HIPPA

Question 1

Covered Entity

Answer 1

Health plan, health care clearinghouse or health care provider that transmits any health information electronically

Question 2

Current Procedural Terminology

Answer 2

A medical code set maintained and copyrighted by the American Medical Association that has been selected for use under HIPPA for non-institutional transactions

Question 3

Disclosure

Answer 3

Release or divulgence of information by an entity to people or organizations outside of that entity

Question 4

Electronic Data Interchange

Answer 4

The transfer of routine information or transactions from one computer to another in a standard format, using standard communication protocols

Question 5

Health Information

Answer 5

Any information that is created by a health care provider, health plan, health authority, employer, life insurer, school, that relates to the past, present, or future physical or mental health of an individual.

Question 6

HIPPA written authorization

Answer 6

A document that must be signed by a patient, explains he uses and disclosures a covered entity may make without the individuals authorization as permitted by the Privacy rule, and states that any other uses or disclosures will be made only be the individuals written consent

Question 7

Individually Identifiable Health Information

Answer 7

Information transmitted or maintained in any form which is held by a covered entity and that identifies an individual

Question 8

Informed Consent

Answer 8

A persons agreement to allow an action based on full disclosure of risks, benefits, alternatives, and consequences of refusal.

Question 9

International Classification of Diseases

Answer 9

A medical code set maintained by the World Health Organization whose primary purpose is to classify cases of death.

Question 10

Joint Commission

Answer 10

An organization that accredits health care organizations

Question 11

National Drug Code

Answer 11

A medical code set maintained by the FDA that contains codes for drugs that are FDA approved.

Question 12

National Patient ID

Answer 12

A system for uniquely identify all recipients of health care services

Question 13

National Payer ID

Answer 13

A system for uniquely identifying all organizations that pay for health care services

Question 14

National Provider ID

Answer 14

A system for uniquely identifying all providers of health care services, supplies, and equipment

Question 15

Privacy Officer

Answer 15

A person appointed to receive and be responsible for complaints about privacy policies and procedures required by HIPPA

Question 16

Protected Health Information

Answer 16

Information transmitted or maintained in any form which is held by a covered entity that offers reasonable basis for identification.

Question 17

Research

Answer 17

A systematic investigation including: development, testing and evaluation

Question 18

Treatment

Answer 18

The management of health care related services by one or more health care providers

Question 19

physical safeguards

Answer 19

policies in place for limiting physical access to patient files

Question 20

technical safeguards

Answer 20

limiting access of PHI through firewalls etc.

Question 21

privacy rule

Answer 21

ensure you use PHI only to accomplish your job on the patients behalf

Question 22

when can you release PHI without authorization?

Answer 22

public health uses: preventing disease
health oversight
court proceedings
law enforcement purposes
specialized government functions
workers comp

Question 23

what is the purpose of coding and billing?

Answer 23

codes are numeric groupings used to identify specific diagnosis and clinical procedures
correct documentation = coding will be easier

Question 24

what does HIPAA stand for?

Answer 24

Health Insurance Portability and Accountability Act