Certification Board of Infection Control and Epidemiology (CBIC) Practice Exam 2025 – The All-in-One Guide for Exam Success

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Which agency is responsible for enforcing HIPAA standards, excluding privacy and security standards?

Department of Health and Human Services

Health Resources and Services Administration

Centers for Medicare and Medicaid Services

The Centers for Medicare and Medicaid Services (CMS) is responsible for enforcing HIPAA standards, particularly those related to the administrative simplification provisions. HIPAA, which stands for the Health Insurance Portability and Accountability Act, includes various standards covering different aspects of healthcare data management. While the Department of Health and Human Services oversees HIPAA compliance in general, including the privacy and security standards primarily enforced by the Office for Civil Rights, CMS specifically regulates the electronic transaction standards and the operating rules for electronic health information that healthcare providers and insurers must follow. This distinction is crucial to understanding the roles different agencies play in maintaining and ensuring compliance with healthcare regulations. Thus, the role of CMS aligns directly with the enforcement of these transaction-related standards, distinguishing its functions within the broader context of HIPAA.

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Agency for Healthcare Research and Quality

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