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  • Exam Name: Certified HIPAA Professional
  • Last Update: 19-Apr-2024
  • Questions and Answers: 160
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HIO-201 Questions and Answers

Question # 1

The National Provider File (NPF) includes information such as:

A.

Effective date.

B.

CPT-4.

C.

CDT.

D.

ICD-9-CM.

E.

Enrollment date.

Question # 2

ANSI X12 specifies the use of a (an):

A.

Simple flat file structure for transactions.

B.

Envelope structure for transactions.

C.

Employer identifier.

D.

Health plan identifier

E.

Provider identifier.

Question # 3

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

A.

It can be used for the payment of provider claims.

B.

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

C.

It can function solely as a remittance advice.

D.

Electronic Funds Transfer is fully supported.

E.

This transaction can carry either summary or detailed remittance information.

Question # 4

Within the context of a transaction set, the fields that comprise a hierarchical level are referred to as a(n):

A.

Loop.

B.

Enumerator.

C.

Identifier

D.

Data segment.

E.

Code set.

Question # 5

A grouping of functional groups, delimited by' a header/trailer pair, is called a:

A.

Data element

B.

Data segment

C.

Transaction set

D.

Functional envelope

E.

Interchange envelope

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