Question

Which HIPAA standard requires providers to use specific code sets?

a) Privacy Rule
b) Security Rule
c) Transactions and Code Sets Rule
d) Enforcement Rule

Answer 1

The Transactions and Code Sets Rule is the HIPAA standard that requires providers to use specific code sets such as ICD and CPT for electronic healthcare transactions.

Step-by-step explanation:

The HIPAA standard that requires providers to use specific code sets is the Transactions and Code Sets Rule. This rule mandates that healthcare providers use specific code sets, such as the International Classification of Diseases (ICD) and the Current Procedural Terminology (CPT), when submitting electronic healthcare transactions. These code sets ensure that healthcare information is standardized and can be easily understood and processed by different entities in the healthcare system.