CHAA Legal and Regulatory Compliance 2

Question 1

Under HIPAA, which of the following is considered Protected Health Information (PHI)?

Accepted Answer

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

Answer

PHI is individually identifiable health information that relates to a person's health condition, treatment, or payment for care.

Question 2

What is the minimum necessary standard under HIPAA, and how does it apply to patient access?

Accepted Answer

It requires limiting PHI access and disclosure to the minimum amount needed to accomplish the intended purpose

Answer

The minimum necessary standard requires that workforce members access only the PHI needed for their specific job functions.

Question 3

A patient requests a copy of their complete medical record. Under HIPAA, what is the organization's obligation?

Accepted Answer

Provide the records within 30 days (with a possible 30-day extension) in the format requested by the patient if readily producible

Answer

HIPAA gives patients the right to access their health information, and organizations must fulfill requests within 30 days, with reasonable cost-based fees.

Question 4

What is the purpose of the Medicare Secondary Payer (MSP) questionnaire administered during registration?

Accepted Answer

To identify whether another insurer should be the primary payer before Medicare

Answer

The MSP questionnaire identifies situations where Medicare should be the secondary payer, such as when the patient has employer group health coverage.

Question 5

Which regulation requires healthcare facilities to inform patients of their right to create advance directives?

Accepted Answer

The Patient Self-Determination Act (PSDA)

Answer

The Patient Self-Determination Act requires healthcare facilities to inform patients about their right to make advance directives and to document whether they have them.

CHAA - Certified Healthcare Access Associate Practice Test

CHAA - Certified Healthcare Access Associate Practice Test

CHAA Legal and Regulatory Compliance 2