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82 Cards in this Set
- Front
- Back
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HIPAA
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Health Insurance Portability and Accountability Act of 1996
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COBRA
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Consolidated Omnibus Budget Reconciliation Act
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AMA
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American Medical Association
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AS
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administrative simplification
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BA
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business associate
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CE
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covered entity
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CMS
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Centers for Medicare and Medicaid Services (Federal)
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EDI
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electronic data interchange
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EHR
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electronic health record
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OPM
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Office of Personnel Management
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ePHI
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electronic protected health information
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FAQs
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frequently asked questions
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HHS
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Health and Human Services (Federal)
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OCR
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Office for Civil Rights
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PHI
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protected health information
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POS
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place of service
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ROI
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release of information
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FEHB
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Federal Employees Health Benefits program
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GHP
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group health plans
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ERISA
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Employee Retirement Income and Security Act of 1974
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NPRM
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Notice of Proposed Rule-Making
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A group health plan is always run by the Federal Government.
T / F |
False
Page 4 HIPAA for Allied Health Careers |
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Paper transactions are more costly than digital transactions.
T / F |
True
Page 7 HIPAA for Allied Health Careers |
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ERISA is a federal government agency.
T / F |
False
Page 4 (its a federal law) HIPAA for Allied Health Careers |
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Creditable coverage is a previous health insurance plan that is taken into consideration in enrolling an employee into a new plan.
T/F |
True
Page 5 HIPAA for Allied Health Careers |
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The centers for Medicare and Medicade Services is responsible for food and drug safety.
T / F |
False
Page 9 HIPAA for Allied Health Careers |
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A health plan may be offered by an employer, a private insurer, a government entity or other group.
T / F |
True
Page 3 HIPAA for Allied Health Careers |
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Title I of HIPAA covers Adminstrative Simplification.
T / F |
False
Page 3 HIPAA for Allied Health Careers |
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A buisness associate is any party that does business with a covered entity (CE).
T / F |
True
Page 14 HIPAA for Allied Health Careers |
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A laboratory is an example of a direct provider.
T / F |
False
Page 14 HIPAA for Allied Health Careers |
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A chiropractor is an example of an indirect provider.
T / F |
False
Page 14 HIPAA for Allied Health Careers |
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Title II of HIPAA covers Administrative Simplification.
T / F |
True
Page 6 HIPAA for Allied Health Careers |
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Administrative simplification standards affect Medicare only.
T / F |
False
Page 6 HIPAA for Allied Health Careers |
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A clearinghouse is a part of a federal agency.
T / F |
False
Page 14 HIPAA for Allied Health Careers |
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Title II of HIPAA addresses rising administrative costs in health care.
T / F |
True
Page 6 HIPAA for Allied Health Careers |
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COBRA guarantees health coverage for an employee leaving a job for at least three years.
T / F |
False
coverage is limited to 18 months. HIPAA for Allied Health Careers |
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HHS includes the Centers of Medicare and Medicaid Services.
T / F |
True
Page 9 HIPAA for Allied Health Careers |
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An electronic data interchange (EDI) is an exchange between a person and a computer.
T / F |
False
Page 7 (between a computer and a computer) HIPAA for Allied Health Careers |
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FEHB medical plans are available to the general public.
T / F |
False
Page 4 HIPAA for Allied Health Careers |
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The Federal Register is published by the Federal Government.
T / F |
True
Page 11 HIPAA for Allied Health Careers |
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HIPAA is an acronym meaning Health Insurance Privacy and Accountability Act.
T / F |
False
Page 3 Health Insurance Portability and Accountability Act HIPAA for Allied Health Careers |
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Title I of HIPAA covers health insurance reform.
T / F |
True
Page 3 HIPAA for Allied Health Careers |
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An NPRM is published in the Federal Register.
T / F |
True
Page 9 HIPAA for Allied Health Careers |
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The privacy standards are enforced by the Department of Justice.
T / F |
False
Page 8 HIPAA for Allied Health Careers |
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A small health plan has revenues of more than $5 million per year.
T / F |
False
Page 13 HIPAA for Allied Health Careers |
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HIPAA has three major parts.
T / F |
False
Page 3 HIPAA for Allied Health Careers |
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Employer-sponsered group health plans are regulated by state laws.
T / F |
False
Page 4 HIPAA for Allied Health Careers |
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HIPAA gives patients more access and control over their private health information.
T / F |
True
Page 6 HIPAA for Allied Health Careers |
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The FEHB program is adminstered by the office of Civil Rights.
T / F |
False
Page 4 HIPAA for Allied Health Careers |
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Preexisting condition exclusions do not apply to pregnancy.
T / F |
True
Page 5 HIPAA for Allied Health Careers |
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When a state law is more restrictive than a HIPAA rule, the state law is followed.
