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Effective Study Techniques for the HIPAA HIO-201 Exam

Questions 31

This transaction type is a "response" transaction that may include information such as accepted/rejected claim, approved claim(s) pre-payment, or approved claim(s) post-payment:

Options:
A.

270.

B.

820

C.

837.

D.

277.

E.

278.

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Questions 32

The objective of this document is to safeguard the premises and building from unauthorized physical access and to safeguard the equipment therein from unauthorized physical access, tampering and theft

Options:
A.

Contingency Plan

B.

Facility Security Plan

C.

Emergency Mode Operation Plan

D.

Accountability

E.

Device and Media Controls

Questions 33

Select the best statement regarding organized health care arrangements (OHCA).

Options:
A.

An organized health care arrangement is a clinically integrated setting in which patients receive care from multiple providers.

B.

Independent providers participating in an organized health care arrangement are business associates of each other.

C.

An example of an OHCA is a nurse employed in a physician's office.

D.

An example of an OHCA is a laboratory attached to a physician's office.

E.

An example of an OHCA is a health insurance company and its affiliated life insurancecompany.

Questions 34

Formal, documented instructions for reporting security breaches are referred to as:

Options:
A.

Business Associate Contract

B.

Response and Reporting

C.

Emergency Access Procedure

D.

Sanction policy

E.

Risk Management

Questions 35

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).

Questions 36

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.

Questions 37

Select the FALSE statement regarding the X12N Implementation Guides.

Options:
A.

The Washington Publishing Company has the exclusive rights to publish the X12N Implementation Guides.

B.

HHS has adopted the Implementation Guides as standards for HIPAA transactions.

C.

The guides are intended to be instructive and need not be followed strictly.

D.

The guides may be downloaded free from WPC's Website.

E.

The guides explain the usage of the transaction set segments and data elements.

Questions 38

Which of the following is NOT a correct statement regarding HIPAA requirements?

Options:
A.

A coveted entity must change its policies and procedures to complywith HIPPPregulations, standards, and implementation specifications.

B.

A covered entity must reasonably safeguard PHI from any intentional or unintentional use or disclosure that is in violation of the regulations.

C.

A covered entity must provide a process for individuals to make complaints concerning privacy issues.

D.

A covered entity must document all complaints received regarding privacy issues.

E.

The Privacy Rule requires that the covered entity has a documented security policy.

Questions 39

The Health Care Claim Status Response (277) can be used in a number of ways. Select the correct usage.

Options:
A.

As a response to a health care claim status request

B.

As a health care claim payment advice

C.

Electronic funds transfer

D.

As a request for health care claims status

E.

Request for the psychotherapy notes of a patient

Questions 40

One implementation specification of the Security Management Process is:

Options:
A.

Risk Analysis

B.

Authorization and/or Supervision

C.

Termination Procedures

D.

Contingency Operations

E.

Encryption and Decryption

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