HIT 101-Chapter 9 with 101 complete
solutions.
HIT 101-Chapter 9 with 101 complete
solutions.
Health Insurance Portability and Accountability Act (HIPAA) - ANSWER The federal legislation enacted to
provide continuity of health coverage, control fraud and abuse in healthcare, reduce healthcare costs,
and guarantee the security and privacy of health information; limits exclusion for pre-existing medical
conditions, prohibits discrimination against employees and dependents based on health status,
guarantees availability of health insurance to small employers, and guarantees renewability of insurance
to all employees regardless of size; requires covered entities (most healthcare providers and
organizations) to transmit healthcare claims in a specific format and to develop, implement, and comply
with the standards of the Privacy Rule and the Security Rule; and mandates that covered entities apply
for and utilize national identifiers in HIPAA transactions.
Privacy Rule - ANSWER The federal regulations created to implement the privacy requirements of the
simplification subtitle of the Health Insurance Portability and Accountability Act of 1996; effective in
2002; afforded patients certain rights to and about their protected health information.
What does PHI stand for? - ANSWER Protected Health Information
What are the five titles of
Health Insurance Portability and Accountability Act (HIPAA) - ANSWER 1.) Insurance Portability
2.) Administrative Simplification
3.) Medical Savings and Tax Deductions
4.) Group Health Plan Provisions
5.) Revenue Offset Provisions
American Recovery and Reinvestment Act (ARRA) - ANSWER The purposes of this act include the
following:
(1) To preserve and create jobs and promote economy recovery
(2) To assist those most impacted by the recession
,HIT 101-Chapter 9 with 101 complete
solutions.
(3) To provide investments needed to increase economic efficacy by spurring technological advances in
science and health
(4) To invest in transportation, environmental protection, and other infrastructures that will provide
long0term economic benefits.
(5) To stabilize state and local government budgets, in order to minimize and avoid reductions in
essential services and counterproductive state and local tax increases
Health Information Technology for Economic and Clinical Health Act (HITECH) - ANSWER Legislation
created to promote the adoption and meaningful use of health information technology in the Unites
States. Subtitle D of the Act provides for additional privacy and security requirements that will develop
and support electronic health information, facilitate information exchange, and strengthen monetary
penalties. Signed into law on February 17, 2009, as part of ARRA.
Office of the National Coordinator for Health Information Technology (ONC) - ANSWER The principal
federal entity charged with coordination of nationwide efforts to implement and use the most advanced
health information technology and the electronic exchange of health information. The position of
National coordinator was created in 2004, through an executive Order, and legislatively mandated in the
Health Information Technology for Economic and Clinical Health Act (HITECH) Act of 2009.
Department of Health and Human Services (HHS) - ANSWER The cabinet-level federal agency, and
principal agency for protecting the health of all Americans and providing essential human services,
especially for those who are at least able to help themselves
Covered Entity (CE) - ANSWER As amended by Health Information Technology for Economic and Clinical
Health Act (HITECH),
(1) A health plan,
(2) A health care clearinghouse,
(3) A health care provider who transmits any health information in electronic form in connection with a
transaction covered by this subchapter
What are the three types of Covered Entities (CE) that are applicable of the Privacy Rule - ANSWER 1.)
Healthcare Providers,
, HIT 101-Chapter 9 with 101 complete
solutions.
But only those that conduct certain transactions (financial or administrative) electronically. Healthcare
providers include hospitals, long-term care facilities, physicians, and pharmacies.
2.) Health Plans,
which pay for the cost of medical care (for example, a health insurance company).
3.) Healthcare Clearinghouses,
which process claims between a healthcare provider and payer (for example, an intermediary that
processes a hospital claim to Medicare to facilitate payment).
Business Associate (BA) - ANSWER (1) A person or organization other than a member of a covered
entity's workforce that performs functions or activities on behalf of or affecting a covered entity that
involve the use or disclosure of individually identifiable health information.
(2) As amended by Health Information Technology for Economic and Clinical Health Act (HITECH), with
respect to a covered entity, a person who creates, receives, maintains, or transmits protected health
information for a function or activity regulated by HIPAA, including claims processing or administration,
data analysis, processing or administration, utilization review, quality assurance, patient safety activities,
billing, benefit management, practice management, and repricing or provides legal, actuarial,
accounting, consulting, data aggregation, management, administrative, accreditation, or financial
services.
Business Associate Agreement (BAA) - ANSWER As amended by Health Information Technology for
Economic and Clinical Health Act (HITECH), a contract between the covered entity and a business
associate must establish the permitted and required uses and disclosures of protected health
information by the business associate and provide specific content requirements of the agreement. The
contract may not authorize the business associate to use or further disclose the information in a manner
that would violate the requirements of HIPAA and requires termination of the contract if the covered
entity or business associate are aware of noncompliant activities of the other.
What are the Components of a Business Associate Agreement (BAA)? - ANSWER BAA-Business Associate
Agreement
BA-Business Associate
CE-Covered Entity
HIPAA-Health Insurance Portability and Accounting Act
ARA- Affordable Care Act
solutions.
