HCISPP Exam Questions
311 real HCISPP exam questions with expert-verified answers and explanations. Page 3 of 7.
- Question #103Regulatory and Standards Environment
The inclusion of network-model HMOs in the Health Maintenance Act of 1973 ensured.
HMA 1973HMO modelshealthcare legislationhealth policy - Question #104Healthcare Industry
Network forms of managed care organization have been referred to as "virtual integration" because.
Managed care networksVirtual integrationContractual relationshipsHealthcare organization structures - Question #105Healthcare Industry
Integrated medical groups differ from IPAs in that.
Integrated Medical GroupsIPAsPhysician EmploymentHealthcare Organization Models - Question #106Healthcare Industry
The traditional dispersed model of independent private physicians working as solo practitioners or in small groups is in competition with.
Healthcare delivery modelsGroup practicesHealthcare organizationsPhysician practice structures - Question #107Regulatory and Standards Environment
All of the following were a result of the Flexner Report in 1910 EXCEPT.
Flexner ReportMedical Education StandardsLCME AccreditationHealthcare Regulation - Question #108Healthcare Industry
The Physician Assistant (PA) profession was developed in order to.
Physician AssistantHealthcare WorkforceClinical Roles - Question #109Healthcare Industry
The single largest health profession in the United States are.
Healthcare workforceNursing professionProfessional composition - Question #110Healthcare Industry
The dramatic increase in the number of physicians since the 1970s is largely due to.
Physician workforceHealthcare staffingMedical specializationHealthcare industry trends - Question #111Healthcare Industry
The adequacy of the health profession workforce (ie. supply and demand) can be determined by.
Workforce adequacySupply-demand analysisHealthcare labor marketPopulation health needs - Question #112Healthcare Industry
As health care resources increase:
Resource allocationHealthcare outcomesHealthcare economicsOperations management - Question #113Healthcare Industry
A medical intervention lying on a steeper portion of the aggregate cost-benefit curve indicates a major benefit for a relatively modest cost. An example of such an intervention wou...
cost-benefit analysishealthcare economicspublic healthmedical interventions - Question #114Healthcare Industry
Which is not an underlying assumption of a theoretical model of costs and health outcomes?
Health Economics ModelsCost-Outcome AnalysisPopulation Health MetricsHealth Outcomes Assessment - Question #115Healthcare Industry
Price inflation has been a major contributor to the rise of health care costs in the recent decades. This inflation has been due to:
Healthcare Cost InflationEconomic FactorsPrice and QuantityHealthcare Utilization - Question #116Healthcare Industry
Which is not a "painless" cost control strategy?
Healthcare Cost ControlHealthcare EconomicsCare QualityResource Allocation - Question #117Healthcare Industry
The competitive approach to health insurance financing is aimed to.
health insurance financingcost sharing mechanismspremium negotiationemployer benefits strategy - Question #118Healthcare Industry
The intent of patient cost sharing at the point of receiving health care services is to.
Cost-sharingHealthcare financingPatient incentives - Question #119Regulatory and Standards Environment
Regulatory strategies for health insurance financing seek to control public expenditures for health care by.
Health Insurance FinancingRegulatory Cost ControlPremium RegulationPublic Expenditure Management - Question #120Healthcare Industry
The cost controlling strategy that attempts to influence physician behavior by denying payment for services deemed unnecessary is called.
Utilization managementCost containmentHealthcare financingProvider reimbursement - Question #121Healthcare Industry
When controlling the type of supply, increasing the amount of generalists could contain costs because.
healthcare workforcecost containmentprovider staffingresource utilization - Question #122Regulatory and Standards Environment
The continuous quality improvement model (CQI) seeks to.
Continuous Quality ImprovementStandards of CareQuality Management - Question #123Regulatory and Standards Environment
Clinical practice guidelines are often ineffective in improving quality of care because.
Clinical Practice GuidelinesQuality of CarePhysician AdoptionGuideline Implementation - Question #124Risk Management and Risk Assessment
The malpractice liability system negatively impacts quality of care because.
Medical liabilityQuality of careDefensive medicine - Question #125Regulatory and Standards Environment
The CQI approach of producing health care "report cards," specifically HEDIS is a tool to encourage health care consumers to choose high-quality caregivers, but often.
HEDISHealthcare Quality MetricsCost vs QualityCQI - Question #126Healthcare Industry
Which of the following is a true statement about both the amount and quality of medical services available:
Quality of CareHealthcare UtilizationMedical Services Management - Question #127Regulatory and Standards Environment
Under HIPAA, what is the entity that processes healthcare claims and performs related functions for a health plan?
Third Party AdministratorHIPAA claims processingHealth plan operations - Question #128Privacy and Security in Healthcare
When responding to a client's request for information about the disclosure of his/her protected health information, which is NOT required?
HIPAA accounting of disclosuresPHI disclosureHIPAA exemptions - Question #129Privacy and Security in Healthcare
Part of Administrative Safeguards under HIPAA is Workforce Security measures. Which is NOT a key element of a Workforce Security Element?
