HCCA CHPC FINAL EXAM TEST AND PRACTICE

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HCCA CHPC FINAL EXAM TEST AND PRACTICE

EXAM QUESTIONS 2025 NEWEST CURRENTLY

TESTING COMPLETE EXAM QUESTIONS WITH

DETAILED VERIFIED ANSWERS (100% CORRECT

ANSWERS) /ALREADY GRADED A+ / LATEST EXAM!!!

HIPAA became law - Answer-1996

What is the purpose of HIPAA? - Answer-• To make health insurance portable under ERISA; • To move health care onto a nationally standardized electronic billing platform; and • To prevent fraud, waste and abuse

Intent - Answer-purpose of this subtitle to improve the Medicare program under title XVIII of the Social Security Act, the Medicaid program under title XIX of such Act, and the efficiency and effectiveness of the health care system, by encouraging the development of a health information system through the establishment of standards and requirements for the electronic transmission of certain health information.

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HIPAA resides in what CFR section - Answer-45 CFR sections 164.102 through 164.534

Identify the four sections in the CFR by location and topic -

Answer-Section One: 164.102 - 164.318 and 164.530 -

164-534 Organizational Requirements

Section Two: 164.500 - 164.514 Use and Disclosure of

Information

Section Three: 164.520 - 164.528 Individual's Rights and

Penalties

Section Four: Interaction with the HIPAA Security Rule

How do you determine if organization is a CE - Answer-- compare the functions of the entity to the three principal types of "covered entities" (CE),

• determine if the entity electronically transmits one of the

nine defined transactions"

What are the different types of CEs - Answer-- Provider 2 / 3

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• Health Plan
• Clearing House
• Other Types

How is a Provider defined - Answer-- "a provider of services (as defined in section 1395x (u) of title XIX)

• a provider of medical or other health services (as defined

in section 1395x (s) of title XIX)

• any other person furnishing health care services or

supplies.

Does a provider need a standing facility to be considered a CE - Answer-NO

What does "Health Plan" mean? - Answer-An individual or group plan that provides, or pays the cost of, medical care

• A group health plan, but only if the plan:

-- has 50 or more participants -- is administered by an entity other than the employer who established and maintains the plan.• A health insurance issuer

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