Exam (elaborations)
HIPAA ASSESSMENT QUIZ QUESTIONS AND ANSWERS
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HIPAA ASSESSMENT QUIZ QUESTIONS AND ANSWERS
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HIPAA ASSESSMENT QUIZ QUESTIONSAND ANSWERS
HIPAA - Answer--Goal: improve portability and continuity of health insurance
-Originated as plan to reduce health care administrative costs
confidentiality - Answer-under HIPAA, healthcare providers ensure that patient _______
is always maintained
PHI - Answer-Refers to any patient information in any form that is created or received
by a covered entity, relates to a patient's health condition in the past, present, or future,
and identifies the patient.
office of civil rights - Answer-government agency that accepts and investigates
complaints related to the Privacy Rule, it enforces civil violations of HIPAA privacy
standards,
department of justice - Answer-Government agency that investigates the most serious
violations of the Privacy Rule, prosecutes criminal violations
PHI - Answer-any piece of information that identifies or could be used to identify any
specific individual
PHI - Answer-Patients have the right to be told how their _________ can be used.
Title I - Answer-this part of HIPAA focuses on continuation of health insurance coverage
and insurance reform
State laws - Answer-These types of law regulatesmany types of health insurance
ERISA - Answer-Employer offered health plans are regulated by this Act of 1974
Title I - Answer-COBRA is under this part of HIPAA
COBRA - Answer-this act of 1985 allows employees who are leaving a job to elect to
continue their previous employer's health coverage for a limited time.
Portability - Answer-Being able to transfer group health insurance form one job to
another
Title I - Answer-this part of HIPAA gave certain people the ability to enroll in new
healthcare plans of different types.
Title II - Answer-controls the private health information of individuals. It is known as
administrative simplification.
, Title II - Answer-The rules in this part of HIPAA cover administrative, financial, and case
management policies and procedures. It contains strict requirements for the uniform
transfer rules of patient confidentiality.
Title II - Answer-this part of HIPAA restricted electronic transfer of healthcare data, gave
patients more rights regarding their own personal information, and put in place better
security of this information.
Title II - Answer-this part of HIPAA sought to reduce paperwork, simplify internet form
processing, and standardize the administration of healthcare information.
electronic data interchange - Answer-The electronic exchange of information between
computers, especially the exchange of health information among physicians and
insurance companies.
title II provisions - Answer--Electronic health information transaction standards
-Penalties
-Privacy
-Provider and health plan mandate and timetable (2 years to start)
-State law preemption
State law preemption - Answer-allowed HIPAA to supersede state laws unless HHS
decided otherwise; however, when state law is stronger, it must be followed.
3 - Answer-HIPAA governs how many types of covered entitities.
Covered entity - Answer-Any health care provider, health insurance plans, or
clearinghouse to which the Privacy Rule applies (those who must comply with HIPAA)
Health insurance plan - Answer-these plans include group health plans, HMOs,
Medicare, Medicaid, supplemental Medicare policies, long-term policies, employee
benefit plans, TRICARE, CHAMPVA, Indian Health Service, Federal Employees Health
Benefits Program, approved childe health plans, high-risk plans, etc.
Healthcare provider - Answer-this includes hospitals, nursing, facilities, rehabilitation
facilities, hospices, home health care, pharmacies, private practices, dental practices,
labs, chiropractors, osteopaths, podiatrists, and therapists.
Direct providers - Answer-providers that provide direct treatment to patients
Indirect providers - Answer-providers that include labs that handle patient test results
manage, store - Answer-as a result of the privacy rule of 2003, pharmacies have direct
control over the way they ______ and ______ patients information.
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