CHAA - Certified Healthcare Access Associate HIPAA Privacy and Security 9 — Questions and Answers
Question 1: Under HIPAA's 'minimum necessary' standard, a healthcare access associate should:
- Share the full medical record with any provider who requests it
- Access or disclose only the amount of PHI needed to accomplish the intended purpose (Correct answer)
- Provide complete records to patients upon any verbal request
- Limit PHI access exclusively to licensed physicians
Correct answer: Access or disclose only the amount of PHI needed to accomplish the intended purpose
The minimum necessary standard requires covered entities to make reasonable efforts to limit PHI use, disclosure, and requests to what is needed for the specific purpose — not more.
Question 2: A HIPAA Notice of Privacy Practices (NPP) must be provided to patients:
- Only when the patient requests it in writing
- At the first point of service delivery (Correct answer)
- Annually on the anniversary of their first visit
- Only when PHI is shared with a third party
Correct answer: At the first point of service delivery
Covered entities are required to provide the NPP no later than the date of first service delivery, giving patients upfront notice of how their PHI may be used and disclosed.
Question 3: Under HIPAA's Breach Notification Rule, covered entities must notify affected individuals of an unsecured PHI breach within:
- 24 hours of discovery
- 30 days of discovery
- 60 days of discovery (Correct answer)
- 180 days of discovery
Correct answer: 60 days of discovery
HIPAA requires covered entities to notify affected individuals without unreasonable delay and no later than 60 days following discovery of a breach of unsecured PHI.
Question 4: Which of the following entities would be considered a HIPAA Business Associate?
- A patient's authorized family caregiver
- A third-party medical billing company that processes claims on behalf of a hospital (Correct answer)
- A nurse employed directly by a covered hospital
- A state health inspector auditing the facility
Correct answer: A third-party medical billing company that processes claims on behalf of a hospital
A Business Associate is an outside person or organization that performs functions or services involving PHI on behalf of a covered entity, such as a third-party billing company.
Question 5: The HIPAA Security Rule requires covered entities to implement safeguards in which three categories?
- Administrative, physical, and technical (Correct answer)
- Legal, financial, and operational
- Clinical, preventive, and corrective
- Workforce, facility, and network
Correct answer: Administrative, physical, and technical
The Security Rule mandates administrative safeguards (policies and training), physical safeguards (facility and device controls), and technical safeguards (system access controls and encryption) to protect electronic PHI.
Question 6: Under HIPAA, a patient has the right to request an amendment to their medical record when:
- They want to remove information they voluntarily provided
- They disagree with a physician's clinical opinion
- They believe the information is inaccurate or incomplete (Correct answer)
- Their insurance company denies a claim based on the record
Correct answer: They believe the information is inaccurate or incomplete
HIPAA gives patients the right to request amendments to their PHI if they believe it is inaccurate or incomplete; the covered entity may accept or deny the request with written justification.
CHAA - Certified Healthcare Access Associate HIPAA Privacy and Security 9
Under HIPAA's 'minimum necessary' standard, a healthcare access associate should: