HIPAA TEST REVIEW QUESTIONS AND
ANSWERS
What does HIPAA stand for? - Answer-Health Insurance Portability & Accountability Act
What is HIPAA? - Answer-Federal privacy 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? - Answer-Took effect on April 14, 2003.
What does HIPAA's standards provide patients with? - Answer-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? - Answer-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? - Answer-Privacy and
Confidentiality rules
Why were Privacy and Confidentiality rules included in HIPAA? - Answer-To protect the
patient
Who developed HIPAA? - Answer-Department of Health and Human Services (HHS)
What was an advantage of HIPAA? - Answer-It's uniform, federal floor of privacy
protections for consumers across the country.
What as not affected by HIPAA? - Answer-State laws providing additional protections to
consumers are not affected by this new rule
What does HIPAA do? - Answer-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? - Answer-1. Portability
2. Standardization
3. Administration Simplification
4. Accountability
5. Privacy Protection
What is "Portability"? - Answer-Continuity of coverage access; denial of coverage based
on pre-existing conditions
, What is "Standardization"? - Answer-Of billing of format and language
What is "Administration Simplification"? - Answer-Same computer language industry
wide
What is "Accountability"? - Answer-Same computer language industry wide
What is "Privacy Protection"? - Answer-Oral, written, electronic information
management
What are the Benefits of HIPAA? - Answer-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? - Answer-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? - Answer-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? - Answer-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? - Answer-1. Electronic Data Interchange
2. Security
3. Privacy
Who must comply? - Answer-A. Any person who deals with individually identifiable
health information
B. Direct care providers
C. People who handle billing
ANSWERS
What does HIPAA stand for? - Answer-Health Insurance Portability & Accountability Act
What is HIPAA? - Answer-Federal privacy 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? - Answer-Took effect on April 14, 2003.
What does HIPAA's standards provide patients with? - Answer-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? - Answer-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? - Answer-Privacy and
Confidentiality rules
Why were Privacy and Confidentiality rules included in HIPAA? - Answer-To protect the
patient
Who developed HIPAA? - Answer-Department of Health and Human Services (HHS)
What was an advantage of HIPAA? - Answer-It's uniform, federal floor of privacy
protections for consumers across the country.
What as not affected by HIPAA? - Answer-State laws providing additional protections to
consumers are not affected by this new rule
What does HIPAA do? - Answer-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? - Answer-1. Portability
2. Standardization
3. Administration Simplification
4. Accountability
5. Privacy Protection
What is "Portability"? - Answer-Continuity of coverage access; denial of coverage based
on pre-existing conditions
, What is "Standardization"? - Answer-Of billing of format and language
What is "Administration Simplification"? - Answer-Same computer language industry
wide
What is "Accountability"? - Answer-Same computer language industry wide
What is "Privacy Protection"? - Answer-Oral, written, electronic information
management
What are the Benefits of HIPAA? - Answer-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? - Answer-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? - Answer-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? - Answer-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? - Answer-1. Electronic Data Interchange
2. Security
3. Privacy
Who must comply? - Answer-A. Any person who deals with individually identifiable
health information
B. Direct care providers
C. People who handle billing
