COMPLETE VERIFIED CORRECT ANSWERS
How many rules are associated with HIPAA - answer ✔✔-3
When was HIPAA Statue Passed - answer ✔✔-1996
When was HITECH passed - answer ✔✔-2009
Who is NOT a covered entity? - answer ✔✔-- Employers
- Life Insurance plans
- Health insurance component of auto insurance
- Workers compensation insurance
1st person to go to jail for HIPAA - answer ✔✔-Huping Zhou- looked through UCLA medical information
of celebrities', he did not sell the data just looked, he pled guilty and went to jail for 4 months
what is NOT considered PHI - answer ✔✔--education records (FERPA)
- employment records
- records relating to someone who has been dead for 50 years
- records enterilt unrelated to a covered entity
-De-identified PHI (retrograte def)
How many days after the hospital ethics committee ruled a patient is futile does the family have to
transfer the patient - answer ✔✔-10 days
** ELEMENTS OF INFORMED CONSENT - answer ✔✔-1. Diagnosis and prognoses
2. Nature/Purpose of proposed treatment (in lay trms)
,3. Risks, consequences, and side effects
4. Probability of success
5. Reasonable alternatves
6. Prognosis without treatment (informed refusal)
7. Type of recuperation likely
Legal reporting requirements - answer ✔✔-Child Abuse (used to be only healthcare providers)
Other Abuse (not a legal requirement)
Communicable diseases (infectious)
Births & Deaths
Suspicious Deaths
Gunshot wounds
Reporting requirements- focuses mostly on ____________ - answer ✔✔-physicians
Who should report? - answer ✔✔-Hospitals
MANAGED CARE (MCO) - answer ✔✔-Health Maintenance Organization
Preferred Provider Organization
Exclusive Provider Organiztion
Point of Service Plans
Speciality HMOs
Independent Practice Associations
Group Practice
Group Practice without Walls
Physician Hospital Organization
Vertically Integrated Delivery Systems
Horizontal Consolidations
Case/Care Management Firms
, Third Party Administration (TPA)
To run a plan
ERISA - answer ✔✔-Employee Retirement Insurance Security Act (denial of care is usually not covered
for ERISA insurance plan)
Wellness program - answer ✔✔-30% off premium
Genetic Information Non-discrimination Act (GINA) - answer ✔✔-they cannot use them for hiring
infomration they are PHI and protected by HIPAA
Uniformed Services Employment and Reemployment Rights Act (USERRA) - answer ✔✔-prohbits
discrimination for hiring decisions due to veterans status
Age Discrimination in Employment Act (ADEA) - answer ✔✔-prohibits discimination based on age (Over
40)
Disability Rehabilitation Act (ADA) - answer ✔✔-applies if have 15 or more employees over 20 weeks o
the year, requires reasonable accomedation for disability
** Workplace Discrimination Laws Summary - answer ✔✔-National Origin (Civil Rights Act and
Immigration Reform and Control Act)
Pay Discrimination (Equal Pay Act)
Pregnancy Discrimination (Amendment to Civil Rights Act)
Disability (Rehabilitation Act, ADA) and Genetic Rights (GINA)
Age (ADEA)
Race/Color (Civil Rights Act)
Religion (Civil Rights Act)
Sex and Sexual Harassment (Civil Rights Act)
BONA FIDE occupational qualifications may allow certain types of discrimination