Error – Free Answers
According to HIPAA guidelines: - Correct Answer concerning a patient, I may use/disclose only the
minimum information that is needed to perform my job duties.
HIPAA - Correct Answer Health Information Portability & Accountability Act
HIPAA was passed - Correct Answer August 21, 1996
PHI - Correct Answer Protected Health Information
According to HIPAA, certain categories are considered covered entities, and must abide by HIPAA rules
and regulations. They include the following: - Correct Answer - A health plan
- A health care clearing house
- A health care provider who transmits any health info in electronic form (internet transmission, phone,
fax)
Under HIPAA. it is recognized that incidental use and disclosure of protected health information may
occur as a result of: - Correct Answer normal day to day operations within a healthcare facility.
PHI (Protected Health Information) includes such things as: - Correct Answer -name
-address
-phone/fax
-dates (birth/death/admission/discharge)
-important numbers (soc.sec., medical record#, acct. #)
-email address
-biometrics
, -full facial images
-patients medical history
(When in doubt, don't give info out)
HIPAA - Correct Answer Health Insurance Portability Act of 1996
PHI - Correct Answer Protected Health Information
HHS - Correct Answer Health & Human Services
Privacy Act - Correct Answer standards for privacy of individually identifiable health information
Covered entities must abide by HIPAA rules & regulations: - Correct Answer 1. Health plan
2. Health care clearinghouse
3. Health care provider
PHI is not only limited to the patient, but also: - Correct Answer the patients relatives, employees or
household members
PCP - Correct Answer primary care physicians
HMO - Correct Answer Health Maintenance Organization - requires patients to use in-network providers
in order to be covered for services. Patients do not have the option to choose physicians who are not "in-
network"...they would have to pay out of pocket without reimbursement.
PPO - Correct Answer Preferred Provider Organization - less restricted than HMO. Patients are able to
choose specialists on their own without going through a "gatekeeper."
ARRA - Correct Answer American Recovery on Reinvestment Act of 2009 - this pays for courses to train
people for billing & responsible for health record design and format.