PCMH Certified Content Expert (CCE) Practice Exam 2025 - Free CCE Practice Questions and Study Guide

Question: 1 / 400

What does the NCQA PCMH recognition process establish with regard to HIPAA?

Confidentiality standards for billing

Terms and conditions for participation

The NCQA PCMH recognition process primarily focuses on creating a framework for how a practice can demonstrate its ability to provide patient-centered care, which includes maintaining compliance with various regulations, including HIPAA (Health Insurance Portability and Accountability Act). The correct answer reflects the establishment of terms and conditions that a practice must adhere to in order to maintain its recognition status. This includes ensuring the protection of patient information and the necessity to comply with HIPAA regulations regarding the use and disclosure of protected health information.

While the other options touch on important aspects of healthcare operations and compliance, they don't directly pertain to the overarching framework that the NCQA recognition process provides. For instance, confidentiality standards for billing, regulations for electronic health records, and guidelines for patient interaction are important elements in their own right, but they do not encapsulate the primary focus of the NCQA's recognition process in relation to broader terms and conditions of participating in the recognition. Instead, the recognition process serves as a comprehensive guideline that validates a practice’s commitment to patient-centered care and adherence to necessary standards, including those related to HIPAA.

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Regulations for electronic health records

Guidelines for patient interaction

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