HCISPP Exam Questions with Correct Answers Latest Update 2025 Graded A+
Preventative controls - Answers controls that deter, detect, and or reduce impacts to the system
Administrative Safeguards - Answers administrative actions, policies, and procedures to manage the
selection, development, implementation and maintenance of security measures to safeguard ePHI and
manage the conduct of the covered entity's workforce in relation to the protection of that information.
Affiliated Covered Entity - Answers (ACE) legally separate covered entities that are affiliated may
designate themselves as a single covered entity for the purposes of the HIPAA privacy rule. Under this
affiliation, the organizations need only develop and disseminate one privacy official, administer common
training programs and use one business associate contract.
Ambulatory Patient Groups - Answers (APGs) were developed to encompass the full range of
ambulatory settings, including same day surgery units, hospital emergency rooms, and outpatient clinics.
They are a patient classification system designed to explain the amount and type of resources used in an
ambulatory visit. Patients in each have similar clinical characteristics and similar resource use and cost.
Similar resource use means that the resources used are relatively constant across the patients within
each APG.
American Reinvestment and Recovery Act - Answers (ARRA) was enacted on 02/17/09 and includes
many measure to modernize our nations infrastructure, one of which is the "Health Information
Technology for Economic and Clinical Health" (HITECH) The HITECH act supports the concept of
Meaningful Use (MU) of Health Information Technology (IT) and healthcare reform to help the
healthcare organizations to meet its clinical and business objectives vial HIE. MU requirements consist of
payment approaches that stress care coordination, and federal financial incentives are driving the
interest and demand for HIE
Analytics - Answers the systematic use of data and related business insights developed through applied
analytical disciplines (e.g. statistcal, contextual, quantitative, cognitive, etc.) to drive fact based decision
making for planning, management, measurement and learning. They may be descriptive, predictive, or
prescriptive. Can provide the mechanism to sort through this torrent of complexity and data, and help
healthcare organizations deliver on these demands.
Authorization - Answers An individuals permission for a covered entity to use or disclose PHI for a
certain purpose, such as a research study.
Bandwith - Answers The amount of information that is transmitted over a period of time. A process of
learning or education could necessitate a higher _______________ than a quick status update.
Bundled Payment - Answers AKA episode based payment. Is defined as the reimbursement of healthcare
providers (such as hospitals and physicians) "on the bases of expected costs for clinically defined
episodes of care" The middle ground between fee-for-service and capitation
,Business Associates - Answers (BA) The privacy rule, allows covered providers and health plans to
disclose protected health information to services of a variety of businesses that have access to their
patients' PHI. Such as billing services, attorneys, accountants and consultants.
Business Associates Agreement - Answers A contract with a covered entity that meets the HIPAA Privacy
Rule's applicable contract requirements
Business Partners - Answers A vendor, as a recipient of PHI from healthcare organizations. As defined in
HIPAA and regulations promulgated by the US Department of health and human services (DHHS) to
implement certain provisions. All must agree in writing to certain mandatory provisions regarding,
among other things, the use and disclosure of PHI.
Capitation - Answers Sometimes doctors reach an agreement with a managed care organization where
the doctor is paid per person. Under this agreement, doctors accept members of the plan for a certain
set price per member, no matter how often the member sees the doctor.
Catastrophic Health Insurance Plan - Answers Covers essential health benefits but has a very high
deductible. This means it provides a kind of "safety net" coverage in case the patient has an accident or
serious illness. Usually do not provide coverage for services such as prescription drugs or shots.
Chain of Trust Agreement - Answers Described as a contract in which the parties agree to electronically
exchange data to protect the transmitted data. The sender and receiver are required to depend on each
other to maintain the integrity and confidentiality of the transmitted information.
Server: Client-Server - Answers Is an architecture that divides processing between clients and servers
that can run on the same machine or on different machines on the same network. It is a major element
of the modern operating system and network design. End users access workstation coputers and other
physical automated equipment directly while performing healthcare functions.
Cloud Computing - Answers The practive of using a network of remote servers hosted on the internet to
store, manage, and process data, rather than a local server or personal computer. Offered indifferent
forms: Public, Private and Hybrid.
Confidentiality - Answers Refers to preventing the disclosure of information to unauthorized individuals
or systems. Necessary for maintaining the pricary of the peope whose personal information is helt in the
system.
Covered Entity - Answers Any organization or corporation that directly handles PHI or PHRs. They
include public clinics, nursing homes, pharmacies, specialty hospitals, homecare programs, home meal
programs, hospice, and durable medical equipment suppliers.
Current Procedural Terminology - Answers (CPT) codes are published by the American Medical
Association. It is a five0digit numeric code that is used to describe medical, surgical, laboratory,
anesthesiology, and evaluation management servises of physicians, hospitals, and other healthcare
, providers. There are approximately 7800. Two digit modifiers may be appended when appropriate to
clarify or modify the description of the procedure.
Data Augmentation - Answers includes demographic, geographic, and credit information. Can also
encompass data management algorithms and methodologies that combat unique clincal data problems.
Data Classification - Answers A program that looks at the different typpes of data an organization
handles, classifies those pieces of data based on sensitivity, and establiches procedures to make sure
each of these pieces of information is treated properly. The big picture rationale of a data classification
program is to reduce risk and bring enterpride wide conistency to data handling.
Data Integration - Answers Is necessary to obtain a true understanding of the health care organization.
Can occur at the individual level, the household level, the business or corparate level, the supplier level,
or some other combination of attributes. Requires powerful matching technology that can lovate less
obvious members of a related group.
Data Interoperability - Answers Eliminates barriers to data sharing by providing direct data access; data
translation tools; and the ability to build complex spatial extraction, transfromation and loading
processes. Standardize data messaging facilitates __________ between health information systems
regardless of database models employed by individual health care enterprises. There are three levels:
Foundational, Structural, and Semantic.
Data Lifecycle Management - Answers (DLM) is a policy-based approach to managing the flow of an
information systems data through is lifecycle. DLM products automate the processes involved, typically
organizing data into separate tiers according to specified policies, and automating data migration from
one tier to another based on those criteria. As a rule, newer data and data tha tmust be accessed more
frequently is stored on faster, but more expensive storage media, while less critical data is stored on
cheaper, but slower material.
Data Profiling - Answers Encompasses such activities as frequency and basic statistic reports, table
relationships, phrase and element analysis and business rule discovery. It is primarily done before any
data-oriented initiative and often can be used to pinpoint where further efforts need to be focused
Data Quality - Answers Standardize and verify data is to use a reference database or a defined set of
business rules and corporate standards. The quality building block includes technologies that encompass
parsing, transformation, verifation, and validation.
Data Use Agreement - Answers Very simmilar to the BAA in which the recipient of the data set would
agree to limit the use of the data for the purposes for which it was given to ensure the security of the
data and not to identify the information or use it to contact any individual.
Diagnosis related groups - Answers (DRG) is a capitation approach by focusing on hospitalization. Price is
set based on categories of illnesses. The DRG classification of diseases is a nominal scale used to
describe the illness leading to hospitalization.
Preventative controls - Answers controls that deter, detect, and or reduce impacts to the system
Administrative Safeguards - Answers administrative actions, policies, and procedures to manage the
selection, development, implementation and maintenance of security measures to safeguard ePHI and
manage the conduct of the covered entity's workforce in relation to the protection of that information.
Affiliated Covered Entity - Answers (ACE) legally separate covered entities that are affiliated may
designate themselves as a single covered entity for the purposes of the HIPAA privacy rule. Under this
affiliation, the organizations need only develop and disseminate one privacy official, administer common
training programs and use one business associate contract.
Ambulatory Patient Groups - Answers (APGs) were developed to encompass the full range of
ambulatory settings, including same day surgery units, hospital emergency rooms, and outpatient clinics.
They are a patient classification system designed to explain the amount and type of resources used in an
ambulatory visit. Patients in each have similar clinical characteristics and similar resource use and cost.
Similar resource use means that the resources used are relatively constant across the patients within
each APG.
American Reinvestment and Recovery Act - Answers (ARRA) was enacted on 02/17/09 and includes
many measure to modernize our nations infrastructure, one of which is the "Health Information
Technology for Economic and Clinical Health" (HITECH) The HITECH act supports the concept of
Meaningful Use (MU) of Health Information Technology (IT) and healthcare reform to help the
healthcare organizations to meet its clinical and business objectives vial HIE. MU requirements consist of
payment approaches that stress care coordination, and federal financial incentives are driving the
interest and demand for HIE
Analytics - Answers the systematic use of data and related business insights developed through applied
analytical disciplines (e.g. statistcal, contextual, quantitative, cognitive, etc.) to drive fact based decision
making for planning, management, measurement and learning. They may be descriptive, predictive, or
prescriptive. Can provide the mechanism to sort through this torrent of complexity and data, and help
healthcare organizations deliver on these demands.
Authorization - Answers An individuals permission for a covered entity to use or disclose PHI for a
certain purpose, such as a research study.
Bandwith - Answers The amount of information that is transmitted over a period of time. A process of
learning or education could necessitate a higher _______________ than a quick status update.
