Question No. 1
When limiting protected health information (PHI) to the minimum necessary for a use or disclosure, a covered entity can use:
Their professional judgment and standards,
The policies set by the security rule for the protection of the information,
Specific guidelines set by WEDI.
Measures that are expedient and reduce costs.
The information for research and marketing purposes only.
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Question No. 2
A covered entity that fails to implement the HIPAA Privacy Rule would risk
$5 .000 in fines.
$5000 in fines and six months in prison.
An annual cap of $50000 in fines.
A fine of up to $50000 if they wrongfully disclose PHI.
Six months in prison.
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Question No. 3
The Health Care Claim Status Response (277) can be used in a number of ways. Select the correct usage.
As a response to a health care claim status request
As a health care claim payment advice
Electronic funds transfer
As a request for health care claims status
Request for the psychotherapy notes of a patient
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Question No. 4
This requires records of the movement of hardware and electronic media that contain PHI.
Business Associate Contract
Data Backup Plan
Media Re-use
Disposal
Accountability
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Question No. 5
The Data Backup Plan is part of which Security Standard?
Contingency Plan
Evaluation
Security Management Procedures
Facility Access Control
Security Incident Procedures
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Question No. 6
Select the correct statement regarding the administrative requirements of the HIPAA privacy rule
A covered entity must designate, and document, a privacy official, security officer and a HIPA8 compliance officer
A covered entity must designate, and document, the same person to be both privacy official and as the contact person responsible for receiving complaints and providing further information about the notice required by the regulations.
A covered entity must implement and maintain written or electronic policies and procedures with respect to P1-Il that are designed to comply with HIPAA standards, implementation specifications and other requirements.
A covered entity must train, and document the training of. at least one member of its workforce on the policies and procedures with regard to PHI as necessary and appropriate for them to carry out their function within the covered entity no later than the privacy rule compliance date.
A covered entity must retain the document required by the regulations for a period often years from the time of it’s creation or the time it was last in effect, which ever is later
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Question No. 7
The transaction number assigned to the Benefit Enrollment and Maintenance transaction is:
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Question No. 8
Health information is protected by the Privacy Rule as long as:
The authorization has been revoked by the physician
The patient remains a citizen of the United States.
The information is under the control of HHS.
The information is in the possession of a covered entity.
The information is not also available on paper forms.
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Question No. 9
Select the FALSE statement regarding the X12N Implementation Guides.
The Washington Publishing Company has the exclusive rights to publish the X12N Implementation Guides.
HHS has adopted the Implementation Guides as standards for HIPAA transactions.
The guides are intended to be instructive and need not be followed strictly.
The guides may be downloaded free from WPC’s Website.
The guides explain the usage of the transaction set segments and data elements.
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Question No. 10
ANSI X12 specifies the use of a (an):
Simple flat file structure for transactions.
Envelope structure for transactions.
Employer identifier
Health plan identifier.
Provider identifier
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Question No. 11
Information in this transaction is generated by the payer’s adjudication system:
Eligibility (2701271) 5. Premium Payment 2O)
Unsolicited Claim Status (277)
Remittance Advice 35)
Functional Acknowledgment (997)
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Question No. 12
HL7 is particularly involved with:
NCPDP-based pharmacy standards.
The standard for pharmacy-health plan communication.
Administering Medicare and Medicaid programs.
Claims attachments.
Publishing HIPAA Transactions-related Implementation Guides.
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Question No. 13
The National Provider Identifier (NPI) will eventually replace the:
NPF.
NPS.
CDT.
ICD-9-CM, Volume 3.
UPIN.
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Question No. 14
Select the FALSE statement regarding the responsibilities of providers with direct treatment relationships under HIPAA’s privacy rule.
Provide the individual with a Notice of Privacy Practices that describes the use of PHI.
Obtain a written authorization for each and every TPO event.
Obtain a written authorization for any disclosure or use of PHI other than for the purposes of TPO.
Provide access to the PHI that it maintains to the individual and make reasonable efforts to correct possible errors when requested by the individual.
Establish procedures to receive complaints relating to the handling of PHI.
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Question No. 15
Within the context of a transaction set, the fields that comprise a hierarchical level are referred to as a(n):
Loop
Enumerator.
Identifier.
Data segment.
Code set.
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