T / F |
True
Page 8 HIPAA for Allied Health Careers |
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Security standards are primarily to protect providers.
T / F |
False
Page 8 HIPAA for Allied Health Careers |
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Accident insurance is exempt from HIPAA standards.
T / F |
True
Page 13 HIPAA for Allied Health Careers |
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Pharmacies are not considered health care providers.
T / F |
False
Page 13 HIPAA for Allied Health Careers |
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Business associates must follow HIPAA standards.
T / F |
True
Page 14 HIPAA for Allied Health Careers |
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Certain medical conditions can block a person from Medicare coverage.
T / F |
False
Page 3 HIPAA for Allied Health Careers |
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Punishment for HIPAA violations may result in prison time.
T / F |
True
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An individual electronic exchange is known as:
a) Authorization b) Covered entity c) Preemption d) Transaction |
d) Transaction
page 7 HIPAA for Allied Health Careers |
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Which plan would not be considered "creditible coverage."
a) SCHIP b) Group Health Plan c) Medicaid d) Pay as you go health care |
d) Pay as you go health care
page 5 HIPAA for Allied Health Careers |
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A lawfirm that does buisness with a health care provider is:
a) Covered entity b) Business associate c) Third-party administrator d) Accreditation agency |
b) Business Associate
page 14 HIPAA for Allied Health Careers |
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A direct provider is:
a) Trained to perform laboratory test b) An expert in imaging test c) Person who has a treatment relationship with patient d) a group health plan |
c) Person who has a treatment relationship with patient.
page 14 HIPAA for Allied Health Careers |
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An example of an indirect provider:
a) a buisness associate (BA) b) a medical coder c) a medical assistant d) a laboratory |
d) laboratory
page 14 HIPAA for Allied Health Careers |
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Overhead cost for health care are:
a) Equal to most comparable industries b) Remaining steady c) Much higher than most comparable industries d) Decreasing each year |
c) Much higher than most comparable industries
page 7 HIPAA for Allied Health Careers |
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Clearinghouses provide the following services:
a) private health insurance b) childrens health insurance c) billing and record keeping d) legal assistance |
c) billing and record keeping
page 14 HIPAA for Allied Health Careers |
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The Federal Register publishes:
a) all state laws b) all court decisions c) all federal laws d) only senate rules |
c) all federal laws
page 10 HIPAA for Allied Health Careers |
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The period of public comment after the release of an NPRM is a maxium of:
a) 18 months b) 6 months c) 2 years d) 12 months |
a) 18 months
page 9 HIPAA for Allied Health Careers |
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The Office of Civil Rights (OCR) is an agency of:
a) CMS b) HHS c) NPRM d) EDI |
b) HHS
page 9 HIPAA for Allied Health Careers |
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Enforces HIPAA privacy standards:
a) CMS b) ERISA c) OCR d) FEHB |
c) OCR (Office for Civil Rights)
page 9 HIPAA for Allied Health Careers |
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Enforces HIPAA security & electronic transaction standards:
a) CMS b) ERISA c) OCR d) FEHB |
a) CMS (Centers for Medicare and Medicade Services)
page 8 HIPAA for Allied Health Careers |
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A small health plan is a health plan with annual receipts of:
a) $5 million or more b) $1 million or more c) $5 million or less d) $1 million or less |
c) $5 million or less
page 13 HIPAA for Allied Health Careers |
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Employer sponsered group health plans are regulated by:
1) OCR 2) HHS 3) ERISA 4) State Law |
3) ERISA
Employee Retirement Income and Security Act of 1974 page 4 HIPAA for Allied Health Careers |
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EMR
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Electronic Medical Records
page 29 Chapter 2 "HIPAA for Allied Careers" |
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PHI
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Protected Health Information
page 32 Chapter 2 "HIPAA for Allied Careers" |
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DRS
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Designated Record set
page 33 Chapter 2 "HIPAA for Allied Careers" |
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NPP
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Notice of Privacy Practices
Page 34 Chapter 2 "HIPAA for Allied Careers" |
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TPO
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Treatment, payment, and operatons
Page 37, 38 Chapter 2 "HIPAA for Allied Careers" |
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ROI
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Release of information
page 38 Chapter 2 "HIPAA for Allied Careers" |
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HIM
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Health information management
page 39 "HIPAA for Allied Careers" |
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PCP
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Primary care physican
Page 27 chapter 2 HIPAA for Allied Health Careers |
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MPI
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Master Person Index
page 29 chapter 2 HIPAA for Allied Health Careers |
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MRN
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Medical Record Number
page 29 chapter 2 HIPAA for Allied Health Careers. |
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MPL
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Medical Professional Liability
legally responsible for following the medical standards of are that apply in their state. page 27 Chapter 2 HIPAA for Allied Health |
