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HCISPP · Question #310

HCISPP Question #310: Real Exam Question with Answer & Explanation

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Regulatory and Standards Environment

Question

May a health plan require a provider to use a health care clearinghouse to conduct a HIPPA- covered transaction, or must the health plan acquire the ability to conduct the transaction directly with those providers capable of conducting direct transactions?

Options

  • AA health plan may conduct its covered transactions through a clearinghouse, and may require a
  • BA health plan may not conduct it's covered transactions through a clearinghouse
  • CA health plan may after taking specific permission from HIPPA authorities conduct its covered
  • Dis not as per HIPPA allowed to require provider to conduct covered transactions with it through a

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Topics

#HIPAA Transactions#Healthcare Clearinghouses#Electronic Data Interchange (EDI)#Health Plan Requirements
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