1
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HCCA - CHPC Exam Prep Questions and
Answers (100% Correct Answers) Already
Graded A+
What date did HIPAA became law [ ANS: ] 1996
What is the purpose of HIPAA? [ ANS: ] 1. Protect individuals' PHI
2. Promote high quality healthcare
3. Protect the public's health and well being
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HIPAA resides in what CFR section [ ANS: ] 45 CFR sections 164.102
through 164.534
Identify the four sections in the CFR by location and topic [ ANS: ]
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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 [ ANS: ] compare the
functions of the entity to the three principal types of "covered
entities" (CE)
What are the different types of CEs [ ANS: ] - Provider
- Health Plan
, 2
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- Clearing House
- Other Types
How is a Provider defined [ ANS: ] 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 [
ANS: ] No, a provider does not need a standing facility to be
considered a CE
What is a Health Plan [ ANS: ] (1) A healthcare organization that
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provides or pays the cost of medical care
(2) Includes Medicaid, Medicare, and self funded plans
What is a Clearinghouse [ ANS: ] (1) processes health information
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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 [ ANS: ]
Organized Health Care Arrangement (OHCA)
Affiliated Covered Entities (ACE)
Hybrid Covered Entity (HCE)
What is a Hybrid Covered Entity (HCE) [ ANS: ] single covered
entity with non-health care components
What is an Organized Health Care Arrangement (OHCA)? [ ANS: ]
clinically integrated care setting where individuals receive health
care from more than one covered entity
, 3
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What is an Affiliated Covered Entity (ACE)? [ ANS: ] (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
What must a Affiliated Entity agree to? [ ANS: ] Be treated as a
single CE. Must agree to follow a standard policy and procedure
What is a Business Associate? [ ANS: ] (1) Separate entity working
on behalf of the CE providing Treatment, Payment, and
Healthcare Operations (TPO) and/or associated activities requiring
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access and/or will create, receive, maintain, and/or transmit PHI
(2) Must have a business associate agreement
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Who is allowed to access PHI? [ ANS: ] (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? [ ANS: ] claims processing
data analysis
billing
benefit management
quality assurance
quality improvement
practice management
legal
For Expert help and assignment solutions, +254707240657
HCCA - CHPC Exam Prep Questions and
Answers (100% Correct Answers) Already
Graded A+
What date did HIPAA became law [ ANS: ] 1996
What is the purpose of HIPAA? [ ANS: ] 1. Protect individuals' PHI
2. Promote high quality healthcare
3. Protect the public's health and well being
© 2025 Assignment Expert
HIPAA resides in what CFR section [ ANS: ] 45 CFR sections 164.102
through 164.534
Identify the four sections in the CFR by location and topic [ ANS: ]
Guru01 - Stuvia
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 [ ANS: ] compare the
functions of the entity to the three principal types of "covered
entities" (CE)
What are the different types of CEs [ ANS: ] - Provider
- Health Plan
, 2
For Expert help and assignment solutions, +254707240657
- Clearing House
- Other Types
How is a Provider defined [ ANS: ] 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 [
ANS: ] No, a provider does not need a standing facility to be
considered a CE
What is a Health Plan [ ANS: ] (1) A healthcare organization that
© 2025 Assignment Expert
provides or pays the cost of medical care
(2) Includes Medicaid, Medicare, and self funded plans
What is a Clearinghouse [ ANS: ] (1) processes health information
Guru01 - Stuvia
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 [ ANS: ]
Organized Health Care Arrangement (OHCA)
Affiliated Covered Entities (ACE)
Hybrid Covered Entity (HCE)
What is a Hybrid Covered Entity (HCE) [ ANS: ] single covered
entity with non-health care components
What is an Organized Health Care Arrangement (OHCA)? [ ANS: ]
clinically integrated care setting where individuals receive health
care from more than one covered entity
, 3
For Expert help and assignment solutions, +254707240657
What is an Affiliated Covered Entity (ACE)? [ ANS: ] (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
What must a Affiliated Entity agree to? [ ANS: ] Be treated as a
single CE. Must agree to follow a standard policy and procedure
What is a Business Associate? [ ANS: ] (1) Separate entity working
on behalf of the CE providing Treatment, Payment, and
Healthcare Operations (TPO) and/or associated activities requiring
© 2025 Assignment Expert
access and/or will create, receive, maintain, and/or transmit PHI
(2) Must have a business associate agreement
Guru01 - Stuvia
Who is allowed to access PHI? [ ANS: ] (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? [ ANS: ] claims processing
data analysis
billing
benefit management
quality assurance
quality improvement
practice management
legal
