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Select the phrase that makes the following statement FALSE. The 270 Health Care Eligibility Request can be used to inquire about:

A.

Eligibility status

B.

Benefit maximums

C.

Participating providers

D.

Deductibles & exclusions

E.

Co-pay amounts

A health care clearinghouse is an entity that:

A.

Requires PKI for the provider and the patient.

B.

Is exempt from HIPAA regulations.

C.

Is a not-for-profit operation.

D.

Identifies all hospitals and health care organizations.

E.

Performs the functions of format translation and data conversion.

Formal, documented instructions for reporting security breaches are referred to as:

A.

Business Associate Contract

B.

Response and Reporting

C.

Emergency Access Procedure

D.

Sanction policy

E.

Risk Management

Which transaction covers information specific to accidents?

A.

Accident Report.

B.

First Report of Injury.

C.

Health Care Claim.

D.

Health Care Claim Payment/Advice.

E.

Premium Payment.

Some of the information that an authorization must include is:

A.

The date on which any automatic extension occurs.

B.

Covered entity's signature.

C.

A statement that federal privacy laws still protect the information after it is disclosed.

D.

A statement that the individual has no right to revoke the authorization.

E.

The date signed.

The key objective of a contingency plan is that the entity must establish and implement policies and procedures to ensure the:

A.

Creation and modification of health information during and after an emergency.

B.

Integrity of health information during and after an emergency.

C.

Accountability of health information during and after an emergency.

D.

Vulnerability of health information during and after an emergency.

E.

Non-repudiation of the entity.

This transaction is the response to a Health Care Claim (837):

A.

Eligibility (270/271)

B.

Premium Payment (820)

C.

Claim Status Notification (277)

D.

Remittance Advice (835)

E.

Functional Acknowledgment (997)

The office manager of a small doctor's office wants to donate several of their older workstations to the local elementary school. Which Security Rule Standard addresses this situation?

A.

Security Management Process

B.

Device and Media Controls

C.

Information Access Management

D.

Facility Access Controls

E.

Workstation Security

Select the correct statement regarding the "Minimum Necessary" standard in the HIPAA regulations.

A.

In some circumstances a coveted entity is permitted, but not required, to rely on the judgment of the party requesting the disclosure as to the minimum amount of information necessary for the intended purpose. Some examples of these requesting parties are: another covered entity or a public official.

B.

The privacy rule prohibits use, disclosure, or requests for an entire medical record.

C.

Non-Covered entities need to redesign their facility to meet the requirement for minimum necessary uses.

D.

The minimum necessary standard requires covered entities to prohibit maintenance of medical charts at bedside and to require that X-ray light boards be totally isolated.

E.

If there is a request for more than the minimum necessary PHI, the privacy rule requires a covered entity to deny the disclosure of information after recording the event in the individual's case file.

The transaction pair used for requesting and responding to a health claim status inquiry is:

A.

270/271

B.

276/277

C.

278/278

D.

834/834

E.

837/835