HIPAA Healthcare Provider Obligations and Covered Entities 2

Question 1

A small solo-practice physician transmits claims electronically to Medicare. Under HIPAA, this physician is classified as:

Accepted Answer

A covered entity

Answer

Any healthcare provider that transmits health information electronically in connection with HIPAA-covered transactions is a covered entity.

Question 2

Which of the following healthcare providers is NOT required to comply with HIPAA because they do not conduct covered electronic transactions?

Accepted Answer

A cash-only psychiatrist who never files insurance claims

Answer

A provider that conducts no HIPAA-covered electronic transactions is not a covered entity and has no HIPAA compliance obligation.

Question 3

Under the HIPAA Privacy Rule, a covered entity must provide patients with a Notice of Privacy Practices (NPP) at what point?

Accepted Answer

No later than the date of first service delivery

Answer

Covered entities must provide the NPP no later than the date of first service delivery to a patient.

Question 4

A hospital outsources its medical transcription to a company that will create and store PHI. What agreement must the hospital obtain before sharing PHI with this company?

Accepted Answer

A business associate agreement (BAA)

Answer

Covered entities must execute a Business Associate Agreement with any vendor that creates, receives, maintains, or transmits PHI on their behalf.

Question 5

Which entity type may voluntarily choose to be treated as a covered entity under HIPAA even if not strictly required?

Accepted Answer

A non-covered provider

Answer

A non-covered provider may voluntarily comply with HIPAA, often to facilitate electronic transactions with covered entities.

HIPAA - Health Insurance Portability and Accountability Act Practice Test

HIPAA - Health Insurance Portability and Accountability Act Practice Test

HIPAA Healthcare Provider Obligations and Covered Entities 2