HCCA - CHPC Study Questions (MASTER FLASHCARDS) 2024 with 100% complete solutions

What is the purpose of HIPAA? correct answers• 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. More on HIPAA: HIPAA resides in which CFR section? correct answers45 CFR sections 164.102 through 164.534 What are the subparts of HIPAA part 164? correct answersHIPAA - 45 CFR 164, subparts: Subpart A - General rules Subpart C - Security Subpart D - Breach notification Subpart E - Privacy How do you determine if an organization is a "Covered Entity"? correct answers1. 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