HIT 101-Chapter 9 with 101 complete
solutions.
Health Insurance Portability and Accountability Act (HIPAA) - ANSWER The federal legislation enacted to
provide continuity of health coverage, control fraud and abuse in healthcare, reduce healthcare costs,
and guarantee the security and privacy of health information; limits exclusion for pre-existing medical
conditions, prohibits discrimination against employees and dependents based on health status,
guarantees availability of health insurance to small employers, and guarantees renewability of insurance
to all employees regardless of size; requires covered entities (most healthcare providers and
organizations) to transmit healthcare claims in a specific format and to develop, implement, and comply
with the standards of the Privacy Rule and the Security Rule; and mandates that covered entities apply
for and utilize national identifiers in HIPAA transactions.
Privacy Rule - ANSWER The federal regulations created to implement the privacy requirements of the
simplification subtitle of the Health Insurance Portability and Accountability Act of 1996; effective in
2002; afforded patients certain rights to and about their protected health information.
What does PHI stand for? - ANSWER Protected Health Information
What are the five titles of
Health Insurance Portability and Accountability Act (HIPAA) - ANSWER 1.) Insurance Portability
2.) Administrative Simplification
3.) Medical Savings and Tax Deductions
4.) Group Health Plan Provisions
5.) Revenue Offset Provisions
American Recovery and Reinvestment Act (ARRA) - ANSWER The purposes of this act include the
following:
(1) To preserve and create jobs and promote economy recovery
(2) To assist those most impacted by the recession
,HIT 101-Chapter 9 with 101 complete
solutions.
(3) To provide investments needed to increase economic efficacy by spurring technological advances in
science and health
(4) To invest in transportation, environmental protection, and other infrastructures that will provide
long0term economic benefits.
(5) To stabilize state and local government budgets, in order to minimize and avoid reductions in
essential services and counterproductive state and local tax increases
Health Information Technology for Economic and Clinical Health Act (HITECH) - ANSWER Legislation
created to promote the adoption and meaningful use of health information technology in the Unites
States. Subtitle D of the Act provides for additional privacy and security requirements that will develop
and support electronic health information, facilitate information exchange, and strengthen monetary
penalties. Signed into law on February 17, 2009, as part of ARRA.
Office of the National Coordinator for Health Information Technology (ONC) - ANSWER The principal
federal entity charged with coordination of nationwide efforts to implement and use the most advanced
health information technology and the electronic exchange of health information. The position of
National coordinator was created in 2004, through an executive Order, and legislatively mandated in the
Health Information Technology for Economic and Clinical Health Act (HITECH) Act of 2009.
Department of Health and Human Services (HHS) - ANSWER The cabinet-level federal agency, and
principal agency for protecting the health of all Americans and providing essential human services,
especially for those who are at least able to help themselves
Covered Entity (CE) - ANSWER As amended by Health Information Technology for Economic and Clinical
Health Act (HITECH),
(1) A health plan,
(2) A health care clearinghouse,
(3) A health care provider who transmits any health information in electronic form in connection with a
transaction covered by this subchapter
What are the three types of Covered Entities (CE) that are applicable of the Privacy Rule - ANSWER 1.)
Healthcare Providers,
, HIT 101-Chapter 9 with 101 complete
solutions.
But only those that conduct certain transactions (financial or administrative) electronically. Healthcare
providers include hospitals, long-term care facilities, physicians, and pharmacies.
2.) Health Plans,
which pay for the cost of medical care (for example, a health insurance company).
3.) Healthcare Clearinghouses,
which process claims between a healthcare provider and payer (for example, an intermediary that
processes a hospital claim to Medicare to facilitate payment).
Business Associate (BA) - ANSWER (1) A person or organization other than a member of a covered
entity's workforce that performs functions or activities on behalf of or affecting a covered entity that
involve the use or disclosure of individually identifiable health information.
(2) As amended by Health Information Technology for Economic and Clinical Health Act (HITECH), with
respect to a covered entity, a person who creates, receives, maintains, or transmits protected health
information for a function or activity regulated by HIPAA, including claims processing or administration,
data analysis, processing or administration, utilization review, quality assurance, patient safety activities,
billing, benefit management, practice management, and repricing or provides legal, actuarial,
accounting, consulting, data aggregation, management, administrative, accreditation, or financial
services.
Business Associate Agreement (BAA) - ANSWER As amended by Health Information Technology for
Economic and Clinical Health Act (HITECH), a contract between the covered entity and a business
associate must establish the permitted and required uses and disclosures of protected health
information by the business associate and provide specific content requirements of the agreement. The
contract may not authorize the business associate to use or further disclose the information in a manner
that would violate the requirements of HIPAA and requires termination of the contract if the covered
entity or business associate are aware of noncompliant activities of the other.
What are the Components of a Business Associate Agreement (BAA)? - ANSWER BAA-Business Associate
Agreement
BA-Business Associate
CE-Covered Entity
HIPAA-Health Insurance Portability and Accounting Act
ARA- Affordable Care Act
