Part IV - Terms - HIPAA Flashcards

1
Q

What is HIPAA?

A

Health Insurance Portability and Accountability Act; federal law that protects sensitive patient health information

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What does the HIPAA Privacy Rule set standards for?

A

The use and disclosure of protected health information

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Who are considered covered entities under HIPAA?

A

Healthcare providers, health plans, healthcare clearinghouses, and business associates

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What transactions do HIPAA-covered healthcare providers engage in?

A

-Claims
-Eligibility Inquiries
-Authorization Requests
(And many more)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What types of organizations are health plans under HIPAA?

A

Insurers, HMOs, Medicare/Medicaid employer-sponsored plans

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Who are healthcare clearinghouses under HIPAA?

A

Entities processing health information into a standard format

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the permitted uses and disclosures of PHI under HIPAA?

A

Treatment
Payment
Healthcare operations
Public interest
Benefit activities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What does the HIPAA Security Rule protect?

A

Electronic protected health information or e-PHI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the requirements of the HIPAA Security Rule?

A

Ensure “confidentiality, integrity, and availability of all e-PHI” & protect against threats and impermissible uses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the penalties for violating HIPAA?

A

Civil, monetary, or criminal penalties

How well did you know this?
1
Not at all
2
3
4
5
Perfectly