CPB Certified Professional Biller Certification Practice Exam

What does the acronym HIPAA primarily deal with?

1. Insurance Fraud

2. Healthcare Privacy

3. Billing Codes

4. Health Quality Standards

The correct answer is: Healthcare Privacy

The acronym HIPAA stands for the Health Insurance Portability and Accountability Act. This legislation primarily focuses on healthcare privacy and the protection of sensitive patient information. One of the key provisions of HIPAA is to ensure that patients' health information is kept confidential and secure from unauthorized access. It sets standards for the handling, storage, and transmission of health information, often referred to as Protected Health Information (PHI). While insurance fraud, billing codes, and health quality standards are all important aspects of healthcare administration, they are not the primary focus of HIPAA. Insurance fraud deals with deceptive practices in billing and claims submission, billing codes pertain to the classification of services for reimbursement, and health quality standards relate to the measures of care delivery. HIPAA's emphasis on privacy is essential for maintaining patients' trust in the healthcare system and for safeguarding their personal health information.