HIPAA Workforce SecurityAdministrative SafeguardsPersonnel proceduresClearance procedures - Question #130Regulatory and Standards Environment
What is impact of the HITECH Act in relation to HIPAA requirements and maintaining client records electronically?
HITECH ActHIPAAElectronic recordsBreach notification - Question #131Regulatory and Standards Environment
Which is NOT one of the three major categories of Security Safeguards identified by HIPAA in the regulations?
HIPAASecurity SafeguardsAdministrative SafeguardsTechnical Safeguards - Question #132Privacy and Security in Healthcare
A therapist's client requests an accounting of disclosures of their medical record. What should that therapist do?
HIPAA accounting of disclosuresPatient rightsPrivacy OfficerDisclosure documentation - Question #133Regulatory and Standards Environment
Which is NOT consistent with Personnel Clearance Procedures needed to comply with HIPAA Administrative Safeguards?
HIPAA Administrative SafeguardsPersonnel ClearanceAccess ControlEmployee Vetting - Question #134Risk Management and Risk Assessment
Marcus is responsible for security management within a HIPAA-covered entity. He is reviewing administrative safeguards and examining the organization's risk analysis. Which element...
HIPAA risk analysisePHI protectionAdministrative safeguardsVulnerability assessment - Question #135Privacy and Security in Healthcare
Under the HIPAA Privacy Rule, who is NOT considered a covered entity?
HIPAA Privacy RuleCovered EntitiesPatient Classification - Question #136Privacy and Security in Healthcare
Which is NOT an element of Security Awareness Training?
Security Awareness TrainingAccess TerminationePHIStaff Training - Question #137Regulatory and Standards Environment
Under HIPAA Administrative Simplification, what must covered entities do in relation to submission of claims?
HIPAA Administrative SimplificationElectronic ClaimsStandardized FormatsCovered Entities - Question #138Regulatory and Standards Environment
As of 2010, what is different with regard to business associates and HIPAA protections?
HIPAA Breach NotificationBusiness Associate LiabilityPrivacy Breach NotificationCompliance Requirements - Question #139Regulatory and Standards Environment
HIPAA requires a response and reporting of security incidents. What is required when an organization has an attempted unauthorized access of protected health information?
HIPAA incident responsebreach notificationunauthorized accesssecurity incidents - Question #140Regulatory and Standards Environment
Under Title II of The Health Insurance Portability and Accountability Act, the administrative simplification provision:
HIPAA Title IIAdministrative SimplificationElectronic Health TransactionsNational Standards - Question #141Information Governance in Healthcare
What data-related concept identifies or characterizes entities and events in a manner that facilitates an administrative process?
Administrative Code SetsHealthcare Data StandardsData ClassificationHealthcare Coding - Question #142Regulatory and Standards Environment
Title I of The Health Insurance Portability and Accountability Act protects:
HIPAA Title IHealth insurance coveragePreexisting conditionsGroup health plans - Question #143Privacy and Security in Healthcare
Do the same requirements apply to both medical records and mental health records?
Patient Access RightsPsychotherapy NotesMental Health RecordsHIPAA Privacy Rules - Question #144Regulatory and Standards Environment
HIPAA's Administrative Simplification procedures were prompted by the desire to:
HIPAA Administrative SimplificationProvider-payer transactionsHealthcare compliance - Question #145Regulatory and Standards Environment
___________ is one of the main objectives of HIPAA.
HIPAAAccountabilityRegulatory compliancePrivacy objectives - Question #146Regulatory and Standards Environment
If a medical entity is in compliance with the Division of Medical Assistance's (DMA's) Health Data Marketing Guidelines, is the entity in compliance with HIPAA guidelines?
HIPAADMA guidelinesRegulatory hierarchyPrivacy compliance - Question #147Privacy and Security in Healthcare
If a client requests a restriction for disclosure of a certain part of their PHI to a health plan, the health care provider is:
HIPAA Privacy RulePHI DisclosurePatient RestrictionsTreatment/Payment - Question #148Privacy and Security in Healthcare
February 17, 2010 was the effective date for updated changes to HIPAA triggered by the Health Information Technology for Economic and Clinical Health Act (HITECH). As part of HITEC...
HITECH AmendmentHIPAA Patient RightsNon-Disclosure RequirementsSelf-Pay Patients - Question #149Regulatory and Standards Environment
HIPAA guidelines say employers that sponsor employee group health plans must maintain privacy of which __________________ in secured locations, if kept in the office?
HIPAA group health plansEnrollment and claims informationPrivacy safeguardsInformation protection - Question #150Regulatory and Standards Environment
Under HIPAA, Regional Health Information Organizations and Personal Health Record Vendors are considered to be:
HIPAA classificationBusiness associatesRHIOsPHR vendors - Question #151Privacy and Security in Healthcare
What administrative safeguard puts into place measures to assure that only authorized persons have access to electronic personal health information?
Workforce securityAdministrative safeguardsePHI access controlHIPAA - Question #152Privacy and Security in Healthcare
Data collected without identifiers, never coded, that was never tied to an individual, thereby fully protecting health information is considered what form of data?
Anonymous dataDe-identificationAnonymizationHIPAA