Exam 4: Hipaa: Health Insurance Portability and Accountability Act of 1996

Under the HIPAA Privacy Rule, a patient's medical record and claims history are considered: A)protected health information. B)managed care plan information. C)secure medical data. D)electronically transmitted data.

Under HIPAA guidelines, when a patient is unconscious or incapacitated, how would a provider handle disclosing information about the patient's condition to family members or friends?

Explain a civil money penalty.

The Health Insurance Portability and Accountability Act (HIPAA) was signed into law in 2003.

Each medical practice must appoint a person to serve as its Privacy Compliance Officer, who must be familiar with federal and state privacy regulations in order to: A)file monthly reports with the office of the state insurance commissioner. B)respond to insurance carriers' questions and handle patient billing complaints. C)respond to requests for medical records and handle privacy-related issues and complaints. D)represent the practice in any lawsuits that arise over privacy issues.

The Department of Health and Human Services agency that handles privacy complaints is the Office for __________ .

Approximately how many different formats are currently being used for electronic health claims? A)350 B)400 C)450 D)500

The three types of safeguards that must be in place to be in compliance with the HIPAA Security Rule are: A)technical, training, and administrative. B)physical, administrative, and technical. C)administrative, physical, and electronic. D)physical, technical, and procedural.

All of the following are HIPAA-approved code sets EXCEPT: A)NPI. B)ICD-9-CM or ICD-10-CM. C)NDC. D)CPT.

Name at least two reasons that privacy complaints are made.

Electronic documentation of patient care that can include multiple providers, services, and facilities is referred to as an electronic __________ .

The person in medical practice who handles requests for medical records and serves as the primary contact person in regard to HIPAA confidentiality issues is the __________ Officer.

Each individual health plan must use a unique National Provider Identifier.

Civil penalties for HIPAA violations can range between what dollar amounts per person per violation of a single standard per calendar year? A)$100 to $25,000 B)$250 to $35,000 C)$500 to $25,000 D)$250 to $50,000

The unique identifier for physicians, nurses, and other healthcare professionals, organizations, and facilities that provide healthcare services or supplies is the: A)Federal Employer Identification Number (EIN). B)Social Security number. C)National Provider Identifier (NPI). D)National Health Plan Identifier.

What does HIPAA stand for?

Physical safeguards are measures put in place to control or limit physical access to protected data.

Which of the following is a current HIPAA-approved code set? A)ICD-9-CM or ICD-10-CM B)NDC C)HCPCS D)All of the above

The HIPAA Security Rule complements the Privacy Rule but applies exclusively to: A)protected health information. B)electronic protected health information. C)medical claims. D)hospital claims.

The HITECH Act introduced which concept in regard to electronic health information? A)Hacking prevention B)Authorized use C)Fraud prevention D)Meaningful use