PMI CMOM Module 4 Questions with Answers
Health Care/Health Care Provider - Answer-Care, services or supplies related to health of individual. Preventative, diagnostic, therapeutic, rehabilitative or palliative care and counseling, service, assessment or procedure. Dispensing of prescriptions.
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Health Care/Health Care Provider - Answer-Care, services or supplies related to health
of individual. Preventative, diagnostic, therapeutic, rehabilitative or palliative care and
counseling, service, assessment or procedure. Dispensing of prescriptions.
Provider of medical or health services, and any person or organization who furnishes,
bills or is paid for health care
Heath Information - Answer-Any information oral or recorded in any form or medium that
is created or received by a health care provider, plan, employer, schools, etc and
relates to past, present or future physical or mental health or condition of an individual
Indirect Treatment Relationship - Answer-Health care provider delivers health care to
the individual based on the orders of another health care provider. Provides services or
products, or reports diagnosis ore results directly to another health care provider
Individually Identifiable Health Information (IIHI) - Answer-Information that is a subset of
health information: demographic info
1. Name
2. Geographic subdivisions smaller than a state (street, city, county, zip)
3. All elements of dates (birth date, admission, discharge, death)
4. Telephone number
5. Fax number
6. Email
7. Social Security number
8.Medical record number
9.Health plan beneficiary number
10.Account numbers
11. Certificate/ license number
12. Vehicle identifiers and serial numbers (license plates)
13.Device identifiers and serial numbers
14.URLs
15.IP addresses
16.Biometric identifiers (voice and fingerprints)
17.Full face images
18. Any unique identifying number, characteristic or code
Changes to Hippa Enforcement (ARRA) - Answer-1. Direct accountability for business
associates
, 2. Application of criminal penalties for those who obtain or disclose IIHI without
authorization
3. Authorities can pursue a civil HIPPA violation in cases where criminal penalties could
attach but DOJ declines to pursue the case, civil monetary penalties can be imposed
4. Civil monetary penalties collected for HIPPA violations must be transferred to the
HHS office of civil rights to be used for enforcement purposes
5. Tiered increase and penalty structure based on level of HIPPA violation that taps out
at $50,000 per violation and $1.5 million annually
6. Secretary's audit authority to audit entities for compliance with both privacy and
security rules
Breach Notification Requirements - Answer-For vendors of PHR or other non-HIPPA
covered entities
In event of a breach, entities must directly notify the individuals involved
Acquisition of unsecured PHR identified health information of an individual in a personal
health record without consent or authorization
Personal Health Record - Answer-An electronic record of PHR identifiable health
information on an individual that can be drawn from multiple sources and this is
managed, shared and controlled by or primarily for the individual
GAO Reports - Answer--Methodology for providing individuals with a percentage of civil
monetary penalties
-Report on best practices related to disclosure among health care providers of PHI
-Report on the impact of any provisions of ARRA on health insurance premiums, costs,
quality improvements, etc
HHS/FTC Studies - Answer--Annual report to congress on enforcement of HIPPA
-Study and report with FTC on application of privacy and security requirements to non-
HIPPA covered entities
Civil Monetary Penalty Chart - Answer--Person did not know/did not exercise due
diligence therefore violated HIPPA: $120-$60,226 per violation
-Violation due to reasonable cause and not willful neglect: $1205-$60,226 per violation
-Violation due to willful neglect but violation is corrected within the required time period:
$12,045-$60,226 per violation
-Violation due to willful neglect and is not corrected: $60,226 per violation
HIPPA Two Levels of Compliance - Answer--Level 1 Compliance: The covered entity
could demonstrably create and receive compliance transactions, resulting from the
compliance of all design/build activities and internal testing
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