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Exam (elaborations)

HIPAA Exam Questions and Answers 100% Pass

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HIPAA Exam Questions and Answers 100% Pass Business Associate - Answer- A person or organization that performs a function or activity on behalf of a covered entity, but is not part of the covered entity itself. Business associates, such as law firms and countenance must adhere to HIPAA standards in order to do business with a covered entity. Centers For Medicare and Medicaid Services (CMS) (Formaly known as HCFA) - Answer- The division of health and human services responsible for health care. CMS is responsible for Medicare and parts of Medicaid. CMS maintains specifications for various certifications for various certifications and authorizations used by the Medicare and Medicaid programs. CMS also maintains various code sets. Consolidated Omnibus Budget Reconciliation Act (COBRA) - Answer- An amendment to Title 1 of HIPAA that gives employees the right to continue health coverage as a private payer for a limited period of time once they leave a job. Covered Entity (CE) - Answer- A health plan, a healthcare clearinghouse, or a health care provider who transmits any health information in electronic form in connection with a HIPAA transaction. Department of Health and Human Services (HHS) - Answer- The federal department that administers federal programs covering public health and welfare. Electronic Data Interchange (EDI) - Answer- The electronic exchange of information between computers, especially the exchange of health information among physicians and insurance companies. Group Health Plan (GHP) - Answer- Medical insurance offered to employees and played for in part or in full by an employer. Health Insurance Portability and Accountability Act (HIPAA) of 1996 - Answer- The federal legislation covering rules regarding the health care industry, specifically how it is administered and rights of patients in regard to health care coverage and privacy. Notice of Proposed Rule-Making (NPRM) - Answer- A document that describes and explains rules that federal Government proposes to adopt at some future date. Interested parties are invited to subs

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