HIPAA Lesson 1 Flashcards

1
Q

HIPAA is an acronym for?

A

Health Insurance Portability & Accountability Act

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2
Q

What was the date HIPAA took effect?

A

August 21, 1996

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3
Q

ARRA is an acronym for?

A

American Recovery & Reinvestment Act

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4
Q

ASCA is an acronym for?

A

Administrative Simplification Compliance Act

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5
Q

ACA is an acronym for?

A

Affordable Care Act

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6
Q

HITECH is an acronym for?

A

Health Information Technology for Economic Clinical Health Act

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7
Q

PSQIA is an acronym for?

A

Patient Safety & Quality Improvement Act

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8
Q

______ was one of the first laws to address privacy, security, and standardization of data in the healthcare industry.

A

HIPAA

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9
Q

List the provisions of Title I

A
  1. Healthcare Access - lowers probability that you will lose existing coverage.
  2. Portability - eases ability to switch heath plans.
  3. Renewability - if you have no coverage, it helps you find it on your own.
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10
Q

List the provisions of Title II

A
  1. Prevent healthcare fraud & abuse
  2. Medical Liability Reform
  3. Administrative Simplification
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11
Q

The regulation passed for privacy breach notifications, ICD-10 code sets, and 5010 transaction sets.

A

ARRA Title XIII (known as HITECH)

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12
Q

The regulation that requires all Medicare claims to be submitted electronically.

A

ASCA

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13
Q

The regulation that changed how insurers cover preexisting conditions; also called Obamacare.

  1. Requires adoption of operating rules for HIPAA transactions.
  2. Establishes a unique, standard Health Plan Identifier for each patient
  3. Requires standardization of electronic funds transfer
A

ACA

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14
Q

The regulation that expands protection to patient information to include companies who do business with covered entities.

A

ARRA/HITECH Omnibus Rule Making (HIPAA Title VII)

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15
Q

The regulation which allows providers to protect patient health information when reporting medical error information to oversight agencies.

A

PSQIA

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16
Q

The goal of ____________ is to protect the exchange/flow of health information data, keep it safe, and make it more efficient.

A

Administrative Simplification

17
Q

_______ addresses fraud, abuse, tax issues, and portability within our healthcare industry.

A

HIPAA

18
Q

List the three goals of HIPAA.

A
  1. Standardize electronic exchange of information
  2. Prevent fraud
  3. Protect patient privacy
19
Q

The 1996 federal law that addresses healthcare waste, fraud, and portability.

A

HIPAA

20
Q

This law changed how insurers cover preexisting conditions; also called Obamacare.

A

ACA

21
Q

Who created the standards in the Administrative Simplification portion of the HIPAA law?

A

Congress did and failed to develop the standards in 24 months, so the responsibility fail on the HHS.

22
Q

Who has to worry about HIPAA compliance?

A

All covered entities (healthcare providers, healthcare plans, and healthcare clearinghouses).

23
Q

Helps workers maintain continuous health coverage.

A

Title I of HIPAA

24
Q

How much of every healthcare dollar is spent on administrative overhead in our current healthcare system?

A

20 cents

25
Q

What are the names of the three main bodies of standards, or Rules, of HIPAA’s Title II, Administrative Simplification?

A

Privacy, Security, and Transaction & Code Sets