Certified Health Informatics Systems Professional
(CHISP®) Exam Prep 2026 Updated Practice Questions –
Comprehensive Health Informatics and Health IT Review
Detailed Explanations – Verified Answers – Complete
Success Workbook
SECTION 1: HEALTHCARE ENVIRONMENT AND REGULATIONS
Question 1
The Health Insurance Portability and Accountability Act (HIPAA) was
enacted primarily to:
A) Establish Medicare reimbursement rates
B) Protect the privacy and security of individually identifiable health
information
C) Mandate electronic health record adoption
D) Regulate hospital accreditation standards
Rationale: HIPAA was enacted to establish national standards for the privacy and
security of protected health information (PHI) . It includes the Privacy Rule,
Security Rule, Breach Notification Rule, and Enforcement Rule. HIPAA does not
establish Medicare reimbursement rates or mandate EHR adoption (that came with
the HITECH Act).
Question 2
The HITECH Act of 2009 was enacted to:
A) Replace the Medicare program
B) Promote the adoption and meaningful use of health information technology
C) Eliminate all paper medical records
D) Establish HIPAA privacy rules
Rationale: The Health Information Technology for Economic and Clinical Health
(HITECH) Act was enacted to promote the adoption and meaningful use of
,health information technology. It provided financial incentives for EHR adoption
and strengthened HIPAA privacy and security enforcement.
Question 3
A healthcare organization is implementing a new Electronic Health Record (EHR)
system. Which of the following is a primary benefit of EHR adoption?
A) Reduced need for healthcare providers
B) Improved patient safety through reduced medication errors and enhanced
clinical decision support
C) Elimination of all healthcare costs
D) Automatic insurance approval for all procedures
Rationale: EHR systems improve patient safety through clinical decision
support, medication reconciliation, allergy alerts, and drug interaction checks.
They also improve care coordination, documentation, and data accessibility. EHRs
do not eliminate the need for providers or all healthcare costs.
Question 4
Meaningful Use (now Promoting Interoperability) refers to:
A) The requirement that all healthcare providers use paper records
B) The use of certified EHR technology to improve quality, safety, and
efficiency of patient care
C) The elimination of all healthcare regulations
D) The requirement that all patients use patient portals
Rationale: Meaningful Use (now Promoting Interoperability ) is a CMS
program that requires healthcare providers to use certified EHR technology in a
meaningful way to improve quality, safety, efficiency, and patient engagement.
Providers must meet specific objectives to qualify for incentive payments and
avoid penalties.
Question 5
Under HIPAA, Protected Health Information (PHI) includes:
,A) Only information stored in electronic format
B) Individually identifiable health information in any form—oral, paper, or
electronic
C) Only information related to mental health
D) Only information that has been de-identified
Rationale: PHI includes individually identifiable health information held or
transmitted by a covered entity or its business associate, in any form or
medium—oral, paper, or electronic. De-identified information is not considered
PHI.
Question 6
The Privacy Rule under HIPAA establishes:
A) Standards for electronic data interchange
B) National standards for the protection of individually identifiable health
information
C) Requirements for EHR certification
D) Standards for medical billing
Rationale: The HIPAA Privacy Rule establishes national standards for the
protection of individually identifiable health information held by covered
entities and their business associates. It gives patients rights over their health
information and sets rules for how PHI can be used and disclosed.
Question 7
The Security Rule under HIPAA requires covered entities to:
A) Destroy all paper records
B) Implement administrative, physical, and technical safeguards to protect
electronic PHI (ePHI)
C) Provide all patients with free access to their records
D) Eliminate all electronic health records
Rationale: The HIPAA Security Rule requires covered entities to
implement administrative, physical, and technical safeguards to ensure the
confidentiality, integrity, and availability of electronic Protected Health
, Information (ePHI). These safeguards include risk analysis, access controls,
encryption, and workforce training.
Question 8
A Business Associate Agreement (BAA) is required when:
A) A healthcare provider treats a new patient
B) A covered entity shares PHI with a third-party vendor that handles PHI on
its behalf
C) A patient requests their own medical records
D) PHI is shared for treatment purposes
Rationale: A Business Associate Agreement is required when a covered entity
engages a third party (business associate) to perform a function or activity that
involves the use or disclosure of PHI. The BAA must include specific provisions to
ensure the business associate appropriately safeguards PHI.
Question 9
The HITECH Act strengthened HIPAA enforcement by:
A) Eliminating all penalties for HIPAA violations
B) Increasing penalties for HIPAA violations and extending HIPAA
requirements to business associates
C) Reducing privacy protections for patients
D) Eliminating the Breach Notification Rule
Rationale: The HITECH Act strengthened HIPAA enforcement, increased
penalties for violations, and extended HIPAA requirements directly to
business associates. It also established the Breach Notification Rule, requiring
covered entities to notify individuals when their unsecured PHI is breached.
