Part IV - Terms - HIPAA Flashcards
What is HIPAA?
Health Insurance Portability and Accountability Act; federal law that protects sensitive patient health information
What does the HIPAA Privacy Rule set standards for?
The use and disclosure of protected health information
Who are considered covered entities under HIPAA?
Healthcare providers, health plans, healthcare clearinghouses, and business associates
What transactions do HIPAA-covered healthcare providers engage in?
-Claims
-Eligibility Inquiries
-Authorization Requests
(And many more)
What types of organizations are health plans under HIPAA?
Insurers, HMOs, Medicare/Medicaid employer-sponsored plans
Who are healthcare clearinghouses under HIPAA?
Entities processing health information into a standard format
What are the permitted uses and disclosures of PHI under HIPAA?
Treatment
Payment
Healthcare operations
Public interest
Benefit activities
What does the HIPAA Security Rule protect?
Electronic protected health information or e-PHI
What are the requirements of the HIPAA Security Rule?
Ensure “confidentiality, integrity, and availability of all e-PHI” & protect against threats and impermissible uses
What are the penalties for violating HIPAA?
Civil, monetary, or criminal penalties
