HIPAA Lesson 1 Flashcards

(25 cards)

1
Q

HIPAA is an acronym for?

A

Health Insurance Portability & Accountability Act

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2
Q

What was the date HIPAA took effect?

A

August 21, 1996

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3
Q

ARRA is an acronym for?

A

American Recovery & Reinvestment Act

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4
Q

ASCA is an acronym for?

A

Administrative Simplification Compliance Act

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5
Q

ACA is an acronym for?

A

Affordable Care Act

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6
Q

HITECH is an acronym for?

A

Health Information Technology for Economic Clinical Health Act

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7
Q

PSQIA is an acronym for?

A

Patient Safety & Quality Improvement Act

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8
Q

______ was one of the first laws to address privacy, security, and standardization of data in the healthcare industry.

A

HIPAA

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9
Q

List the provisions of Title I

A
  1. Healthcare Access - lowers probability that you will lose existing coverage.
  2. Portability - eases ability to switch heath plans.
  3. Renewability - if you have no coverage, it helps you find it on your own.
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10
Q

List the provisions of Title II

A
  1. Prevent healthcare fraud & abuse
  2. Medical Liability Reform
  3. Administrative Simplification
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11
Q

The regulation passed for privacy breach notifications, ICD-10 code sets, and 5010 transaction sets.

A

ARRA Title XIII (known as HITECH)

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12
Q

The regulation that requires all Medicare claims to be submitted electronically.

A

ASCA

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13
Q

The regulation that changed how insurers cover preexisting conditions; also called Obamacare.

  1. Requires adoption of operating rules for HIPAA transactions.
  2. Establishes a unique, standard Health Plan Identifier for each patient
  3. Requires standardization of electronic funds transfer
A

ACA

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14
Q

The regulation that expands protection to patient information to include companies who do business with covered entities.

A

ARRA/HITECH Omnibus Rule Making (HIPAA Title VII)

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15
Q

The regulation which allows providers to protect patient health information when reporting medical error information to oversight agencies.

A

PSQIA

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16
Q

The goal of ____________ is to protect the exchange/flow of health information data, keep it safe, and make it more efficient.

A

Administrative Simplification

17
Q

_______ addresses fraud, abuse, tax issues, and portability within our healthcare industry.

18
Q

List the three goals of HIPAA.

A
  1. Standardize electronic exchange of information
  2. Prevent fraud
  3. Protect patient privacy
19
Q

The 1996 federal law that addresses healthcare waste, fraud, and portability.

20
Q

This law changed how insurers cover preexisting conditions; also called Obamacare.

21
Q

Who created the standards in the Administrative Simplification portion of the HIPAA law?

A

Congress did and failed to develop the standards in 24 months, so the responsibility fail on the HHS.

22
Q

Who has to worry about HIPAA compliance?

A

All covered entities (healthcare providers, healthcare plans, and healthcare clearinghouses).

23
Q

Helps workers maintain continuous health coverage.

A

Title I of HIPAA

24
Q

How much of every healthcare dollar is spent on administrative overhead in our current healthcare system?

25
What are the names of the three main bodies of standards, or Rules, of HIPAA's Title II, Administrative Simplification?
Privacy, Security, and Transaction & Code Sets