HIPAA Exam Questions And Answers 100% Correct Verified Guaranteed Answers.

AOD - correct answer ACCOUNTING AND DISCLOSURE CE - correct answer COVERED ENTITY: transmits health information in electronic form in connection with a transaction covered by HIPAA. The covered entity may be (1) a health insurance carrier (2) a health care clearinghouse through which claims are submitted (3) a health care provider such as the primary care physician CMS - correct answer CENTERS FOR MEDICARE AND MEDICAID: previously known as the Health Care Financing Administration (HCFA) enforces the insurance portability and transaction and code set requirements of HIPAA DIRECTORY - correct answer DAILY LIST OF PATIENTS THAT ARE IN THE HOSPITAL ePHI - correct answer ELECTRONIC PROTECTED HEALTH INFORMATION FPO OR PO - correct answer FACILITY PRIVACY OFFICER: Oversee the HIPAA related functions. This person helps the provider remain in compliance by setting policies and procedures (P & P) IIHI - correct answer INDIVIDUALLY IDENTIFIABLE HEALTH INFORMATION: is any part of an individual's health information, including demographic information (e.g. address, date of birth) collected from the individual MIP - correct answer MEDICAL INSURANCE PROVIDER NPP - correct answer NOTICE OF PRIVACY PRACTICES. This is the paper given to each patient yearly or each new patient that explains how medical records and information is kept private in the facility. The patient signs one copy that he/she is in receipt of this document. OCR - correct answer OFFICE OF CIVIL RIGHTS: will enforce privacy standards OHCA - correct answer ORGANIZED HEALTH CARE ARRANGEMENT OIG - correct answer OFFICE OF INSPECTOR GENERAL P & P - correct answer POLICIES AND PROCEDURES: These are the rules for the facility to follow in regards to HIPAA PHI - correct answer PROTECTED HEALTH INFORMATION: is any data that identifies an individual and describes his/her health status, age, sex, ethnicity, or other demographic characteristics, whether or not that information is stored or transmitted electronically. TPO - correct answer TREATMENT, PAYMENT, HEALH CARE OPERATIONS Compliance - correct answer In health the health care industry is the process of meeting regulations, recommendations, and expectations of federal and state agencies that pay for health care services and regulate the industry E-health information management - correct answer All transactions in which health care information is accessed, processed, stored, and transferred using electronic technologies What rights do patients have regarding requesting medical records? - correct answer Patients have the legal right to request (1) access and amendments to their health records, (2) an accounting of those who have received their health information, and (3) restrictions on who can access their health records Privacy - correct answer is the condition of being secluded from the presence or view of others Confidentiality - correct answer using discretion in keeping secret information Disclosure - correct answer the release, transfer, provision of access to, or divulging in any other manner information When is a consent form NOT required for PHI? - correct answer A consent form is NOT required before physicians use or disclose protected health information for treatment, payment, or routine health care operations (TPO) Breach of Confidential Communication - correct answer Unauthorized release of information is called breach of confidential communication and is also considered an HIPAA violation. Confidentiality between physician and patient is automatically waived in the following situations - correct answer 1. When a patient is a member of a managed care organization Confidentiality between physician and patient is automatically waived in the following situations - correct answer 2. When patients have certain communicable diseases that are highly contagious or infectious Confidentiality between physician and patient is automatically waived in the following situations - correct answer 3. When a medical device breaks or malfunctions, the Food and Drug Administration requires providers to report certain information Confidentiality between physician and patient is automatically waived in the following situations - correct answer 4. When a patient is suspect in a criminal investigation or to assist in locating a missing person, material witness, or suspect, police have the right to request certain information Confidentiality between physician and patient is automatically waived in the following situations - correct answer 5. When the patient's records are subpoenaed or there is a search warrant Confidentiality between physician and patient is automatically waived in the following situations - correct answer 6. When the patient is suing someone, such as an employer Confidentiality between physician and patient is automatically waived in the following situations - correct answer 7. When there is a suspicious death or suspected crime victim, providers must report cases Confidentiality between physician and patient is automatically waived in the following situations - correct answer 8. When the physician examines a patient at the request of a third party Confidentiality between physician and patient is automatically waived in the following situations - correct answer 9. Good of society Confidentiality between physician and patient is automatically waived in the following situations - correct answer 10. Medicare information When was HIPAA enacted? - correct answer Congress wrote law to be enacted for August 1996. The final modifications were done by April 2003. HIPAA Title I - correct answer Health insurance reform HIPAA Title II - correct answer Administration simplification HIPAA - Title I - correct answer 1. Major goal is to assure that individuals' health information is properly protected. 2. A broad law that covers many issues. 3. Allows people to move their health insurance with them as they change jobs. HIPAA - Title II - correct answer 1. Governs how information is shared with other healthcare workers. 2. Governs computer sharing between patient care givers and insurance companies.