True or false: HIPAA in CMS context includes data standardization for electronic transactions.

• A. False
• B. Only for private insurers
• C. True
• D. Only for hospitals

Answer: (C)

HIPAA requires standardized electronic transactions and code sets to enable interoperable health information exchange. In the CMS context, that means the common electronic data exchanges—such as claims, eligibility checks, and remittance advice—must follow specific formats and code sets. This standardization lets CMS and other participants (providers, payers, and clearinghouses) process data consistently and efficiently, reduces errors, and supports privacy and security safeguards. Therefore, the statement is true because HIPAA indeed governs data standardization for electronic health care transactions in CMS-related workflows.