This transaction type is a "response" transaction that may include information such as accepted/rejected claim, approved claim(s) pre-payrnent, or approved claim(s) post-payment:
A. 270.
B. 820.
C. 837.
D. 277.
E. 278.
The code set that must be used to describe or identil' outpatient physician services and procedures is:
A. ICD-SCM, Volumes 1 and 2
B. CPT-4
C. CDT
D. ICD-SCM, Volume 3
E. NDC
The Security Incident Procedures standard requires just one implementation specification. That implementation specification is:
A. Termination Procedures
B. Automatic Logoff
C. Emergency Access Procedure
D. Contingency Operations
E. Response and Reporting
A hospital is preparing a file of treatment information for the state of California. This file is to be sent to external medical researchers. The hospital has removed SSN, name, phone and other information that specifically identifies an individual However, there may still be data in the file that potentially could identify the individual Can the hospital claim `safe harbor" and release the file to the researchers?
A. Yes the hospital's actions satisfy the "safe harbor" method of de-identification
B. No - a person with appropriate knowledge and experience must determine that the information that remains can identify an individual,
C. No - authorization to release the information is still required by HIPAA
D. No- to satisfy "safe harbor the hospital must also have no knowledge of a way to use the remaining data to identify an individual.
E. Yes - medical researchers are covered entities and "research" is considered a part of "treatment" by HIPAA.
Ensuring that physical access to electronic information systems and the facilities in which they are housed is limited, is addressed under which security rule standard?
A. Security Management Process
B. Transmission Security
C. Person or Entity Authentication
D. Facility Access Controls
E. information Access Management
This Administrative Safeguard standard implements policies and procedures to ensure that all members of its workforce have appropriate access to electronic information.
A. Security Awareness Training
B. Workforce Security
C. Facility Access Controls
D. Workstation Use
E. Workstation Security
The National Provider Identifier (NPI) will eventually replace the:
A. NPF .
B. NPS .
C. CDT .
D. ICD-9-CM, Volume 3.
E. UPIN .
A health care clearinghouse is an entity that:
A. Requires P1<1 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.
Which one of the following implementation specifications is associated with the Facility Access Control standard?
A. Integrity Controls
B. Emergency Access Procedure
C. Access Control and Validation Procedures
D. Security Reminders
E. Security Policy
The National Provider File (NPF) includes information such as:
A. Effective date.
B. CPT-4.
C. CDT.
D. ICD-9-CM.
E. Enrollment date.
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