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HIO-201 Exam Dumps - HIPAA CHP Questions and Answers

Question # 4

Performing a periodic review in response to environmental or operational changes affecting the security of electronic protected health information is called:

Options:

A.

Transmission Security

B.

Evaluation

C.

Audit Control

D.

Integrity

E.

Security Management Process

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Question # 5

This transaction, which is not a HIPAA standard, may be used as the first response when receiving a Health Care Claim (837):

Options:

A.

Eligibility (270/271).

B.

Premium Payment (820).

C.

Unsolicited Claim Status (277).

D.

Remittance Advice (835).

E.

Functional Acknowledgment (997).

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Question # 6

A key date in the transaction rule timeline is:

Options:

A.

October 16, 2003 - small health plans to begin testing without ASCA extension

B.

October 16, 2004 - full compliance deadline for small health plans

C.

April 16, 2004 - small health plans to begin testing with ASCA extension

D.

April 16, 2003 - deadline to begin testing with ASCA extension

E.

April 14, 2003; deadline to begin testing with the ASCA extension.

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Question # 7

Within the context of a transaction set, the fields that comprise a hierarchical level are referred to as a(n):

Options:

A.

Loop.

B.

Enumerator.

C.

Identifier

D.

Data segment.

E.

Code set.

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Question # 8

This transaction is used to transmit referral transactions between UMOs and other parties:

Options:

A.

Referral Premium Payment

B.

Health Care Referral Certification and Authorization.

C.

First Report of Injury.

D.

Health Plan Referral Enrollment and Dis-enrollment.

E.

Coordination of Referral Benefits.

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Question # 9

Select the correct statement regarding the administrative requirements of the HIPAA privacy rule.

Options:

A.

A covered entity must apply disciplinary sanctions against members of its workforce who fail to comply with the privacy policies and procedures of the covered entity.

B.

A covered entity need not train all members of its workforce whose functions are materially affected by a change in policy or procedure.

C.

A covered entity must designate, and document, a contact person responsible for receiving acknowledgements of Notice of Privacy Practice.

D.

A covered entity may require individuals to waive their rights.

E.

A covered entity must provide maximum safeguards for PHI from any intentional or unintentional use or disclosure that is in violation of the regulations and to limit incidental uses and disclosures made pursuant to permitted or required use or disclosure.

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Question # 10

This code set describes drugs:

Options:

A.

ICD-9-CM. Volumes 1 and 2.

B.

CPT-4.

C.

CDT.

D.

ICD-9-CM. Volume 3.

E.

NDC.

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Question # 11

Select the best example of a business associate (if they had access to PHI).

Options:

A.

Accountants

B.

Hospital employees

C.

A covered entity's internal IT department

D.

CEO of the covered entity

E.

The covered entity's billing service department

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Question # 12

Select the correct statement regarding code sets and identifiers.

Options:

A.

The social security number has been selected as the National Health Identifier for individuals.

B.

The COT code set is maintained by the American Medical Association.

C.

Preferred Provider Organizations (PPO) are not covered by the definition of "health plan" for purposes of the National Health Plan Identifier

D.

HIPAA requires health plans to accept every valid code contained in the approved code sets

E.

An important objective of the Transaction Rule is to reduce the risk of security breaches through identifiers.

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Question # 13

A covered entity must adopt policies and procedures governing disclosures of PHI that identify

Options:

A.

The types of financial information to be disclosed.

B.

The specific individuals or entities to which disclosure would be made.

C.

The types of persons who would receive PHI.

D.

The conditions that would not apply to disclosure of PHI

E.

The criteria for reviewing requests for routine disclosure of PHI.

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Exam Code: HIO-201
Exam Name: Certified HIPAA Professional
Last Update: Feb 22, 2025
Questions: 160
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