Exam 1- HIPAA

Question 1

What is the intent of HIPPA?

Answer 1

• To prevent loss of insurance when you change jobs.

- To ensure the privacy of Protected Health Information (PHI)

Question 2

What does “HIPPA” stand for?

Answer 2

Health Insurance Portability and Accountability Act

Question 3

What are the patient’s four rights?

Answer 3

1. The ability to make informed choices when seeking care.
2. The ability to find out how public health information (PHI) is used
3. To limit the release of PHI to the minimum necessary.
4. The right to examine and obtain copies of their health records & request corrections.

Question 4

What are the two rules of HIPAA?

Answer 4

1) Privacy Rule

2) Security Rule

Question 5

What does the privacy rule provide?

Answer 5

Provides for the PRIVACY of electronic health information

Question 6

What does the Security Rule establish?

Answer 6

Establishes the STANDARDS FOR THE PRIVACY of the electronic information

Question 7

Regarding your health, what is protected?

Answer 7

• Blood work
• Diagnoses
• EEGs
• EKGs
• Test Results
• Conversations between patient & health care provider
• Billing info
• Medical info in your health insurer’s computer system
• Any identifying factors of the client

Question 8

What is “individually identifiable health information”?

Answer 8

• Name
• Address
• Telephone number
• Email
• Medical record number
• SSN

Question 9

According to HIPAA, what are the employer’s responsibilities?

Answer 9

1. To notify patients about their privacy rights and how PHI is used.
2. To adopt and IMPLEMENT privacy procedures
3. To train employees in privacy procedures
4. To designate an individual to be responsible

Question 10

Who has to follow HIPAA? (The “covered entities”)

Answer 10

• Doctors
• Nurses
• Hospitals
• Clinics
• Nursing Homes
• Health insurer’s insurance
• HMOs
• Medicare & Medicade

Question 11

What is a “covered entity”?

Answer 11

A healthcare provider that conducts some transactions in an electronic format or uses a clearing house.

Question 12

What are some “non-covered entities”?

Answer 12

Life insurance companies, employers, schools, worker’s compensation carriers who might have medical info about you, & state agencies and law-enforcement.

Question 13

Name 4 covered transactions.

Answer 13

1. Electronic Health care claims
2. Electronic remittance & payment advice
3. Checking the status of a claim
4. Referral certification & authorization

Question 14

What are electronic forms?

Answer 14

Internet
Extranet 
Leased lines
Dial-up lines
Private networks
Magnetic tape
Disk
CD media

Question 15

What are authorization rules?

Answer 15

Written authorization; you must keep a copy and the patient gets a copy. Authorization may be revoked at any time.

When faxing, the recipient must be at the fax machine at the other end.

Must have:

• Date
• Purpose of disclosure
• Expiration date
• Signature/date

Question 16

Maryjane Rees Language, Speech, and Hearing Clinic (MRLSHC) Confidentiality

Answer 16

• Requires a new authorization form every semester
• Signed release form to send and receive information
• Information exchange release form
• School site visit release form

Question 17

MRLSHC: who may remove faxes from the machine?

Answer 17

Only department secretaries, department chair, and clinic coordinator.

Question 18

MRLSHC: True or False

Billing is done directly through U.S. mail

Answer 18

TRUE

Question 19

MRLSHC: True or False

Does not need written permission to exchange information (in any format)

Answer 19

FALSE

Written permission is needed to exchange information in ANY format

Question 20

Describe what “Notice of Privacy Practice” is.

Answer 20

Patients must receive a letter stating how you protect their PHI and maintain confidentiality; they must also sign a form stating that they received this information.