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33 Cards in this Set

  • Front
  • Back

What date marked the effective date of a law heralded by some as the most dramatic change in healthcare since the implementation of Medicare and Medicaid?

April 14, 2003

What is the central value in healthcare?

Privacy of patient information

What is HIPAA's Privacy rule?

A key federal law governing the privacy and confidentiality of patient information.

What tern is often used when referring to the HIPAA Privacy Rule?

Patient Privacy

What is the Privacy's rule first goal?

Is to provide an individual with greater rights with respect to his/her health information.

What is the Privacy's Rule second goal?

Is to provide greater privacy protections for one's health information, which serves to limit access by others.

______ was enacted by Congress on August 21, 1996, and became federal statutory law.

HIPAA

Title I Of HIPAA Components:

Health Care Access, Portability, and Renewability

Title II of HIPAA Components:

Preventing Health Care Fraud & Abuse Medical Liability Reform

Adminstrative Simplifications under Title II of HIPAA Components:

1. Privacy


2. Security


3. Transactions and Code Sets


4. Unique National Provider Info.


5. Enforcement

Title III of HIPAA Components:

Tex-Related Health Provision

Title IV of HIPAA Components:

Group Health Plan Requirements

Title V of HIPAA Components:

Revenue Offsets

Term that refers to HIPAA's attempt to streamline and standardize the healthcare industry's nonunitform and seemingly inefficient business practices, such as billing:

Administrative Simplification

On February 17, 2009, President Obama signed the ________ Act into law.

ARRA

ARRA provided significant changes within the Privacy Rule, where are these changes located?

In the HITECH Act.

Some states broadly addresses patient confidentially, while others protected only who specific types of health information?

HIV/AIDS and Behavioral Health

Often, the only recourse that individuals had if they confidentially was breached was through the court system, which was often:

expensive, time-consuming, and emotionally exhausting experience with no guaranteed outcome.


Under the HIPAA Privacy Rule, all types of health information, regardless the nature, are treated _______>

Equally

In the state, who is in charge of maintaining the Privacy Rule?

Privacy Officer



Federally, who is in charge of maintaining the Privacy Rule?

ONC or Civil Rights Office

What transformed the landscape of patient information by expanding the breadth of privacy protection and protecting the confidentiality of a widely defined scope of medical and personal information?

Privacy Rule

Purpose of the Freedom of Information Act of 1967 (FOIA)

The right of disclosure to and access by the public regarding federal agency records.

One exception to the FOIA Act:

Department Of Veterans Affairs

Privacy Act of 1974:

Requires federal agencies holding personally identifiable records to safeguard the information and provide individuals with certain privacy rights.

Federal Drug and Alcohol Laws:

Federal statutes that provide specific and highly particularized safeguards for the protection of information relating to the diagnosis, treatment, or referral for treatment of conditions relating to the drug abuse or other substance abuse.

Conditions of Participation:

Regulate only providers and only those receiving funds from the Medicare and Medicaid programs; inapplicable to nonproviders holding confidential patient information and do not apply to patients insured by other payers or those not covered by insurance at all.

What is an example of where a Professional Ethical Standards and Codes of Conduct can be found?

AHIMA

A healthcare provider who transmits any health information pertaining to certain transactions in electronic form; A health plan, which is an individual or group plan that provides or pays the costs of medical care; a healthcare clearinghouse

Covered Entity Definition (CE)

CEs are responsible for who?

Workforce, consisting of employees, volunteers, student interns, and trainees

A Business Associate (BA):

Is a person or organization other than a member of a CEs workforce that performs functions or activities on behalf of or affecting a CE that involve the use or disclosure of individually identifiable information.

Once a CE idenitifies a person or organization as a BA, the CE is obligated to initiate a __________ to legally protect information handles outside the CE.

Business Associate Agreement (BAA)

Who is usually in charge of the BAA?

Privacy Officer