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Certified HIPAA Professional Questions 56–60 (page: 13)

Updated On: 10-Feb-2026

Select the correct statement regarding the administrative requirements of the HIPAA privacy rule.

  1. A covered entity must designate, and document, a privacy official, security officer and a HIPAA compliance officer
  2. A covered entity must designate, and document, the same person to be both privacy official and as the contact person responsible for receiving complaints and providing further information about the notice required by the regulations.
  3. A covered entity must implement and maintain written or electronic policies and procedures with respect to PHI that are designed to comply with HIPM standards, implementation specifications and other requirements.
  4. A covered entity must train, and document the training of, at least one member of its workforce on the policies and procedures with regard to PHI as necessary and appropriate for them to carry out their function within the covered entity no later than the privacy rule compliance date
  5. A covered entity must retain the document required by the regulations for a period often years from the time of it's creation or the time it was last in effect, which ever is later.

Answer(s): C



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

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

Answer(s): E



A State insurance commissioner is requesting specific, individually identifiable information from an insurer as a part of a routine review of the insurer's practices.
What must the insurer do to deidentify the information?

  1. The protected health information must be removed from the information. A substitute "key" may be supplied to allow re-identification, if needed.
  2. Limit the information to coverage, dates of treatment, and payment amounts to avoid collecting any protected data.
  3. Nothing. An oversight agency has the right to access this information without prior authorization.
  4. Request that the insurance commissioner ask for an exception from HIPAA from the Department of Health and Human Services.
  5. A written authorization is required from the patient.

Answer(s): C



Which HIPAA Title is fueling initiatives within organizations to address health care priorities in the areas of transactions, privacy, and security?

  1. Title I.
  2. Title II
  3. Title III
  4. Title IV.
  5. Title V.

Answer(s): B



Select the correct statement regarding code sets and identifiers.

  1. The social security number has been selected as the National Health Identifier for individuals.
  2. The COT code set is maintained by the American Medical Association.
  3. Preferred Provider Organizations (PPO) are not covered by the definition of "health plan" for purposes of the National Health Plan Identifier
  4. HIPAA requires health plans to accept every valid code contained in the approved code sets
  5. An important objective of the Transaction Rule is to reduce the risk of security breaches through identifiers.

Answer(s): D



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