Use or disclosure of Protected Health Information (PHI) for Treatment, Payment, and Health care Operations (TPO) is:

1. A. Limited 1o the minimum necessary to accomplish the intended purpose.
2. B. Left to the professional judgment and discretion of the requestor.
3. C. Controlled totally by the requestor's pre-existing authorization document.
4. D. Governed by industry "best practices" regarding use
5. E. Left in force for eighteen (18) years.

Correct Answer: A

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

1. A. Eligibility (270/271)
2. B. Premium Payment (820)
3. C. Claim Status Notification (277)
4. D. Remittance Advice (835)
5. E. Functional Acknowledgment (997)

Correct Answer: C

Individually identifiable health information (IIHI) includes information that is:

1. A. Transmitted to a business associate for payment purposes only.
2. B. Stored on a smart card only by the patient.
3. C. Created or received by a credit company that provided a personal loan for surgical procedures.
4. D. Created or received by a health care clearinghouse for claim processing.
5. E. Requires the use of biometrics for access to records.

Correct Answer: D

The version of the ANSI ASC X12N standard required by HIPAA regulations is:

1. A. 3070
2. B. 3050
3. C. 3045
4. D. 4010
5. E. 4020

Correct Answer: D

The transaction number assigned to the Health Care Eligibility Request transaction is:

1. A. 270
2. B. 276
3. C. 278
4. D. 271
5. E. 834

Correct Answer: A