What is Health care billing has become more complexed; Managed care added layer of administrative duties; Rising costs of medical malpractice and cost of doing businiess;Rising cost of health care and insurance
100
What does PHI stand for?
What is Protected Health Information
100
How many HIPAA standards are there and what are they?
What is 4: Standard 1-transactions and code sets
Standard 2-Privacy Rule
Standard 3-Security Rule
Standard 4-National Identifier Standard
100
Double Jeopardy
What is teh 14th amendment
What is Equal protection under the law
200
What is the third amendment
What is No soldier quartered in private citizen's home without permission
200
What are Covered Entities
What is People, businesses or agencies that must comply with HIPAA Standards and Privacy Rule
Hospitals, Hospices, Physicians, Health Care clearing houses, Nursing homes, Pharmacies, Dental Practices, Health plans
200
What is PHI
What is Any information that contains one or more patient identifiers that could be used to identify an individual.
200
Standard 1 focuses on the transactions and code sets. Explain this
What is Established standards for Electronic Data Interchange for transmittal of information.
Must be used by all covered entities
Local code sets eliminated and four categories of codes (ICD-9) coding for diseases; (ICD-9) Coding systems for causes of injury, diseases; CPT-4 Actions taken to prevent diagnose, treat or manage diseases; HCPCS Substances equipment and supplies.
200
What are some common in all federal privacy laws:
What is Information collected and stored about individuals shall be limited to what is necessary
Access to personal information should be limited to those employees who need to know
When information is being collected about a person, that person should know and have opportunity to check
300
What is the fourth amendment
What is Unreasonable search and seizure is prohibited
300
What is a covered Transaction
What is A transaction is an electronic exchange of information between 2 covered entities. Includes claims, patient identifiable information, referrals, and authorizations.
300
True or False
PHI must be protected whether written, spoken, or electronically transmitted
What is True
300
Name some of the patients rights under HIPAA
What is Patient has a right to copy records; Patient has right to request amendments of his/her PHI. Patient has right to request for an accounting of disclosures under PHI; Psychotherapy notes must have specific written approval from the patient; Covered entities must have Policies and Procedures consistent with Notice of Privacy Practices (NPP). If the state law conflicts with HIPAA, you must follow the law that offers most protection
300
What is the purpose of TPO
What is This allows providers to provide treatment, disclose PHI for payment, and conduct the necessary business operations within and among other covered entities.
400
What is the fifth amendment
What is Cannot testify against yourself
400
What is a designated record set and give some examples
What is Records maintained by or for a covered entitiy including: Medical records, billing records, health plan enrollment, payment, claims adjudication, case management records, Any record used by a covered entity to make decisions about an individual
400
True/False
If the state's privacy laws are stricter than HIPAA, State law takes precedence
What is True
400
What does Standar 2 focus on
What is The Privacy Rule. PHI may be disclosed with permission; The permission is a reason for each use and disclose; There are 11 HIPAA defined permissions
400
Double Jeopardy
What are considered Business Associates?
What is Business associates of covered entities must have contracts/agreements with covered entities guaranteeing that PHI will be safeguarded. Business associates included accountants, legal consultants, transcription services, and other simliar type services provided to covered entities
500
What is the 9th amendment
What is Consititutional rights shall not be used to deny other rights retained by the people
500
Mrs. Jones comes to the clinic today. She is a new patient. What type of form is require of the front desk personnel to give Mrs. Jones to insure that her privacy will be protected as a patient?
What is Providers Privacy Policy in which the patient needs to sign to acknowledge that she has read the form and has received a copy of the policy
500
What is TPO
What is Treatment, Payment and Healthcare Operations
500
What is Standard 3 and how does this affect the care of the patient
What is Security Rule. Covered entities and business associates must have security plan in place. Appropriate measures such as a security officer, passwords, firewalls, encryption, and anti-virus software necessary
500
Standard 4 is the National Identifier Standard. What exactly is this standard and when was it implemented
What is It is meant to provide an unique number for each provider of care. This was implemented in May 2008