Podcast
Questions and Answers
What is the primary purpose of the HITECH Act?
What is the primary purpose of the HITECH Act?
Which of the following acts strengthened HIPAA rules regarding electronic health information?
Which of the following acts strengthened HIPAA rules regarding electronic health information?
In which year was the HITECH Act enacted?
In which year was the HITECH Act enacted?
What federal legislation is associated with enhancing the security of electronic medical records?
What federal legislation is associated with enhancing the security of electronic medical records?
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Which of the following is NOT a focus of the HITECH Act?
Which of the following is NOT a focus of the HITECH Act?
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What document is utilized to help provider offices develop Compliance Manuals?
What document is utilized to help provider offices develop Compliance Manuals?
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Which of the following conditions listed is recognized as a systemic condition that may necessitate routine foot care?
Which of the following conditions listed is recognized as a systemic condition that may necessitate routine foot care?
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What characterizes a service as medically necessary?
What characterizes a service as medically necessary?
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What was the release date of the OIG Compliance Program Guidance that is still relevant today?
What was the release date of the OIG Compliance Program Guidance that is still relevant today?
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Which statement best describes the importance of compliance manuals in medical practices?
Which statement best describes the importance of compliance manuals in medical practices?
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Which document outlines potential problem areas identified by the government that may be scrutinized?
Which document outlines potential problem areas identified by the government that may be scrutinized?
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What is the maximum difference allowed between a cost estimate on an ABN and the actual cost?
What is the maximum difference allowed between a cost estimate on an ABN and the actual cost?
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Which statement is true regarding the recognition of ABNs by payers?
Which statement is true regarding the recognition of ABNs by payers?
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What is the purpose of the OIG Work Plan?
What is the purpose of the OIG Work Plan?
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When providing a cost estimate for a service on an ABN, the provider is required to:
When providing a cost estimate for a service on an ABN, the provider is required to:
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What is the primary purpose of restricting access to protected health information under HIPAA's minimum necessary standard?
What is the primary purpose of restricting access to protected health information under HIPAA's minimum necessary standard?
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What does the ABN indicate to the patient regarding Medicare coverage?
What does the ABN indicate to the patient regarding Medicare coverage?
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Which of the following is NOT classified as a covered entity under HIPAA?
Which of the following is NOT classified as a covered entity under HIPAA?
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Why are covered entities required to implement minimum necessary policies?
Why are covered entities required to implement minimum necessary policies?
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What could happen if a covered entity fails to comply with HIPAA's minimum necessary standard?
What could happen if a covered entity fails to comply with HIPAA's minimum necessary standard?
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Study Notes
HITECH Act
- The Health Information Technology for Economic and Clinical Health Act (HITECH) was enacted as a part of the American Recovery and Reinvestment Act of 2009 (ARRA)
- HITECH strengthens HIPAA rules by addressing privacy and security concerns associated with the electronic transmission of health information.
OIG Work Plan
- Released twice per year
- Outlines the Office of Inspector General (OIG) priorities for the fiscal year ahead
- Lists potential problem areas for claims submissions
- These areas will be targeted with special scrutiny
Advanced Beneficiary Notices (ABNs)
- An ABN is used when a Medicare beneficiary requests or agrees to receive a procedure or service that Medicare may not cover.
- Notifies the patient of potential out-of-pocket costs for the patient
- May not be recognized by non-Medicare payers
- Providers should review their contracts to determine which payers will accept an ABN for services not covered
HIPAA Covered Entities
- Health Care Providers
- Health Plans
- Health Care Clearinghouses
- Patients are NOT considered a covered entity
Compliance Manual Development
- The OIG has offered compliance program guidance to form the basis of a voluntary compliance program for physician offices
- This was released in October 2000, but is still considered active compliance guidance today
- Policies should require that only individuals whose job requires it may have access to protected health information
Medically Necessary Services
- Should use the least radical service/procedure that allows for effective treatment of the patient's complaint or condition
- Routine foot care can be medically necessary for chronic venous insufficiency
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Description
This quiz covers key concepts related to the HITECH Act, OIG Work Plan, Advanced Beneficiary Notices (ABNs), and HIPAA covered entities. