HCCA - CHPC OVERVIEW EXAMS
QUESTIONS AND VERIFIED ANSWERS 100%
GUARANTEED PASS
What are the seven elements of a valid Authorization? - ANSWERS • A specific
and meaningful description of the
information to be disclosed, including specific
• A specific division is identified as the one
authorized to disclose the medical record;
• The name or other specific identification of the
person(s) or entity(ies) to whom disclosure can
be made;
• A statement of the purpose of the requested
disclosure (which may be "at the request of the
client"), including any limitations on the use of
the information;
• An expiration date or a valid expiration event
AND check that the date has not passed nor
has the expiration event occurred;
• A signature dated by client or client's authorized
personal representative. If signed by the
authorized personal representative, a description
of such representative's authority to act for the
client is provided;
records and service dates;
What are the four statements are to be included in a valid Authorization? -
ANSWERS • A statement of client's right to revoke the
authorization, exceptions to this right, and a
description of how to revoke:
• A statement that treatment, payment,
enrollment or eligibility for benefits may NOT
be conditioned upon signing the authorization;
• A statement regarding the potential that
the information disclosed pursuant to the
authorization may be re-disclosed by the
recipient and, if so, it may no longer be
protected by a federal confidentiality law;
, • A statement that the person signing the
authorization has the right to (or will receive) a
copy of the authorization.
HIPAA became law - ANSWERS 1996
What is the purpose of HIPAA? - ANSWERS • To make health insurance
portable under ERISA;
• To move health care onto a nationally standardized electronic billing platform; and
• To prevent fraud, waste and abuse
Intent - ANSWERS purpose of this subtitle to improve the Medicare program
under title XVIII of the Social Security Act, the Medicaid program under title XIX of such
Act, and the efficiency and effectiveness of the health care system, by encouraging the
development of a health information system through the establishment of standards and
requirements for the electronic transmission of certain health information.
HIPAA resides in what CFR section - ANSWERS 45 CFR sections 164.102
through 164.534
Identify the four sections in the CFR by location and topic - ANSWERS Section
One: 164.102 - 164.318 and 164.530 - 164-534 Organizational Requirements
Section Two: 164.500 - 164.514 Use and Disclosure of Information
Section Three: 164.520 - 164.528 Individual's Rights and Penalties
Section Four: Interaction with the HIPAA Security Rule
How do you determine if organization is a CE - ANSWERS - compare the
functions of the entity to the three principal types of "covered entities" (CE),
- determine if the entity electronically transmits one of the nine defined transactions"
What are the different types of CEs - ANSWERS - Provider
- Health Plan
- Clearing House
- Other Types
How is a Provider defined - ANSWERS - "a provider of services (as defined in
section 1395x (u) of title XIX)
- a provider of medical or other health services (as defined in section 1395x (s) of title
XIX)
- any other person furnishing health care services or supplies.
QUESTIONS AND VERIFIED ANSWERS 100%
GUARANTEED PASS
What are the seven elements of a valid Authorization? - ANSWERS • A specific
and meaningful description of the
information to be disclosed, including specific
• A specific division is identified as the one
authorized to disclose the medical record;
• The name or other specific identification of the
person(s) or entity(ies) to whom disclosure can
be made;
• A statement of the purpose of the requested
disclosure (which may be "at the request of the
client"), including any limitations on the use of
the information;
• An expiration date or a valid expiration event
AND check that the date has not passed nor
has the expiration event occurred;
• A signature dated by client or client's authorized
personal representative. If signed by the
authorized personal representative, a description
of such representative's authority to act for the
client is provided;
records and service dates;
What are the four statements are to be included in a valid Authorization? -
ANSWERS • A statement of client's right to revoke the
authorization, exceptions to this right, and a
description of how to revoke:
• A statement that treatment, payment,
enrollment or eligibility for benefits may NOT
be conditioned upon signing the authorization;
• A statement regarding the potential that
the information disclosed pursuant to the
authorization may be re-disclosed by the
recipient and, if so, it may no longer be
protected by a federal confidentiality law;
, • A statement that the person signing the
authorization has the right to (or will receive) a
copy of the authorization.
HIPAA became law - ANSWERS 1996
What is the purpose of HIPAA? - ANSWERS • To make health insurance
portable under ERISA;
• To move health care onto a nationally standardized electronic billing platform; and
• To prevent fraud, waste and abuse
Intent - ANSWERS purpose of this subtitle to improve the Medicare program
under title XVIII of the Social Security Act, the Medicaid program under title XIX of such
Act, and the efficiency and effectiveness of the health care system, by encouraging the
development of a health information system through the establishment of standards and
requirements for the electronic transmission of certain health information.
HIPAA resides in what CFR section - ANSWERS 45 CFR sections 164.102
through 164.534
Identify the four sections in the CFR by location and topic - ANSWERS Section
One: 164.102 - 164.318 and 164.530 - 164-534 Organizational Requirements
Section Two: 164.500 - 164.514 Use and Disclosure of Information
Section Three: 164.520 - 164.528 Individual's Rights and Penalties
Section Four: Interaction with the HIPAA Security Rule
How do you determine if organization is a CE - ANSWERS - compare the
functions of the entity to the three principal types of "covered entities" (CE),
- determine if the entity electronically transmits one of the nine defined transactions"
What are the different types of CEs - ANSWERS - Provider
- Health Plan
- Clearing House
- Other Types
How is a Provider defined - ANSWERS - "a provider of services (as defined in
section 1395x (u) of title XIX)
- a provider of medical or other health services (as defined in section 1395x (s) of title
XIX)
- any other person furnishing health care services or supplies.
