HCCA - CHPC Overview Actual Questions and Answers 2024/2025 with complete solutions;100% verified

How did Access And Copy Information under HITECH? - HITECH extended the requirements via electronic health records (EHRs). CEs must provide the patient (or individuals or entities authorized by the patient, such as doctors and personal health record services) with an electronic copy of their file Access and Copy Information - Patients are entitled to a copy of, or access to, the information in the designated record set Are two specific instances where a CE must seek permission from the individual if they want to use or disclose PHI? - - "facility directories," - Second is "uses and disclosures for involvement in the individual's care and notification purposes. Can "Addressable" Security requirements be ignored? - No Disclosure - when information leaves the boundary of the legal entity or when it leaves the HIPAA CE functions in a hybrid entity Does a provider have to amend the record if a patient asks? - it is only a request. If the provider determines the record to be accurate, they can deny the request. Does a provider need a standing facility to be considered a CE - NO Does USE and DISCLOSURE mean the same thing? - No HIPAA became law - 1996 HIPAA grants the CE related to security - • Covered entities may use any security measures that allow the CE to reasonably and appropriately implement the standards and implementation specifications. • In deciding which security measures to use, a CE must take into account the following factors:--The size, complexity, and capabilities of the CE --The CE's technical infrastructure, hardware, and software s ecurity capabilities --The costs of security measures --The probability and criticality of potential risks to electronic protected health information. HIPAA resides in what CFR section - 45 CFR sections 164.102 through 164.534. How do you determine if organization is a CE - - compare the functions of the entity to the three principal types of "covered entities" (CE), - determine if the entity electronically transmits one of the nine defined transactions" How does privacy bridge the gap of security? - - privacy professional coordinates the administrative safeguards - generally limited to policies and procedures How is a Provider defined - - "a provider of services (as defined in section 1395x (u) of title XIX) - a provider of medical or other health services (as defined in section 1395x (s) of title XIX) - any other person furnishing health care services or supplies. Identify the four sections in the CFR by location and topic - Section One: 164.102 - 164.318 and 164. Organizational Requirements Section Two: 164.500 - 164.514 Use and Disclosure of Information Section Three: 164.520 - 164.528 Individual's Rights and Penalties Section Four: Interaction with the HIPAA Security Rule If a breach occurs of less than 500 people who must be notified and when? - The HHS Secretary at least annuallyIf information is encrypted is it considered a breach? - No Intent - purpose of this subtitle to improve the Medicare program under title XVIII of the Social Security Act, the Medicaid program under title XIX of such Act, and the efficiency and effectiveness of the health care system, by encouraging the development of a health information system through the establishment of standards and requirements for the electronic transmission of certain health information. Is a valid authorization required for Psychotherapy Notes/Records? - yes, except for TPO including the entity's internal training program and Marketing. Mandated Disclosures - - to the individual who is the subject of the information (or their legal representative), and to - the Secretary of Health and Human Services. Mandated Reporting of Breaches and Individual Notification - - imposes an organizational response - imply a client right May CE use, disclose or request a whole medical record? - amount disclosed must reasonably necessary to accomplish the purpose of the use, disclosure, or request Minimum Necessary - using or disclosing information to limit protected health information to the minimum necessary to accomplish the intended purpose of the use, disclosure, or request. Notice of Privacy Practice - - CE must provide a Notice of Privacy Practice (NPP). - This statement provides the rules of the road on how an entity will use and disclose information.- These are the policies and procedures (P&P) that support the privacy and security of the information and the entity's commitment to the individual. Request for Confidential Communication Communication. - patient may request other communication channels not typical for the entity, such as email, or meeting in off-site locations. Request for Restrictions - patient has the right to request restrictions on the U&D of information, even for the TPO exception Request to Amend - client has the right to request an amendment to their designated record set if they determine it may be inaccurate Right to an Accounting of Disclosures - Patients are entitled to know the identity of to whom information is disclosed, and the purpose of the disclosure Security Rule says an entity must: - • Ensure the confidentiality, integrity, and availability (CIA) of all electronic protected health information (EPHI) the CE creates, receives, maintains, or transmits • Support CIA through Administrative, Technical and Physical safeguards • Protect against any reasonably anticipated threats or hazards to the security or integrity of such information • Protect against any reasonably anticipated uses or disclosures of such information that are not permitted or required • Ensure compliance by the workforce