Privacy, Security, Fraud

Question 1

American Recovery and Reinvestment Act (ARRA)

Answer 1

a 2009 act that made substantive change to HIPPAA’s privacy and security regulations

Question 2

breach

Answer 2

any unauthorized acquisition, access, use, or disclosure of personal health info that compromises the security of such info

Question 3

business associates

Answer 3

indivs and/or organizations that provide certain functions, activities, or services on behalf of covered entities that involve access to disclosure of protected health info

Question 4

confidentiality

Answer 4

act of holding info in confidence, not to be released to unauthorized indivs

Question 5

covered entities

Answer 5

health care providers and clearinghouses that transmit HIPAA transactions electronically, and must comply with HIPAA standards and rules

Question 6

Criminal Health Care Fraud Statute

Answer 6

section of the US code that prohibits fraud against any health care benefit program

Question 7

de-identify

Answer 7

to remove from health care transactions all info that identifies patients

Question 8

Federal anti-kickback law

Answer 8

prohibits knowingly and willfully receiving or paying anything of value to influence the referral of federal health care program business

Question 9

federal false claims act

Answer 9

law that allows for indivs to bring civil actions on behalf of US gov for false claims made to the federal gov, under a provision of the law called qui tam, to bring an action for the king and for oneself

Question 10

Health Information Technology for Economic and Clinical Health Act (HITECH)

Answer 10

section of American Recovery and Reinvestment Act (ARRA) that strengthened certain HIPAA privacy and security provisions

Question 11

Health Insurance Portability and Accountability Act (HIPAA) of 1996

Answer 11

protect privacy and other health care rights for patients. The act helps workers keep continuous health insurance coverage for themselves and their dependents when they change jobs, protects confidential med info from unauthorized disclosure or use, and helps curb the rising cost of fraud and abuse

Question 12

limited data set

Answer 12

protected health info from which certain patient identifiers have been removed

Question 13

notice of privacy practices

Answer 13

a list provided by all covered entities that demonstrates adherence to HIPAAs privacy practice rules

Question 14

permission

Answer 14

reason under HIPAA for disclosing patient info

Question 15

privacy

Answer 15

freedom from unauthorized intrusion

Question 16

privileged communication

Answer 16

info held confidential w in a protected relationship

Question 17

protected health info (PHI)

Answer 17

info that contains one or more patient identifiers

Question 18

Stark Law

Answer 18

prohibits physicians or their family members who own health care facilities from referring patients to those entities if the federal government, Medicare or Medicaid, will pay for treatment

Question 19

state preemption

Answer 19

state’s privacy laws are stricter than HIPAA privacy standards, state laws take precedence