unit 7 cahims|130 Exam Questions And Answers| Success Guaranteed|34 Pages

True or false? Administrative activities, fraud and abuse investigations, and health insurance policy underwriting are not covered by the HIPAA Privacy Rule. - ️️false In general, patient authorization is not required in order to disclose personal health information for the purposes of treatment, payment, and healthcare operations (TPO). Healthcare operations are all activities that support the treatment and payment activities of healthcare. Administrative activities, fraud and abuse investigations, and health insurance policy underwriting are just a few examples of healthcare operations. The National Research Council (NRC) recommends that all organizations that handle protected health information (PHI) should have --authentication/access/audit-- controls in place to ensure that users can access only the information they need to perform their job. - ️️access True or false? Under the HIPAA compliance audit program, entities that the Office for Civil Rights (OCR) finds not to be in good faith compliance with HIPAA could face large penalties. - ️️true True or false? Although it is resource intensive, humans must directly verify the accuracy of data stored in databases to ensure their integrity. - ️️false --Nonrepudiation/Integrity/Availability-- provides proof that a certain action has taken place or that something or someone is what or who they claim to be. - ️️Nonrepudiation Nonrepudiation requires that those who access protected health information are allowed to do so and that they prove they are who they say they are. When Minjoon received a statement from his insurance company regarding his recent eye surgery, he noticed that it said he had surgery on his right eye, but the surgery was actually performed on his left eye. It turns out that the mistake was in the provider's records, which he eventually had corrected.