HCCA - CHPC STUDY GUIDE
QUESTIONS AND CORRECT
ANSWERS ALREADY A+
GRADED|NEW!!
Save
Terms in this set (302)
, • 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
What is the
standardized electronic billing
purpose of
platform
HIPAA?
Ref.
https://quizlet.com/6202453/hcca-
chpc-overview-flash-cards/
More on HIPAA:
https://www.hhs.gov/hipaa/index.ht
ml
45 CFR sections 164.102 through
164.534
HIPAA resides in
which CFR
https://www.ecfr.gov/current/title-
section?
45/subtitle-A/subchapter-C/part-
164
, HIPAA - 45 CFR 164, subparts:
Subpart A - General rules
Subpart C - Security
What are the Subpart D - Breach notification
subparts of Subpart E - Privacy
HIPAA part 164?
https://www.ecfr.gov/current/title-
45/subtitle-A/subchapter-C/part-
164
, 1. 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
• Health claims attachments
• Enrollment and disenrollment in a
How do you health plan
determine if an • Eligibility for a health plan
organization is a • Health care payment and
"Covered remittance advice
Entity"? • Health plan premium payments
• First report of injury
• Health claim status
• Referral certification and
authorization
In addition, business associates of
covered entities must follow parts of
the HIPAA regulations.
https://www.hhs.gov/hipaa/for-
QUESTIONS AND CORRECT
ANSWERS ALREADY A+
GRADED|NEW!!
Save
Terms in this set (302)
, • 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
What is the
standardized electronic billing
purpose of
platform
HIPAA?
Ref.
https://quizlet.com/6202453/hcca-
chpc-overview-flash-cards/
More on HIPAA:
https://www.hhs.gov/hipaa/index.ht
ml
45 CFR sections 164.102 through
164.534
HIPAA resides in
which CFR
https://www.ecfr.gov/current/title-
section?
45/subtitle-A/subchapter-C/part-
164
, HIPAA - 45 CFR 164, subparts:
Subpart A - General rules
Subpart C - Security
What are the Subpart D - Breach notification
subparts of Subpart E - Privacy
HIPAA part 164?
https://www.ecfr.gov/current/title-
45/subtitle-A/subchapter-C/part-
164
, 1. 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
• Health claims attachments
• Enrollment and disenrollment in a
How do you health plan
determine if an • Eligibility for a health plan
organization is a • Health care payment and
"Covered remittance advice
Entity"? • Health plan premium payments
• First report of injury
• Health claim status
• Referral certification and
authorization
In addition, business associates of
covered entities must follow parts of
the HIPAA regulations.
https://www.hhs.gov/hipaa/for-
