Health Computing > QUESTIONS & ANSWERS > HCCA - CHPC Study Questions and Answers (2022/2023) Already Passed (All)

HCCA - CHPC Study Questions and Answers (2022/2023) Already Passed

Document Content and Description Below

HCCA - CHPC Study Questions and Answers (2022/2023) Already Passed What is the purpose of HIPAA? ✔✔• Protect PHI from unauthorized disclosure/use; • Prevent fraud, waste and abuse (via Admi... nistrative Simplification); • Make health insurance portable under ERISA; • Move health care onto a nationally standardized electronic billing platform Ref. https://quizlet.com/6202453/hcca-chpc-overview-flash-cards/ More on HIPAA: https://www.hhs.gov/hipaa/index.html HIPAA resides in which CFR section? ✔✔45 CFR sections 164.102 through 164.534 https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-C/part-164 What are the subparts of HIPAA part 164? ✔✔HIPAA - 45 CFR 164, subparts: Subpart A - General rules Subpart C - Security Subpart D - Breach notification Subpart E - Privacy https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-C/part-164 How do you determine if an organization is a "Covered Entity"? ✔✔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 health plan • Eligibility for a health plan • Health care payment and remittance advice • 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-individuals/guidance-materials-for-consumers/index.html This Act established in 1974 was created for government agencies placing restrictions on how the government can share the information maintained in Federal systems of records that might infringe on an individual's privacy rights with other individuals and agencies. ✔✔The Privacy Act of 1974 Which of the following is not considered a HIPAA Entity Designation: 1. Affiliated covered entity 2. Entity that performs healthcare and non-healthcare component activities including both covered and non-covered functions 3. A group health plan 4. Contract arrangement with FEDEX carrier ✔✔4. Contract arrangement with FEDEX carrier What is Gramm-Leach-Bliley Act (GLBA)? ✔✔Gramm-Leach-Bliley Act (GLBA), also known as the Financial Services Modernization Act of 1999, includes The Financial Privacy Rule and The Safeguards Rule requires all financial institutions to protect customer's personal financial information. What is an OHCA? ✔✔OHCA (Organized Health Care Arrangement) it's a clinically integrated care setting where individuals receive health care from more than one provider. These are joint arrangements/activities and have an Integrated Delivery System for easy exchange of PHI data. See 45 CFR 160.103. OHCAs can also utilize a joint NPP. See 45 CFR § 164.520(d). ACE (Affiliated Covered Entity) do not have an Integrated Delivery System because these are legally separate covered entities that are associated in business, or affiliated as a result of some common control or ownership. Both the OHCA and the ACE would allow sharing of PHI across participating entity lines for treatment, payment, operations purposes (TPO). What's an ACE? ✔✔ACE (Affiliated Covered Entity) Legally separate covered entities that share common control/ownership and designate themselves as a single CE for the purpose of complying with the HIPAA Privacy standards. ACEs do not have an Integrated Delivery System, while OHCA do, and can share a single NPP. See 45 CFR § 164.520(d) ACE example: a health system composed on several affiliated hospitals. Both the OHCA and the ACE would allow sharing of PHI across participating entity lines for treatment, payment, operations purposes (TPO). What's a Hybrid Entity? ✔✔Entity that conducts both covered functions (or healthcarefunctions) and non-covered functions (other b [Show More]

Last updated: 2 years ago

Preview 1 out of 117 pages

Buy Now

Instant download

We Accept:

We Accept
document-preview

Buy this document to get the full access instantly

Instant Download Access after purchase

Buy Now

Instant download

We Accept:

We Accept

Reviews( 0 )

$11.50

Buy Now

We Accept:

We Accept

Instant download

Can't find what you want? Try our AI powered Search

111
0

Document information


Connected school, study & course


About the document


Uploaded On

Mar 17, 2023

Number of pages

117

Written in

Seller


seller-icon
Nutmegs

Member since 3 years

619 Documents Sold

Reviews Received
77
14
8
2
21
Additional information

This document has been written for:

Uploaded

Mar 17, 2023

Downloads

 0

Views

 111

Document Keyword Tags


$11.50
What is Scholarfriends

In Scholarfriends, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.

We are here to help

We're available through e-mail, Twitter, Facebook, and live chat.
 FAQ
 Questions? Leave a message!

Follow us on
 Twitter

Copyright © Scholarfriends · High quality services·