HIPAA Test Review
How is protected health information used? - questions and answers-Determine what services
patients are to receive
Use confidential information to be able to bill patients or their insurance companies
Quality control directors review information to make sure patients are receiving quality care
If authorization for PHI is given by the patient what are the requirements? - questions and
answers-Must be in writing and the patient voluntarily agrees to let the organization use the
information for a particular purpose
What are some Confidentiality Practices You should see? - questions and answers-•Policy
updates every 2 years
•Password changes
•Implementing and maintaining valid training programs
•Implementing disciplinary measures when policies are violated
•Maintain method to identify and report fraud practices or confidentiality violations
What are some examples of the "minimum necessary" rule? - questions and answers-Ex. Limit
use of faxes for highly sensitive information, verify numbers & availability of receiver, keep fax
machines secure, remove fax promptly on arrival.
What are some general forms that patients can obtain because of HIPAA? - questions and
answers-•Specific forms such as General Records Release, Authorization for Use or Disclosure
of PHI
What are some HIPAA exceptions? - questions and answers-•When the HCP believes that it is
not in the patient's best interest
•When it may endanger the life of physical safety of the patient or another person
What are some inappropriate uses of PHI (Personal Health Information)? - questions and
answers-1. Selling information for databases
2. Advertising
What are the 3 major focus areas of HIPAA? - questions and answers-1. Electronic Data
Interchange
2. Security
3. Privacy
What are the 5 parts of HIPAA? - questions and answers-1. Portability
, 2. Standardization
3. Administration Simplification
4. Accountability
5. Privacy Protection
What are the 6 patients rights of health information? - questions and answers-1. Receive notice
of privacy policies
2. Access to health information on file
3. Limit uses and disclosures of medical information
4. Make amendments to medical record
5. Revoke authorizations
6. Have an accounting of info disclosures for up to 6 years
What are the Benefits of HIPAA? - questions and answers-1. Uniform billing process
2. Use of electronic transmittals
3. Continuity in patient care
4. Employment opportunities-HIPAA officers, Office of Civil Rights expanded, fraud squads,
hotlines
5. Violation of confidentiality now a federal crime !!!
What are the covered entity Responsibilities? - questions and answers-•Establish clear policies
and practices that minimize information revealed
•Maintain training
•Obtain authorizations and maintain files
What are the key points of HIPAA? - questions and answers-1. Any personally identifiable
information
is now confidential
2. Patients are allowed access to copies of their MR
3. HCP must now provide a written statement to the pt that states how personal information may
be used (pt rights of confidentiality)
4. The use of personal medical information is now limited
5. Discussion of Healthcare options and tx options
6. Pt may now request confidential communication be done in a way they prefer
What are the Minimum Necessary Rule
Deciding Questions? - questions and answers-How much information are you planning to use or
disclose?
•How important is it that you use/disclose this information?
•What is the likelihood that further uses or disclosures could occur?
•Where is the information being disclosed (location) and in what form (paper, verbal, or
electronic)
How is protected health information used? - questions and answers-Determine what services
patients are to receive
Use confidential information to be able to bill patients or their insurance companies
Quality control directors review information to make sure patients are receiving quality care
If authorization for PHI is given by the patient what are the requirements? - questions and
answers-Must be in writing and the patient voluntarily agrees to let the organization use the
information for a particular purpose
What are some Confidentiality Practices You should see? - questions and answers-•Policy
updates every 2 years
•Password changes
•Implementing and maintaining valid training programs
•Implementing disciplinary measures when policies are violated
•Maintain method to identify and report fraud practices or confidentiality violations
What are some examples of the "minimum necessary" rule? - questions and answers-Ex. Limit
use of faxes for highly sensitive information, verify numbers & availability of receiver, keep fax
machines secure, remove fax promptly on arrival.
What are some general forms that patients can obtain because of HIPAA? - questions and
answers-•Specific forms such as General Records Release, Authorization for Use or Disclosure
of PHI
What are some HIPAA exceptions? - questions and answers-•When the HCP believes that it is
not in the patient's best interest
•When it may endanger the life of physical safety of the patient or another person
What are some inappropriate uses of PHI (Personal Health Information)? - questions and
answers-1. Selling information for databases
2. Advertising
What are the 3 major focus areas of HIPAA? - questions and answers-1. Electronic Data
Interchange
2. Security
3. Privacy
What are the 5 parts of HIPAA? - questions and answers-1. Portability
, 2. Standardization
3. Administration Simplification
4. Accountability
5. Privacy Protection
What are the 6 patients rights of health information? - questions and answers-1. Receive notice
of privacy policies
2. Access to health information on file
3. Limit uses and disclosures of medical information
4. Make amendments to medical record
5. Revoke authorizations
6. Have an accounting of info disclosures for up to 6 years
What are the Benefits of HIPAA? - questions and answers-1. Uniform billing process
2. Use of electronic transmittals
3. Continuity in patient care
4. Employment opportunities-HIPAA officers, Office of Civil Rights expanded, fraud squads,
hotlines
5. Violation of confidentiality now a federal crime !!!
What are the covered entity Responsibilities? - questions and answers-•Establish clear policies
and practices that minimize information revealed
•Maintain training
•Obtain authorizations and maintain files
What are the key points of HIPAA? - questions and answers-1. Any personally identifiable
information
is now confidential
2. Patients are allowed access to copies of their MR
3. HCP must now provide a written statement to the pt that states how personal information may
be used (pt rights of confidentiality)
4. The use of personal medical information is now limited
5. Discussion of Healthcare options and tx options
6. Pt may now request confidential communication be done in a way they prefer
What are the Minimum Necessary Rule
Deciding Questions? - questions and answers-How much information are you planning to use or
disclose?
•How important is it that you use/disclose this information?
•What is the likelihood that further uses or disclosures could occur?
•Where is the information being disclosed (location) and in what form (paper, verbal, or
electronic)
