HCCA - CHPC Exam Prep
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1. What date did 1996
HIPAA became
law
2. What is the pur- 1. Protect individuals' PHI
pose of HIPAA? 2. Promote high quality healthcare
3. Protect the public's health and well being
3. HIPAA resides in 45 CFR sections 164.102 through 164.534
what CFR section
4. Identify the four Section One: 164.102 - 164.318 and 164.530 - 164-534 Organizational Require-
sections in the ments
CFR by location
and topic 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
5. How do you de- compare the functions of the entity to the three principal types of "covered
termine if organi- entities" (CE)
zation is a CE
6. What are the dif- - Provider
ferent types of - Health Plan
CEs - Clearing House
- Other Types
7. How is a Provider Supports medical or health services such as SNFs, home health, hospitals, physi-
defined cian clinics, etc that transmit in electronic form
8. Does a provider No, a provider does not need a standing facility to be considered a CE
need a standing
, HCCA - CHPC Exam Prep
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facility to be con-
sidered a CE
9. What is a Health (1) A healthcare organization that provides or pays the cost of medical care
Plan (2) Includes Medicaid, Medicare, and self funded plans
10. What is a Clear- (1) processes health information from a nonstandard data elements of health
inghouse information into standard data
elements
(2) includes billing services, health information systems, etc
(3) does NOT include Third Party Administrations ( TPAs)
11. What are the Organized Health Care Arrangement (OHCA)
three Organiza- Affiliated Covered Entities (ACE)
tional Arrange- Hybrid Covered Entity (HCE)
ments
12. What is a Hy- single covered entity with non-health care components
brid Covered En-
tity (HCE)
13. What is an Or- clinically integrated care setting where individuals receive health care from more
ganized Health than one covered entity
Care Arrange-
ment (OHCA)?
14. What is an Affili- (1) legally separate covered entities that share common control or common
ated Covered En- ownership
tity (ACE)? (2) choose to designate themselves as one affiliated CE for the purposes of
complying with the HIPAA Privacy standard
15. Be treated as a single CE. Must agree to follow a standard policy and procedure
, HCCA - CHPC Exam Prep
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What must a Affil-
iated Entity agree
to?
16. What is a Busi- (1) Separate entity working on behalf of the CE providing Treatment, Payment, and
ness Associate? 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
17. Who is allowed to (1) Workforce: employees, volunteers, trainees, and others under control of the
access PHI? CE
(2) Business Associates: Separate entity working on behalf of the CE providing
Treatment, Payment, and Healthcare Operations (TPO) and/or associated activi-
ties requiring access and/or use of PHI
18. What is an exam- claims processing
ple of a BA? data analysis
billing
benefit management
quality assurance
quality improvement
practice management
legal
actuarial
accounting
accreditation
other administrative services
19. What has been - lack of penalties for non-compliance
the main com- - federal penalties could only be levied against the CE
plaint with hold-
ing a BA ac-
countable under
Study online at https://quizlet.com/_h0dob7
1. What date did 1996
HIPAA became
law
2. What is the pur- 1. Protect individuals' PHI
pose of HIPAA? 2. Promote high quality healthcare
3. Protect the public's health and well being
3. HIPAA resides in 45 CFR sections 164.102 through 164.534
what CFR section
4. Identify the four Section One: 164.102 - 164.318 and 164.530 - 164-534 Organizational Require-
sections in the ments
CFR by location
and topic 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
5. How do you de- compare the functions of the entity to the three principal types of "covered
termine if organi- entities" (CE)
zation is a CE
6. What are the dif- - Provider
ferent types of - Health Plan
CEs - Clearing House
- Other Types
7. How is a Provider Supports medical or health services such as SNFs, home health, hospitals, physi-
defined cian clinics, etc that transmit in electronic form
8. Does a provider No, a provider does not need a standing facility to be considered a CE
need a standing
, HCCA - CHPC Exam Prep
Study online at https://quizlet.com/_h0dob7
facility to be con-
sidered a CE
9. What is a Health (1) A healthcare organization that provides or pays the cost of medical care
Plan (2) Includes Medicaid, Medicare, and self funded plans
10. What is a Clear- (1) processes health information from a nonstandard data elements of health
inghouse information into standard data
elements
(2) includes billing services, health information systems, etc
(3) does NOT include Third Party Administrations ( TPAs)
11. What are the Organized Health Care Arrangement (OHCA)
three Organiza- Affiliated Covered Entities (ACE)
tional Arrange- Hybrid Covered Entity (HCE)
ments
12. What is a Hy- single covered entity with non-health care components
brid Covered En-
tity (HCE)
13. What is an Or- clinically integrated care setting where individuals receive health care from more
ganized Health than one covered entity
Care Arrange-
ment (OHCA)?
14. What is an Affili- (1) legally separate covered entities that share common control or common
ated Covered En- ownership
tity (ACE)? (2) choose to designate themselves as one affiliated CE for the purposes of
complying with the HIPAA Privacy standard
15. Be treated as a single CE. Must agree to follow a standard policy and procedure
, HCCA - CHPC Exam Prep
Study online at https://quizlet.com/_h0dob7
What must a Affil-
iated Entity agree
to?
16. What is a Busi- (1) Separate entity working on behalf of the CE providing Treatment, Payment, and
ness Associate? 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
17. Who is allowed to (1) Workforce: employees, volunteers, trainees, and others under control of the
access PHI? CE
(2) Business Associates: Separate entity working on behalf of the CE providing
Treatment, Payment, and Healthcare Operations (TPO) and/or associated activi-
ties requiring access and/or use of PHI
18. What is an exam- claims processing
ple of a BA? data analysis
billing
benefit management
quality assurance
quality improvement
practice management
legal
actuarial
accounting
accreditation
other administrative services
19. What has been - lack of penalties for non-compliance
the main com- - federal penalties could only be levied against the CE
plaint with hold-
ing a BA ac-
countable under
