The best example of a party that would use the 835 - Health Care Claim Payment/Advice transaction is:

1. A. HHS.
2. B. A community health management information system.
3. C. Health statistics collection agency.
4. D. Government agency
5. E. Insurance Company.

Correct Answer: E

When using the Health Care Eligibility Request/Response (270/271), if a provider submits certain minimum information and the patent/subscriber is in their database, the payer must generate a response. Which of the following is one of the minimum information fields?

1. A. Patient's country of birth
2. B. Patient's pet name
3. C. Patient's weight
4. D. Patient's address
5. E. Patient's date of birth

Correct Answer: E

A provider is in compliance with the Privacy Rule. She has a signed Notice of Privacy Practices from her patient. To provide treatment, the doctor needs to consult with an independent provider who has no relationship with the patient. To comply with the Privacy Rule the doctor MUST:

1. A. Establish a business partner relationship with the other provider.
2. B. Obtain a signed authorization from the patient to cover the disclosure.
3. C. Make a copy of the signed Notice available to the other provider.
4. D. Obtain the patients signature on the second provider's Notice of Privacy Practices.
5. E. Do nothing more -the Notice of Privacy Practices covers treatment activities.

Correct Answer: E

Which one of the following security standards is part of Technical Safeguards?

1. A. Access Control
2. B. Security Management Process
3. C. Facility Access Controls
4. D. Workstation Use
5. E. Device and Media Controls

Correct Answer: A

Title 1 of the HIPAA legislation in the United States is about:

1. A. PKI requirements for hospitals and health care providers.
2. B. Encryption algorithms that must be supported by hospitals and health care providers.
3. C. Fraud and abuse in the health care system and ways to eliminate the same.
4. D. Guaranteed health insurance coverage to workers and their families when they change employers.
5. E. The use of strong authentication technology that must be supported by hospitals and health care providers.

Correct Answer: D