Exam Details

  • Exam Code
    :HIO-201
  • Exam Name
    :Certified HIPAA Professional
  • Certification
    :HIPAA Certifications
  • Vendor
    :HIPAA
  • Total Questions
    :185 Q&As
  • Last Updated
    :Jul 06, 2025

HIPAA HIPAA Certifications HIO-201 Questions & Answers

  • Question 121:

    The version of the ANSI ASC Xl 2N standard required by HIPAA regulations is:

    A. 3070

    B. 3050

    C. 3045

    D. 4010

    E. 4020

  • Question 122:

    Which of the following is example of "Payment" as defined in the HIPAA regulations?

    A. Annual Audits

    B. Claims Management

    C. Salary disbursement to the workforce having direct treatment relationships.

    D. Life Insurance underwriting

    E. Cash given to the pharmacist for the purchase of an over-the-counter drug medicine

  • Question 123:

    Which of the following was not established under the Administrative Simplification title?

    A. National P1<1 Identifier.

    B. National Standard Health Care Provider Identifier.

    C. National Standard Employer Identifier.

    D. Standards for Electronic Transactions and Code Sets.

    E. Security Rule.

  • Question 124:

    HIPAA transaction standards apply to:

    A. Employee drug tests.

    B. Health component of auto insurance.

    C. Stored health information data.

    D. Eligibility inquiries.

    E. Non-reimbursed employee medical expenses.

  • Question 125:

    Under the Privacy Rule, an individual may request a covered provider to restrict routine use or disclosure beyond what exists in the providers Notice of Privacy Practices. Upon that request, the provider

    A. Must store the information in an encrypted format.

    B. May refuse the request but still offer treatment.

    C. Must comply within seventy-five (75) days.

    D. Must only transfer the information using the ASC X12 format specification.

    E. Can request binding arbitration

  • Question 126:

    Which HIPAA Title is fueling initiatives within organizations to address health care priorities in the areas of transactions, privacy, and security'?

    A. Title I.

    B. Title II

    C. Title III.

    D. Title M

    E. Title V.

  • Question 127:

    Select the correct statement regarding code sets and identifiers.

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

    B. The CDT 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. HIPAS 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.

  • Question 128:

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

    A. A covered entity must designate, and document, a privacy official, security officer and a HIPAA compliance officer

    B. A covered entity must designate and document1 the same person to be both privacy official and as the contact person responsible for receiving complaints and providing further information about the notice required by the regulations.

    C. A covered entity must implement and maintain written or electronic policies and procedures with respect to PHI that are designed to comply with HIPAA standards, implementation specifications and other requirements.

    D. A covered entity must train, and document the training of, at least one member of its workforce on the policies and procedures with regard to PHI as necessary and appropriate for them to carry out their function within the covered entity no later than the privacy rule compliance date.

    E. A covered entity must retain the document required by the regulations for a period of ten years from the time of it's creation or the time it was last in effect, which ever is later.

  • Question 129:

    The best example of a party that would use the 835 - Health Care Claim Payment/Advice transaction is:

    A. HHS

    B. A community health management information system.

    C. Health statistics collection agency.

    D. Government agency.

    E. Insurance Company.

  • Question 130:

    A State insurance commissioner is requesting specific, individually identifiable information from an insurer as a part of a routine review of the insurer's practices. What must the insurer do to decertify the information?

    A. The protected health information must be removed from the information. A substitute "key" may be supplied to allow re-identification, if needed.

    B. Limit the information to coverage, dates of treatment. and payment amounts to avoid collecting any protected data.

    C. Nothing. An oversight agency has the right to access this information without prior authorization.

    D. Request that the insurance commissioner ask for an exception from HIPAA from the Department of Health and Human Services.

    E. B A written authorization is required from the patient.

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