HIPAA Privacy Compliance Quiz Test!

1.

HIPAA 5010 IS A NEW BILLING AND CODING STANDARD.

A.

True
B.

False

Correct Answer
A. True

Explanation
HIPAA 5010 is a new billing and coding standard that was implemented to replace the outdated HIPAA 4010 version. It was introduced to improve the efficiency and accuracy of healthcare transactions, including billing and coding processes. The new standard includes updated codes, formats, and data elements, ensuring better interoperability and streamlined communication between healthcare providers, payers, and other entities involved in healthcare transactions. Therefore, the statement that HIPAA 5010 is a new billing and coding standard is true.

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2.

WHAT DOES HIPAA STAND FOR?

Correct Answer
HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT
health insurance portability and accountability act
health insurance portability & accountability act
HEALTH INSURANCE PORTABILITY & ACCOUNTABILTY ACT
health insurance portability and accountability
Health Insurance Portability & Accountability Act
Health Insurance Portability and Accountability Act

Explanation
HIPAA stands for Health Insurance Portability and Accountability Act. This legislation was enacted in 1996 to protect the privacy and security of individuals' health information. It provides guidelines for the use and disclosure of protected health information by healthcare providers, health plans, and other entities involved in the healthcare industry. HIPAA also gives individuals certain rights regarding their health information, including the right to access and control their own medical records. The act aims to ensure the confidentiality and integrity of personal health information and promotes the portability of health insurance coverage for individuals.

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4

3.

IN REGARDS TO THE HITECH ACT, PROSOURCE BILLING INC. IS AN EXAMPLE OF A BUSINESS ASSOCIATE.

A.

True
B.

False

Correct Answer
A. True

Explanation
Prosource Billing Inc. is considered a business associate under the HITECH Act. This act defines a business associate as any entity that performs certain functions or activities on behalf of a covered entity, such as a healthcare provider, and involves the use or disclosure of protected health information. Prosource Billing Inc. likely handles billing and financial services for healthcare providers, making them a business associate.

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4.

P.I.I. STANDS FOR?

A.

PROTECTED INDIVIDUAL INFORMATION
B.

PERSONAL INDIVIDUAL INFORMATION
C.

PERSONALLY IDENTIFIABLE INFORMATION

Correct Answer
C. PERSONALLY IDENTIFIABLE INFORMATION

Explanation
The correct answer is "PERSONALLY IDENTIFIABLE INFORMATION." Personally Identifiable Information (PII) refers to any data that can be used to identify an individual, such as their name, address, social security number, or email address. This type of information is sensitive and should be protected to prevent unauthorized access or misuse.

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5.

IN REGARDS TO HITECH, AN INTENTIONAL BREACH: IS "LOOKING AT SOMEONE'S MEDICAL INFORMATION WITHOUT A BUSINESS NEED TO DO SO."

A.

True
B.

False

Correct Answer
A. True

Explanation
An intentional breach in regards to HITECH refers to the act of looking at someone's medical information without a business need to do so. This means that accessing or viewing someone's medical information without a legitimate reason or authorization is considered an intentional breach. Therefore, the correct answer is true.

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6.

THE RED FLAG PROTOCOL IS OUR POLICY THAT IS IN PLACE TO PROTECT AGAINST WHAT TYPE OF IDENTITY THEFT?

Correct Answer
MEDICAL
Medical Identity Theft
MEDICAL IDENTITY THEFT
medical identity theft
MEDICAL IDENTITY

Explanation
The Red Flag Protocol is a policy that is in place to protect against medical identity theft. This type of identity theft occurs when someone uses another person's personal information, such as their name or insurance information, to obtain medical services or prescription drugs. The Red Flag Protocol helps to identify and prevent these fraudulent activities, ensuring the security and privacy of individuals' medical information.

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4

7.

PCI DSS INDICATES THAT YOU SHOULD WRITE DOWN AND STORE CREDIT/DEBIT CARD INFORMATION.

A.

True
B.

False

Correct Answer
B. False

Explanation
PCI DSS (Payment Card Industry Data Security Standard) is a set of security standards designed to protect credit and debit card information. According to PCI DSS, it is strictly prohibited to write down and store credit/debit card information. Storing such information increases the risk of unauthorized access and potential data breaches. Therefore, the statement that PCI DSS indicates that you should write down and store credit/debit card information is false.

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8.

WHEN REFERRING TO CMS FRAUD/ WASTE & ABUSE TRAINING PROSOURCE BILLING IS AN EXAMPLE OF A "DOWNSTREAM ENTITY."

A.

True
B.

False

Correct Answer
A. True

Explanation
Prosource Billing is an example of a "downstream entity" when referring to CMS fraud/waste & abuse training. This means that Prosource Billing is a third-party organization that receives Medicare payments from another entity, such as a healthcare provider. They are downstream in the payment chain and may be subject to CMS regulations and requirements regarding fraud, waste, and abuse prevention. Therefore, the statement "Prosource Billing is an example of a 'downstream entity'" is true.

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9.

IF YOU HAVE A CONCERN REGARDING ANY VIOLATION OF THESE COMPLIANCE STANDARDS THERE IS NO WAY FOR YOU TO REPORT THEM.

A.

True
B.

False

Correct Answer
B. False

Explanation
The statement suggests that there is no way for individuals to report any concerns regarding violation of compliance standards. However, this is not true as there are usually multiple channels available for reporting such concerns, such as whistleblower hotlines, reporting to supervisors or managers, or utilizing company policies and procedures. Therefore, the correct answer is False.

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