Question 10
A healthcare organization experiences a breach of unsecured PHI affecting more
than 500 individuals. The organization must notify:
(CHISP®) Exam Prep 2026 Updated Practice Questions –
Comprehensive Health Informatics and Health IT Review
Detailed Explanations – Verified Answers – Complete
Success Workbook
SECTION 1: HEALTHCARE ENVIRONMENT AND REGULATIONS
Question 1
The Health Insurance Portability and Accountability Act (HIPAA) was
enacted primarily to:
A) Establish Medicare reimbursement rates
B) Protect the privacy and security of individually identifiable health
information
C) Mandate electronic health record adoption
D) Regulate hospital accreditation standards
Rationale: HIPAA was enacted to establish national standards for the privacy and
security of protected health information (PHI) . It includes the Privacy Rule,
Security Rule, Breach Notification Rule, and Enforcement Rule. HIPAA does not
establish Medicare reimbursement rates or mandate EHR adoption (that came with
the HITECH Act).
Question 2
The HITECH Act of 2009 was enacted to:
A) Replace the Medicare program
B) Promote the adoption and meaningful use of health information technology
C) Eliminate all paper medical records
D) Establish HIPAA privacy rules
Rationale: The Health Information Technology for Economic and Clinical Health
(HITECH) Act was enacted to promote the adoption and meaningful use of
,health information technology. It provided financial incentives for EHR adoption
and strengthened HIPAA privacy and security enforcement.
Question 3
A healthcare organization is implementing a new Electronic Health Record (EHR)
system. Which of the following is a primary benefit of EHR adoption?
A) Reduced need for healthcare providers
B) Improved patient safety through reduced medication errors and enhanced
clinical decision support
C) Elimination of all healthcare costs
D) Automatic insurance approval for all procedures
Rationale: EHR systems improve patient safety through clinical decision
support, medication reconciliation, allergy alerts, and drug interaction checks.
They also improve care coordination, documentation, and data accessibility. EHRs
do not eliminate the need for providers or all healthcare costs.
Question 4
Meaningful Use (now Promoting Interoperability) refers to:
A) The requirement that all healthcare providers use paper records
B) The use of certified EHR technology to improve quality, safety, and
efficiency of patient care
C) The elimination of all healthcare regulations
D) The requirement that all patients use patient portals
Rationale: Meaningful Use (now Promoting Interoperability ) is a CMS
program that requires healthcare providers to use certified EHR technology in a
meaningful way to improve quality, safety, efficiency, and patient engagement.
Providers must meet specific objectives to qualify for incentive payments and
avoid penalties.
Question 5
Under HIPAA, Protected Health Information (PHI) includes:
,A) Only information stored in electronic format
B) Individually identifiable health information in any form—oral, paper, or
electronic
C) Only information related to mental health
D) Only information that has been de-identified
Rationale: PHI includes individually identifiable health information held or
transmitted by a covered entity or its business associate, in any form or
medium—oral, paper, or electronic. De-identified information is not considered
PHI.
Question 6
The Privacy Rule under HIPAA establishes:
A) Standards for electronic data interchange
B) National standards for the protection of individually identifiable health
information
C) Requirements for EHR certification
D) Standards for medical billing
Rationale: The HIPAA Privacy Rule establishes national standards for the
protection of individually identifiable health information held by covered
entities and their business associates. It gives patients rights over their health
information and sets rules for how PHI can be used and disclosed.
Question 7
The Security Rule under HIPAA requires covered entities to:
A) Destroy all paper records
B) Implement administrative, physical, and technical safeguards to protect
electronic PHI (ePHI)
C) Provide all patients with free access to their records
D) Eliminate all electronic health records
Rationale: The HIPAA Security Rule requires covered entities to
implement administrative, physical, and technical safeguards to ensure the
confidentiality, integrity, and availability of electronic Protected Health
, Information (ePHI). These safeguards include risk analysis, access controls,
encryption, and workforce training.
Question 8
A Business Associate Agreement (BAA) is required when:
A) A healthcare provider treats a new patient
B) A covered entity shares PHI with a third-party vendor that handles PHI on
its behalf
C) A patient requests their own medical records
D) PHI is shared for treatment purposes
Rationale: A Business Associate Agreement is required when a covered entity
engages a third party (business associate) to perform a function or activity that
involves the use or disclosure of PHI. The BAA must include specific provisions to
ensure the business associate appropriately safeguards PHI.
Question 9
The HITECH Act strengthened HIPAA enforcement by:
A) Eliminating all penalties for HIPAA violations
B) Increasing penalties for HIPAA violations and extending HIPAA
requirements to business associates
C) Reducing privacy protections for patients
D) Eliminating the Breach Notification Rule
Rationale: The HITECH Act strengthened HIPAA enforcement, increased
penalties for violations, and extended HIPAA requirements directly to
business associates. It also established the Breach Notification Rule, requiring
covered entities to notify individuals when their unsecured PHI is breached.
Question 10
A healthcare organization experiences a breach of unsecured PHI affecting more
than 500 individuals. The organization must notify:
