HIPAA CHP HIO-201 Questions & Answers

• Question 21:

  The transaction number assigned to the Benefit Enrollment and Maintenance transaction is:

  A. 270

  B. 276

  C. 278

  D. 280

  E. 834

  Correct Answer: E

• Question 22:

  Processes enabling an enterprise to restore any lost data in the event of fire, vandalism, natural disaster, or system failure are defined under:

  A. Risk Analysis

  B. Contingency Operations

  C. Emergency Mode Operation Plan

  D. Data Backup Plan

  E. Disaster Recover Plan

  Correct Answer: E

• Question 23:

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

  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.

  Correct Answer: C

• Question 24:

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

  A. 2701271

  B. 2761277

  C. 2781278

  D. 8341834

  E. 837/835

  Correct Answer: B

• Question 25:

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

  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.

  Correct Answer: A

• Question 26:

  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 and exclusions

  E. Co-pay amounts

  Correct Answer: C

• Question 27:

  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 HIPA8 compliance officer

  B. A covered entity must designate, and document, 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 P1-Il 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 often years from the time of it's creation or the time it was last in effect, whichever is later

  Correct Answer: C

• Question 28:

  The National Provider Identifier (NPI) will eventually replace the:

  A. NPF .

  B. NPS .

  C. CDT .

  D. ICD-9-CM, Volume 3 .

  E. UPIN .

  Correct Answer: E

• Question 29:

  A covered entity that fails to implement the HIPAA Privacy Rule would risk

  A. $5 .000 in fines.

  B. $5000 in fines and six months in prison.

  C. An annual cap of $50000 in fines.

  D. A fine of up to $50000 if they wrongfully disclose PHI.

  E. Six months in prison.

  Correct Answer: D

• Question 30:

  When submitting a Health Care Claim Status Request, it is important to provide the proper tracking information to exactly identify the previously submitted claim Select the information that would be most important to the claim inquiry/ process.

  A. Authorization Number

  B. Prov'ider's National Provider identifier (NPI)

  C. Claim Submitter home phone number

  D. Patient's lab report

  E. Pro'ider's security PIN code

  Correct Answer: B