HIO-201 Online Practice Questions and Answers

The transaction number assigned to the Health Care Claim Payment/Advice transaction is:

A. 270

B. 276

C. 834

D. 835

E. 837

Which of the following is NOT a HIPAA national health care identifier?

A. National Provider Identifier (NPI)

B. Social Security Number (SSN)

C. National Health Plan Identifier (PlanID)

D. National Employer Identifier for Health Care (EIN)

E. National Health Identifier for Individuals (NI-UI)

The implementation specifications for this HIPAA security standard (within Technical Safeguards) must support emergency access and unique user identification.

A. Audit Control

B. integrity

C. Access Control

D. Person or Entity Authentication

E. Transmission Security

A business associate must agree to:

A. Report to the covered entity any security incident of which it becomes aware

B. Ensure the complete safety of all electronic protected health information

C. Compensate the covered entity for penalties incurred because of the business associate's security incidents.

D. Register as a business associate with HHS

E. Submit to periodic audits by HHS of critical systems containing electronic protected health information

When PHI is sent or received over an electronic network there must be measures to guard against unauthorized access. This is covered under which security rule standard?

A. Device and Media Controls

B. Access Controls

C. Transmission Security

D. Integrity

E. Audit Controls

This transaction is the response to a Health Care Claim (837):

A. Eligibility (270/271)

B. Premium Payment (B20)

C. Claim Status Notification (277)

D. Remittance Advice (35)

E. Functional Acknowledgment (997)

Once a year, a team at ABC Hospital reviews environmental and operational changes that may have had an impact on the security of electronic PHI. This is an example of:

A. Transmission Security

B. Evaluation

C. Audit Controls

D. Integrity

E. Security Management Process

Select the FALSE statement regarding violations of the HIPAA Privacy rule.

A. Covered entities that violate the standards or implementation specifications will be subjected to civil penalties of up to $100 per violation except that the total amount imposed on any one person in each calendar year may not exceed $25,000 for violations of one requirement.

B. Criminal penalties for non-compliance are fines up to $65,000 and one year in prison for each requirement or prohibition violated.

C. Criminal penalties for willful violation are fines up to $60,000 and one year in prison for each requirement or prohibition violated.

D. Criminal penalties for violations committed under "false pretenses are fines up to $100,000 and five years in prison for each requirement or prohibition violated.

E. Criminal penalties for violations committed with the intent to sell, transfer, or use PHI for commercial advantage, personal gain or malicious harm are fines up to $250,000 and ten years in prison for each requirement or prohibition violated.

Select the FALSE statement regarding the X12N Implementation Guides.

A. The Washington Publishing Company has the exclusive rights to publish the X12N Implementation Guides.

B. HHS has adopted the Implementation Guides as standards for HIPAA transactions.

C. The guides are intended to be instructive and need not be followed strictly.

D. The guides may be downloaded free from WPC's Website.

E. The guides explain the usage of the transaction set segments and data elements.

When using the Health Care Eligibility Request/Response (2701271), ii a provider submits certain minimum information and the patient/subscriber is in their database, the payer must generate a response. Which of the following is one of the minimum information fields?

A. Patient's country of birth

B. Patient's pet name

C. Patient's weight

D. Patient's address

E. Patient's date of birth