Question No. 1

This transaction, which is not a HIPAA standard, may be used as the first response when receiving a Health Care Claim (837):

AEligibility (270/271).

BPremium Payment (820).

CUnsolicited Claim Status (277).

DRemittance Advice (835).

EFunctional Acknowledgment (997).

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Correct Answer: E

Question No. 2

Select the correct statement about the 820-Payment Order/Remittance advice transaction.

AIt can be used for the payment of provider claims.

BIt can be used to pay for insurance products (either individual or group premiums).

CIt can function solely as a remittance advice.

DElectronic Funds Transfer is fully supported.

EThis transaction can carry either summary or detailed remittance information.

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Correct Answer: A

Question No. 3

Select the phrase that makes the following statement FALSE. The 270 Health Care Eligibility Request can be used to inquire about

AEligibility status

BBenefit maximums

CParticipating providers

DDeductibles & exclusions

ECo-pay amounts

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Correct Answer: C

Question No. 4

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 comp with the Privacy Rule the doctor MUST:

AEstablish a business partner relationship with the other provider.

BObtain a signed authorization from the patient to cover the disclosure.

CMake a copy of the signed Notice available to the other provider

DObtain the patients signature on the second providers Notice of Privacy Practices.

EDo nothing more --- the Notice of Privacy Practices covers treatment activities.

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Correct Answer: E

Question No. 5

Select the best statement regarding the definition of the term ''use'' as used by the HIPAA regulations.

A'Use'' refers to the release, transfer, or divulging of IIHI between various covered entities.

B''Use'' refers to adding, modifying and deleting the PHI by other covered entities.

C''Use'' refers to utilizing, examining, or analyzing IIHI within the covered entity

D''Use'' refers to the movement of de-identified information within an organization.

E''Use'' refers to the movement of information outside the entity holding the information.

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Correct Answer: C

Free HIPAA HIO-201 Exam Actual Questions

The questions for HIO-201 were last updated On Dec 17, 2024