covered entity HIPAA, minimum necessary rule, HIPAA authorization requirements, breach notification rule, HITECH act compliance, ARRA healthcare law, de identification PHI, healthcare privacy officer training, HIPAA penalties enforcement

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HCCA - CHPC 2026
COMPREHENSIVE EXAM
QUESTIONS WITH DETAILED
VERIFIED AND 100% CORRECT
ANSWERS BRAND NEW EXAM
ALREADY GRADED A+!!

What is the purpose of HIPAA? - 🧠 ANSWER ✔✔• Protect PHI from

unauthorized disclosure/use;

• Prevent fraud, waste and abuse (via Administrative Simplification);

,• Make health insurance portable under ERISA;

• Move health care onto a nationally standardized electronic billing platform




Ref. https://quizlet.com/6202453/hcca-chpc-overview-flash-cards/

More on HIPAA: https://www.hhs.gov/hipaa/index.html


HIPAA resides in which CFR section? - 🧠 ANSWER ✔✔45 CFR sections

164.102 through 164.534




https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-C/part-164


What are the subparts of HIPAA part 164? - 🧠 ANSWER ✔✔HIPAA - 45

CFR 164, subparts:

Subpart A - General rules

Subpart C - Security

Subpart D - Breach notification

Subpart E - Privacy

,https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-C/part-164

How do you determine if an organization is a "Covered Entity"? - 🧠

ANSWER ✔✔1. compare if the organization meets one of the 3 types of

CE (provider, health plan, clearinghouse)

and

2. determine if the organization electronically transmits one of the 9 defined

transactions:

• Health claims or equivalent encounter information

• Health claims attachments

• Enrollment and disenrollment in a health plan

• Eligibility for a health plan

• Health care payment and remittance advice

• Health plan premium payments

• First report of injury

• Health claim status

• Referral certification and authorization




COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED

, In addition, business associates of covered entities must follow parts of the

HIPAA regulations.

https://www.hhs.gov/hipaa/for-individuals/guidance-materials-for-

consumers/index.html

This Act established in 1974 was created for government agencies placing

restrictions on how the government can share the information maintained in

Federal systems of records that might infringe on an individual's privacy

rights with other individuals and agencies. - 🧠 ANSWER ✔✔The Privacy

Act of 1974

Which of the following is not considered a HIPAA Entity Designation:

1. Affiliated covered entity

2. Entity that performs healthcare and non-healthcare component activities

including both covered and non-covered functions

3. A group health plan


4. Contract arrangement with FEDEX carrier - 🧠 ANSWER ✔✔4. Contract

arrangement with FEDEX carrier


What is Gramm-Leach-Bliley Act (GLBA)? - 🧠 ANSWER ✔✔Gramm-Leach-

Bliley Act (GLBA), also known as the Financial Services Modernization Act

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