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Match the covered entity with its function.

Premises
health care provider
health care clearinghouse
health plan
Responses
Assist in claims preparation
Pay for covered health services
Provide care and treatment

Correct Answer

health care provider
health care clearinghouse
health plan

The Department of Health and Human Services (DHHS) is responsible to notify all health care providers of changes in the HIPAA rulings.

Correct Answer

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What is a major point of the Title I portion of HIPAA?


A) Guarantee of renewability
B) Preventing fraud and abuse
C) Liability reform
D) Administrative simplification

Correct Answer

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How many titles are included in the Public Law 104-91?

Correct Answer

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The Privacy Rule for PHI states


A) who has been issued unique identifiers.
B) when authorization is needed.
C) when passwords need to be changed.
D) how to handle electronic PHI.

Correct Answer

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Only clinical staff need to understand HIPAA law.

Correct Answer

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False

What government agency approves final rules released in the Federal Register ?


A) Department of Education
B) Department of Interior
C) Centers for Disease Control and Prevention
D) Department of Health and Human Services

Correct Answer

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With the passage of HIPAA, large health care providers would be treated with faster service since their volume of claims is larger than small rural providers.

Correct Answer

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Choose the correct acronym for Public Law 104-91.


A) HIPO
B) HIPPA
C) HIPAA
D) HIPPO

Correct Answer

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Which group is not one of the three covered entities?


A) Patients
B) Health care plans
C) Health care clearinghouse
D) Health care provider

Correct Answer

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Which is not a responsibility of the HIPAA Officer?


A) Training staff members of HIPAA law
B) Being informed of any changes to HIPAA law
C) Ensuring all wastepaper is shredded
D) Safeguarding the security of clinical records

Correct Answer

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PHI (protected health information) is


A) any information that identifies an individual with a diagnosis.
B) health information created or received by a covered entity.
C) health information related to a physical or mental condition.
D) all of the above.

Correct Answer

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What is the intent of the clarification Congress passed in 1997?


A) To force covered entities to comply with HIPAA
B) To simplify billing procedures so services would be paid by check
C) To mandate that medical billing would have a nationwide standard to transmit electronically using electronic data interchange
D) To instruct all health plans to pay any health claim

Correct Answer

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The HIPAA Security Officers are responsible for


A) seeing that all facility doors are locked at night.
B) seeing that there is safe storage for paper medical records.
C) hiring security guards for their facility.
D) safeguarding all electronic patient health information.

Correct Answer

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What type of health information does the Security Rule address?


A) Paper medical files
B) Only the financial records of patients
C) The list of benefits and payments for services by health plans
D) Electronic PHI held by a covered entity

Correct Answer

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Health care professionals have found HIPAA has simplified claims submissions.

Correct Answer

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Under HIPAA law, providers may choose to submit claims either on paper or electronically.


A) True
B) False
C) Sometimes
D) It depends whether they are a small or large provider.

Correct Answer

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D

Which group is the focus of Title I of HIPAA?


A) Health care providers
B) Health plans
C) The insured
D) Health care clearinghouses

Correct Answer

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Match words with the correct acronym.

Premises
PHI
DHHS
HIPAA
e-PHI
IIHI
Responses
Individually identifiable health information
Protected health information
Health Insurance Portability and Accountability Act
Department of Health and Human Services
Electronic protected health information

Correct Answer

PHI
DHHS
HIPAA
e-PHI
IIHI

What year did Public Law 104-91 pass both houses of Congress?

Correct Answer

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1996

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