CHAM Access Management - Patient Experience and Management Questions and Answers 2024 Complete;100% verified

HIPAA- (Health Insurance Portability and Accountability Act of 1996) - Answer-is United State legislation that provides data privacy and security provisions for safeguarding medical information. The act was signed into law by President Bill Clinton in August 1996. Rules and standards were established under the Privacy Rule, the Security Rule and the Breach Notification Rule. The HIPAA Privacy Rule: - Answer-establishes national standards to protect individuals' medical records and other personal health information and applies to health plans, health care clearinghouses, and those health care providers that conduct certain health care transactions electronically. The Rule requires appropriate safeguards to protect the privacy of personal health information, and sets limits and conditions on the uses and disclosures that may be made of such information without patient authorization. The Rule also gives patients' rights over their health information, including rights to examine and obtain a copy of their health records, and to request corrections. The HIPAA Security Rule: - Answer-establishes national standards to protect individuals' electronic personal health information that is created, received, used, or maintained by a covered entity. The Security Rule requires appropriate administrative, physical and technical safeguards to ensure the confidentiality, integrity, and security of electronic protected health information. The HIPAA Breach Notification Rule: - Answer-requires HIPAA covered entities and their business associates to provide notification following a breach of unsecured protected health information. (PHI) PHI- Personal health information (PHI), also referred to as protected health information, - Answergenerally refers to demographic information, medical history, test and laboratory results, insurance information and other data that is collected by a health care professional to identify an individual and determine appropriate care: ePHI-Electronic Protected Health Information -refers to any protected health information that is produced, saved, transferred or received in an electronic form. E refers to Electronic PHI transmission PCI Standards- The Payment Card Industry Data Security Standard (PCI DSS) - Answer-is a set of specific security requirements designed to ensure that ALL companies that process, store or transmit credit card information maintain a secure environment.Red Flag Rules - - Answer-Identity theft prevention program designed to detect the "red flags" of identity theft and take steps to prevent crime and mitigate damage. This rule is enforced by the Federal Trade Commission: Protecting a patient's privacy and confidentiality is governed by the Health Insurance Portability and Accountability Act of 1996. This is also known as - Answer-"HIPAA." Under HIPAA law, - Answer-the patient has the right to control who will see or obtain their protected, identifiable health information. Protecting and keeping this information private is one of the most important functions of Patient Access Services. According to the Department of Health and Human Services, the Health Insurance Portability and Accountability Act (HIPAA) Privacy, Security, and Breach Notification Rules were established to protect the - Answer-privacy and security of health information and provide individuals with certain rights to their health information. Among other provisions, the Privacy Rule sets standards for when protected health information (PHI) may be used and disclosed, while the Security Rule requires safeguards to ensure that only those who should have access to electronic protected health information (ePHI) will be given access. The Breach Notification Rule requires - Answer-HIPAA covered entities to notify the Department of Health & Human Services (HHS), affected individuals, and in some cases the media (and business associates to notify covered entities) of breaches of unsecured PHI. Another HIPAA rule administered by CMS is the - Answer-Administrative and Simplification Rules. This rule includes: Transaction and Code Set Standards, Employer Identifier Standard and the National Provider Identifier Standard. The Minimum Necessary Standard is a requirement under which rule? - Answer-the HIPAA Privacy Rule. Minimum Necessary Standard - Answer-requires that covered entities take reasonable steps to limit the use or disclosure of PHI. People should only access, use or disclose the health information that is minimally necessary to accomplish a given task or purpose. An employee's access should be limited to the minimum necessary access to accomplish their particular job function. All communications with patients or about patients involving their personal health information must be - Answer-protected, private and limited to people who have been authorized or whose job requires the use of the information.Patient Access Services plays a critical role in protecting our - Answer-patients' private information. We are privy to patients confidential PHI with every patient encounter. Such as: - Answer-the patients name, address, age, social security number, medical record, encounter number, insurance and any other personal information as well as the reason the person is in the hospital, treatment plans, medications or any observation about their current or past health condition.