HIPAA Test Review Questions with accurate answers, 2022/2023. Graded A

HIPAA Test Review Questions with accurate answers, 2022/2023. Graded A Document Content and Description Below HIPAA Test Review Questions with accurate answers, 2022/2023. Graded A What does HIPAA stand for? - Health Insurance Portability & Accountability Act What is HIPAA? - Federal priva cy standards to protect patients' medical records and other health information provided to health plans, doctors, hospitals and other health care providers. When did HIPAA take effect? - Took effect on April 14, 2003. What does HIPAA's standards provide patients with? - Access to their medical records and more control over how their personal health information is used and disclosed What were the goals that HIPAA was designed for? - limiting administrative cost of health care, *privacy issues*, and *preventing fraud* and abuse were of primary importance. The law has also had to *include privacy and confidentiality rules to protect the patient* What did the law have to include in HIPAA to protect the patient? - Privacy and Confidentiality rules Why were Privacy and Confidentiality rules included in HIPAA? - To protect the patient Who developed HIPAA? - Department of Health and Human Services (HHS) What was an advantage of HIPAA? - It's uniform, federal floor of privacy protections for consumers across the country. What as not affected by HIPAA? - State laws providing additional protections to consumers are not affected by this new rule What does HIPAA do? - It reduces health care fraud, guarantee security and privacy of healthcare info., enforce standards for electronic data interchange What are the 5 parts of HIPAA? - 1. Portability 2. Standardization 3. Administration Simplification 4. Accountability 5. Privacy Protection What is "Portability"? - Continuity of coverage access; denial of coverage based on pre-existing conditions What is "Standardization"? - Of billing of format and language What is "Administration Simplification"? - Same computer language industry wide What is "Accountability"? - Same computer language industry wide What is "Privacy Protection"? - Oral, written, electronic information management What are the Benefits of HIPAA? - 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 !!! Why is privacy and confidentiality important? - 1. Patient's expectations of privacy and confidentiality are important to providing quality care 2. Affects all aspects of care: hospitals, outpatient, diagnostic, or the business office 3. Laws have increased in strength in response to situations in which private information has ended up in the wrong hands What does the privacy rule do? - 1. Protects the privacy and the security of individually identifiable health information 2. Establishes the 6 patient rights of health information What are the 6 patients rights of health information? - 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 3 major focus areas of HIPAA? - 1. Electronic Data Interchange 2. Security 3. Privacy Who must comply? - A. Any person who deals with individually identifiable health information B. Direct care providers C. People who handle billing D. People who plan health operations E. Those providing pieces of service What is protected health information? - When patients provide information to their providers they expect only people who are caring for them will see it and it be used to help care for them What some examples of Protected health information? - 1. Physical and Mental health 2. Provision of health care to patient 3. Payment for the patient's health care 4. Anything that can be communicated orally in written form or through other media Ex. Name, date of birth, SS #, address, phone #, patient account #, date, location of healthcare service, Dx., Tx., meds, email address, photo, lab results. How is protected health information used? - 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 What are some inappropriate uses of PHI (Personal Health Information)? - 1. Selling information for databases 2. Advertising Where is authorization for PHI usage obtained from when it's used for something other than treatment, payment, or routine operations? - From The Patient If authorization for PHI is given by the patient what are the requirements? - Must be in writing and the patient voluntarily agrees to let the organization use the information for a particular purpose What is the patient's right if they authorize usage of PHI other than the need of Payment, Treatment, or routine operations? - Patients have the right to revoke at any time When is authorization not needed? - •Information about an organ donor •About a deceased patient •For fundraising as long as the information is limited to individual demographics and dates of service What is "Permitted Disclosure without Authorization"? - •When public responsibility requires disclosure When is disclosure required? - 1. Crime has been committed 2. Abuse 3. STD's,TB 4. Organ donation 5. Death- funeral; director Why do we need HIPAA? - 1) Technology What is the "minimum necessary" rule? - Information can be disclosed to other health care providers if the information is for treatment. Only minimal amount of PHI is handled What is required when acting on the "minimum necessary" rule? - Patient's consent for release. What are some examples of the "minimum necessary" rule? - Ex. Limit use of faxes for hig