Bundled Payment - Answers AKA episode based payment. Is defined as the reimbursement of healthcare
providers (such as hospitals and physicians) "on the bases of expected costs for clinically defined
episodes of care" The middle ground between fee-for-service and capitation
,Business Associates - Answers (BA) The privacy rule, allows covered providers and health plans to
disclose protected health information to services of a variety of businesses that have access to their
patients' PHI. Such as billing services, attorneys, accountants and consultants.
Business Associates Agreement - Answers A contract with a covered entity that meets the HIPAA Privacy
Rule's applicable contract requirements
Business Partners - Answers A vendor, as a recipient of PHI from healthcare organizations. As defined in
HIPAA and regulations promulgated by the US Department of health and human services (DHHS) to
implement certain provisions. All must agree in writing to certain mandatory provisions regarding,
among other things, the use and disclosure of PHI.
Capitation - Answers Sometimes doctors reach an agreement with a managed care organization where
the doctor is paid per person. Under this agreement, doctors accept members of the plan for a certain
set price per member, no matter how often the member sees the doctor.
Catastrophic Health Insurance Plan - Answers Covers essential health benefits but has a very high
deductible. This means it provides a kind of "safety net" coverage in case the patient has an accident or
serious illness. Usually do not provide coverage for services such as prescription drugs or shots.
Chain of Trust Agreement - Answers Described as a contract in which the parties agree to electronically
exchange data to protect the transmitted data. The sender and receiver are required to depend on each
other to maintain the integrity and confidentiality of the transmitted information.
Server: Client-Server - Answers Is an architecture that divides processing between clients and servers
that can run on the same machine or on different machines on the same network. It is a major element
of the modern operating system and network design. End users access workstation coputers and other
physical automated equipment directly while performing healthcare functions.
Cloud Computing - Answers The practive of using a network of remote servers hosted on the internet to
store, manage, and process data, rather than a local server or personal computer. Offered indifferent
forms: Public, Private and Hybrid.
Confidentiality - Answers Refers to preventing the disclosure of information to unauthorized individuals
or systems. Necessary for maintaining the pricary of the peope whose personal information is helt in the
system.
Covered Entity - Answers Any organization or corporation that directly handles PHI or PHRs. They
include public clinics, nursing homes, pharmacies, specialty hospitals, homecare programs, home meal
programs, hospice, and durable medical equipment suppliers.
Current Procedural Terminology - Answers (CPT) codes are published by the American Medical
Association. It is a five0digit numeric code that is used to describe medical, surgical, laboratory,
anesthesiology, and evaluation management servises of physicians, hospitals, and other healthcare
, providers. There are approximately 7800. Two digit modifiers may be appended when appropriate to
clarify or modify the description of the procedure.
Data Augmentation - Answers includes demographic, geographic, and credit information. Can also
encompass data management algorithms and methodologies that combat unique clincal data problems.
Data Classification - Answers A program that looks at the different typpes of data an organization
handles, classifies those pieces of data based on sensitivity, and establiches procedures to make sure
each of these pieces of information is treated properly. The big picture rationale of a data classification
program is to reduce risk and bring enterpride wide conistency to data handling.
Data Integration - Answers Is necessary to obtain a true understanding of the health care organization.
Can occur at the individual level, the household level, the business or corparate level, the supplier level,
or some other combination of attributes. Requires powerful matching technology that can lovate less
obvious members of a related group.
Data Interoperability - Answers Eliminates barriers to data sharing by providing direct data access; data
translation tools; and the ability to build complex spatial extraction, transfromation and loading
processes. Standardize data messaging facilitates __________ between health information systems
regardless of database models employed by individual health care enterprises. There are three levels:
Foundational, Structural, and Semantic.
Data Lifecycle Management - Answers (DLM) is a policy-based approach to managing the flow of an
information systems data through is lifecycle. DLM products automate the processes involved, typically
organizing data into separate tiers according to specified policies, and automating data migration from
one tier to another based on those criteria. As a rule, newer data and data tha tmust be accessed more
frequently is stored on faster, but more expensive storage media, while less critical data is stored on
cheaper, but slower material.
Data Profiling - Answers Encompasses such activities as frequency and basic statistic reports, table
relationships, phrase and element analysis and business rule discovery. It is primarily done before any
data-oriented initiative and often can be used to pinpoint where further efforts need to be focused
Data Quality - Answers Standardize and verify data is to use a reference database or a defined set of
business rules and corporate standards. The quality building block includes technologies that encompass
parsing, transformation, verifation, and validation.
Data Use Agreement - Answers Very simmilar to the BAA in which the recipient of the data set would
agree to limit the use of the data for the purposes for which it was given to ensure the security of the
data and not to identify the information or use it to contact any individual.
Diagnosis related groups - Answers (DRG) is a capitation approach by focusing on hospitalization. Price is
set based on categories of illnesses. The DRG classification of diseases is a nominal scale used to
describe the illness leading to hospitalization.
