Question 1

How many days does the provider have to correct the patient's medical record once a request has been made?

Accepted Answer

A)  20 
B)  30 
C)  60 
D)  90

Question 2

Which type of safeguard involves establishing and maintaining authentication systems such as digital signatures, double keying, and token systems?

Accepted Answer

A)  administrative 
B)  procedural 
C)  physical 
D)  technical

Question 3

The advantage of using electronic data interchange standards (EDI) in the transmission of medical and claims data is:

Accepted Answer

A)  improved data quality. 
B)  faster processing of transactions. 
C)  lower operating costs. 
D)  all of the above.

Question 4

HIPAA requires that diagnoses and services be reported in a standard, consistent manner; this is accomplished by using uniform:

Accepted Answer

A)  claim forms. 
B)  code sets. 
C)  descriptors. 
D)  modifiers.

Question 5

The Health Insurance Portability and Accountability Act (HIPAA) was signed into law in 2003.

Accepted Answer

A) True 
 B)False

Question 6

The unique identifier for physicians, nurses, and other healthcare professionals, organizations, and facilities that provide healthcare services or supplies is the:

Accepted Answer

A)  Federal Employer Identification Number (EIN). 
B)  Social Security number. 
C)  National Provider Identifier (NPI). 
D)  National Health Plan Identifier.

Question 7

HIPAA guidelines apply to which of the following types of healthcare administrative transactions?

Accepted Answer

A)  health insurance claims 
B)  claim status requests and reports 
C)  eligibility requests and verifications 
D)  all of the above

Question 8

Match the following
-Legislation enacted to strengthen HIPAA privacy and security protections and enhance enforcement efforts

Accepted Answer

A)  Enforcement Rule 
B)  Transactions and Code Set Rule 
C)  Unique Identifiers Rule 
D)  protected health information (PHI) 
E)  Security Rule
F) electronic protected health information (EPHI)
G) HIPAA compliance
H) Privacy Rule
I) meaningful use
J) HITECH Act

Question 9

Under HIPAA, health plans, providers, and clearinghouses are considered ________.

Accepted Answer

The answer of Under HIPAA, health plans, providers, and clearinghouses...

Question 10

Under the HIPAA Privacy Rule, a patient's medical record and payment history are considered:

Accepted Answer

A)  protected health information. 
B)  managed care plan information. 
C)  secure medical data. 
D)  electronically transmitted data.

Question 11

The HIPAA Security Rule complements the Privacy Rule but applies exclusively to:

Accepted Answer

A)  protected health information. 
B)  electronic protected health information. 
C)  medical claims. 
D)  hospital claims.

Question 12

The HITECH requirements for the implementation of standardized, certified, interoperable electronic health records and related technologies are known as:

Accepted Answer

A)  standard code sets. 
B)  meaningful use. 
C)  certification. 
D)  computerized provider order entry.

Question 13

The HITECH Act expands the privacy provisions of HIPAA to include:

Accepted Answer

A)  corporate owners of covered entities. 
B)  business associates of covered entities. 
C)  friends and family of providers. 
D)  friends and family of patients.

Question 14

The HITECH Act introduced which concept in regard to electronic health information?

Accepted Answer

A)  hacking prevention 
B)  authorized use 
C)  fraud prevention 
D)  meaningful use

Question 15

The electronic record that includes documentation of patient care across multiple healthcare organizations that can be viewed by all providers who have a relationship with the patient is the electronic:

Accepted Answer

A)  data interchange. 
B)  health record. 
C)  medical record. 
D)  patient database.

Question 16

Under HIPAA, any information related to patient identity, patient health status, the provision of care, or payment for services is considered ________.

Accepted Answer

The answer of Under HIPAA, any information related to patient...

Question 17

Each medical practice must appoint a person to serve as its Privacy Compliance Officer, who must be familiar with federal and state privacy regulations in order to:

Accepted Answer

A)  file monthly reports with the office of the state insurance commissioner. 
B)  respond to insurance carriers' questions and handle patient billing complaints. 
C)  respond to requests for medical records and handle privacy-related complaints. 
D)  represent the practice in any lawsuits that arise over privacy issues.

Question 18

Under the Civil Monetary Penalties Law (CMPL), physicians who pay or accept kickbacks face penalties of up to:

Accepted Answer

A)  $50,000 per kickback plus three times the amount of the remuneration. 
B)  $250,000 per kickback. 
C)  $100,000 per kickback plus three times the amount of remuneration. 
D)  $500 set fine plus up to 5 years in prison.

Question 19

Match the following
-HIPAA provision that deals with establishing standards for electronic data interchange (EDI) and for reporting diagnosis, procedure, and drug information

Accepted Answer

A)  Enforcement Rule 
B)  Transactions and Code Set Rule 
C)  Unique Identifiers Rule 
D)  protected health information (PHI) 
E)  Security Rule
F) electronic protected health information (EPHI)
G) HIPAA compliance
H) Privacy Rule
I) meaningful use
J) HITECH Act

Question 20

Match the following
-Legally mandated policies, procedures, and actions that protect the privacy of patient health information

Accepted Answer

A)  Enforcement Rule 
B)  Transactions and Code Set Rule 
C)  Unique Identifiers Rule 
D)  protected health information (PHI) 
E)  Security Rule
F) electronic protected health information (EPHI)
G) HIPAA compliance
H) Privacy Rule
I) meaningful use
J) HITECH Act

Exam 4: Introduction to the Health Insurance Portability and Accountability Act Hipaa

How many days does the provider have to correct the patient's medical record once a request has been made?

Which type of safeguard involves establishing and maintaining authentication systems such as digital signatures, double keying, and token systems?

The advantage of using electronic data interchange standards (EDI) in the transmission of medical and claims data is:

HIPAA requires that diagnoses and services be reported in a standard, consistent manner; this is accomplished by using uniform:

The Health Insurance Portability and Accountability Act (HIPAA) was signed into law in 2003.

The unique identifier for physicians, nurses, and other healthcare professionals, organizations, and facilities that provide healthcare services or supplies is the:

HIPAA guidelines apply to which of the following types of healthcare administrative transactions?

Match the following -Legislation enacted to strengthen HIPAA privacy and security protections and enhance enforcement efforts

Under HIPAA, health plans, providers, and clearinghouses are considered ________.

Under the HIPAA Privacy Rule, a patient's medical record and payment history are considered:

The HIPAA Security Rule complements the Privacy Rule but applies exclusively to:

The HITECH requirements for the implementation of standardized, certified, interoperable electronic health records and related technologies are known as:

The HITECH Act expands the privacy provisions of HIPAA to include:

The HITECH Act introduced which concept in regard to electronic health information?

The electronic record that includes documentation of patient care across multiple healthcare organizations that can be viewed by all providers who have a relationship with the patient is the electronic:

Under HIPAA, any information related to patient identity, patient health status, the provision of care, or payment for services is considered ________.

Each medical practice must appoint a person to serve as its Privacy Compliance Officer, who must be familiar with federal and state privacy regulations in order to:

Under the Civil Monetary Penalties Law (CMPL) , physicians who pay or accept kickbacks face penalties of up to:

Match the following -HIPAA provision that deals with establishing standards for electronic data interchange (EDI) and for reporting diagnosis, procedure, and drug information

Match the following -Legally mandated policies, procedures, and actions that protect the privacy of patient health information