CDEO Chapter 2 Exam Questions and Answers Already Passed
HIPPA - Answers Health Information Portability and Accountability Act
Enacted to ensure to provide rights and protections for participants and beneficiaries in group
health plans.
Also mandates uniform standards for electronic data transmission of administrative and
financial date relating to patient health.
HIPPA - Answers Enacted in August 21. 1996
aka Kennedy Caspon Bill
Portability - Answers Ensure individuals can maintain their health insurance between jobs
Implemented pre-existing conditions regulations
Accountability - Answers Security
Privacy
Transactions and Code Sets
Identifiers
HIPPA - Answers Health Care Fraud and Abuse Program includes both public and private health
plans.
Covered Entity - Answers Healthcare Providers
Doctors Clinics
Psychologists
Dentists
Chiropractors
Nursing Homes
Pharmacies
,But only if they transmit any information in an electronic form fax is not considered electronic
form.
Covered Entities - Answers Healthcare Clearinghouse
Billing Services
Repricing Companies
Community Health Management Information Systems
Entities that process non standard health information they receive from another entity into a
standard or vice versa
Healthcare Clearinghouse - Answers Are entities that process non-standard health information
they receive from from another entitiy into a standard or vice versa
Billing Services
Repricing Companies
Community Health Management Information Systems
Value Added Networks & Switches
Must perform the clearing house function on health information received from some other
entity.
Health Plans - Answers Include health insurance companies:
HMO's
Company Health Plans
Government Programs that pay for healthcare, such as Medicare, Medicaid, and the Military and
Veteran's Healthcare program
, Employer programs with fewer than 50 participants and which are self administered are not
covered.
Worker's compensation and liability insurances are to covered by HIPPA.
Business Associate - Answers Is covered under HIPPA
A person who performs function or activity on behalf of, or provides services to, a Covered
Entity that involves individually identifiable health information.
Business Associate Agreement - Answers Permitted Users And Disclosures
Requirement to use appropriate safe guards
Requirement to report on non-permitted uses and disclosures to the covered entity
Requirement to extend same terms to subcontractors
Health Care Patient - Answers Is not a covered entity under HIPPA
Privacy Rule - Answers Address the use and disclosure of individual's health information
Standards for individual's privacy rights to understand and control how their health information
is used
Protected Health Information - Answers The individual's past, present, or future physical or
mental health or condition.
Information held or transmitted by a covered entity, in any form or media, electronic, paper, oral.
PHI - Answers The provision of health care to the individual or the past, present, or future
payment for the provision of health care to the individual.
De-Identified Health Information - Answers Two ways to de-identify health information.
1. A formal determination by a statistician,
HIPPA - Answers Health Information Portability and Accountability Act
Enacted to ensure to provide rights and protections for participants and beneficiaries in group
health plans.
Also mandates uniform standards for electronic data transmission of administrative and
financial date relating to patient health.
HIPPA - Answers Enacted in August 21. 1996
aka Kennedy Caspon Bill
Portability - Answers Ensure individuals can maintain their health insurance between jobs
Implemented pre-existing conditions regulations
Accountability - Answers Security
Privacy
Transactions and Code Sets
Identifiers
HIPPA - Answers Health Care Fraud and Abuse Program includes both public and private health
plans.
Covered Entity - Answers Healthcare Providers
Doctors Clinics
Psychologists
Dentists
Chiropractors
Nursing Homes
Pharmacies
,But only if they transmit any information in an electronic form fax is not considered electronic
form.
Covered Entities - Answers Healthcare Clearinghouse
Billing Services
Repricing Companies
Community Health Management Information Systems
Entities that process non standard health information they receive from another entity into a
standard or vice versa
Healthcare Clearinghouse - Answers Are entities that process non-standard health information
they receive from from another entitiy into a standard or vice versa
Billing Services
Repricing Companies
Community Health Management Information Systems
Value Added Networks & Switches
Must perform the clearing house function on health information received from some other
entity.
Health Plans - Answers Include health insurance companies:
HMO's
Company Health Plans
Government Programs that pay for healthcare, such as Medicare, Medicaid, and the Military and
Veteran's Healthcare program
, Employer programs with fewer than 50 participants and which are self administered are not
covered.
Worker's compensation and liability insurances are to covered by HIPPA.
Business Associate - Answers Is covered under HIPPA
A person who performs function or activity on behalf of, or provides services to, a Covered
Entity that involves individually identifiable health information.
Business Associate Agreement - Answers Permitted Users And Disclosures
Requirement to use appropriate safe guards
Requirement to report on non-permitted uses and disclosures to the covered entity
Requirement to extend same terms to subcontractors
Health Care Patient - Answers Is not a covered entity under HIPPA
Privacy Rule - Answers Address the use and disclosure of individual's health information
Standards for individual's privacy rights to understand and control how their health information
is used
Protected Health Information - Answers The individual's past, present, or future physical or
mental health or condition.
Information held or transmitted by a covered entity, in any form or media, electronic, paper, oral.
PHI - Answers The provision of health care to the individual or the past, present, or future
payment for the provision of health care to the individual.
De-Identified Health Information - Answers Two ways to de-identify health information.
1. A formal determination by a statistician,
