Part IV - Terms - HIPPA Flashcards
What is HIPAA?
Federal law that protects sensitive patient health information
What does the HIPAA Privacy Rule do?
Sets standards for the use and disclosure of protected health information
Who are considered covered entities under HIPAA?
Healthcare providers health plans healthcare clearinghouses and business associates
What transactions do HIPAA-covered healthcare providers engage in?
Claims benefit eligibility inquiries referral authorization requests
What types of organizations are health plans under HIPAA?
Insurers HMOs Medicare Medicaid employer-sponsored plans
Who are healthcare clearinghouses under HIPAA?
Entities processing health information into a standard format
What are the permitted uses and disclosures of PHI under HIPAA?
Treatment payment healthcare operations public interest and benefit activities
What does the HIPAA Security Rule protect?
Electronic protected health information or e-PHI
What are the requirements of the HIPAA Security Rule?
Ensure confidentiality integrity and availability of all e-PHI protect against threats and impermissible uses
What are the penalties for violating HIPAA?
Civil monetary or criminal penalties
