AAPC HIPAA & Healthcare Compliance Regulations

Question 1

What does the acronym HIPAA stand for?

Accepted Answer

Health Insurance Portability and Accountability Act

Answer

Healthcare Information Privacy and Access Act

Answer

Hospital Insurance Payment and Authorization Act

Answer

Health Information Protection and Audit Act

Question 2

Which of the following is an example of Protected Health Information (PHI) under HIPAA?

Accepted Answer

A patient's name combined with their diagnosis and date of service

Answer

General public health statistics

Answer

De-identified aggregate data

Answer

Published clinical research results

Question 3

What does the HIPAA Privacy Rule primarily govern?

Accepted Answer

The use and disclosure of individuals' health information by covered entities

Answer

Electronic transaction standards

Answer

Security of electronic health records only

Answer

Medicare billing requirements

Question 4

What is a Business Associate Agreement (BAA) under HIPAA?

Accepted Answer

A contract between a covered entity and a vendor who handles PHI on its behalf

Answer

A billing contract between providers

Answer

An employment agreement for billing staff

Answer

A payer network participation agreement

Question 5

What does the HIPAA Security Rule specifically protect?

Accepted Answer

Electronic Protected Health Information (ePHI)

Answer

Paper medical records only

Answer

Verbal communications between providers

Answer

Insurance claim forms

Question 6

Under HIPAA, what constitutes a 'breach'?

Accepted Answer

An impermissible use or disclosure of unsecured PHI that compromises its privacy or security

Answer

Filing a claim with incorrect codes

Answer

Failing to collect a co-pay

Answer

Submitting a late claim