HCCA - CHPC Exam Prep 2025 Update COMPREHENSIVE
FREQUENTLY TESTED QUESTIONS and verified answers | accurate
answers|100% solved!!
What date did HIPAA became law - 1996
What is the purpose of HIPAA? - 1. Protect individuals' PHI
2. Promote high quality healthcare
3. Protect the public's health and well being
HIPAA resides in what CFR section - 45 CFR sections 164.102 through 164.534
Identify the four sections in the CFR by location and topic - 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 - compare the functions of the entity to the three
principal types of "covered entities" (CE)
What are the different types of CEs - - Provider
- Health Plan
- Clearing House
- Other Types
https://www.stuvia.com\
,How is a Provider defined - Supports medical or health services such as SNFs, home health, hospitals,
physician clinics, etc that transmit in electronic form
Does a provider need a standing facility to be considered a CE - No, a provider does not need a
standing facility to be considered a CE
What is a Health Plan - (1) A healthcare organization that provides or pays the cost of medical care
(2) Includes Medicaid, Medicare, and self funded plans
What is a Clearinghouse - (1) processes health information from a nonstandard data elements of
health information into standard data
elements
(2) includes billing services, health information systems, etc
(3) does NOT include Third Party Administrations ( TPAs)
What are the three Organizational Arrangements - Organized Health Care Arrangement (OHCA)
Affiliated Covered Entities (ACE)
Hybrid Covered Entity (HCE)
What is a Hybrid Covered Entity (HCE) - single covered entity with non-health care components
What is an Organized Health Care Arrangement (OHCA)? - clinically integrated care setting where
individuals receive health care from more than one covered entity
What is an Affiliated Covered Entity (ACE)? - (1) legally separate covered entities that share common
control or common ownership
(2) choose to designate themselves as one affiliated CE for the purposes of complying with the HIPAA
Privacy standard
https://www.stuvia.com\
, What must a Affiliated Entity agree to? - Be treated as a single CE. Must agree to follow a standard
policy and procedure
What is a Business Associate? - (1) Separate entity working on behalf of the CE providing Treatment,
Payment, and Healthcare Operations (TPO) and/or associated activities requiring access and/or will
create, receive, maintain, and/or transmit PHI
(2) Must have a business associate agreement
Who is allowed to access PHI? - (1) Workforce: employees, volunteers, trainees, and others under
control of the CE
(2) Business Associates: Separate entity working on behalf of the CE providing Treatment, Payment,
and Healthcare Operations (TPO) and/or associated activities requiring access and/or use of PHI
What is an example of a BA? - claims processing
data analysis
billing
benefit management
quality assurance
quality improvement
practice management
legal
actuarial
accounting
accreditation
other administrative services
What has been the main complaint with holding a BA accountable under the 2000 Privacy Rule? - -
lack of penalties for non-compliance
- federal penalties could only be levied against the CE
https://www.stuvia.com\
FREQUENTLY TESTED QUESTIONS and verified answers | accurate
answers|100% solved!!
What date did HIPAA became law - 1996
What is the purpose of HIPAA? - 1. Protect individuals' PHI
2. Promote high quality healthcare
3. Protect the public's health and well being
HIPAA resides in what CFR section - 45 CFR sections 164.102 through 164.534
Identify the four sections in the CFR by location and topic - 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 - compare the functions of the entity to the three
principal types of "covered entities" (CE)
What are the different types of CEs - - Provider
- Health Plan
- Clearing House
- Other Types
https://www.stuvia.com\
,How is a Provider defined - Supports medical or health services such as SNFs, home health, hospitals,
physician clinics, etc that transmit in electronic form
Does a provider need a standing facility to be considered a CE - No, a provider does not need a
standing facility to be considered a CE
What is a Health Plan - (1) A healthcare organization that provides or pays the cost of medical care
(2) Includes Medicaid, Medicare, and self funded plans
What is a Clearinghouse - (1) processes health information from a nonstandard data elements of
health information into standard data
elements
(2) includes billing services, health information systems, etc
(3) does NOT include Third Party Administrations ( TPAs)
What are the three Organizational Arrangements - Organized Health Care Arrangement (OHCA)
Affiliated Covered Entities (ACE)
Hybrid Covered Entity (HCE)
What is a Hybrid Covered Entity (HCE) - single covered entity with non-health care components
What is an Organized Health Care Arrangement (OHCA)? - clinically integrated care setting where
individuals receive health care from more than one covered entity
What is an Affiliated Covered Entity (ACE)? - (1) legally separate covered entities that share common
control or common ownership
(2) choose to designate themselves as one affiliated CE for the purposes of complying with the HIPAA
Privacy standard
https://www.stuvia.com\
, What must a Affiliated Entity agree to? - Be treated as a single CE. Must agree to follow a standard
policy and procedure
What is a Business Associate? - (1) Separate entity working on behalf of the CE providing Treatment,
Payment, and Healthcare Operations (TPO) and/or associated activities requiring access and/or will
create, receive, maintain, and/or transmit PHI
(2) Must have a business associate agreement
Who is allowed to access PHI? - (1) Workforce: employees, volunteers, trainees, and others under
control of the CE
(2) Business Associates: Separate entity working on behalf of the CE providing Treatment, Payment,
and Healthcare Operations (TPO) and/or associated activities requiring access and/or use of PHI
What is an example of a BA? - claims processing
data analysis
billing
benefit management
quality assurance
quality improvement
practice management
legal
actuarial
accounting
accreditation
other administrative services
What has been the main complaint with holding a BA accountable under the 2000 Privacy Rule? - -
lack of penalties for non-compliance
- federal penalties could only be levied against the CE
https://www.stuvia.com\
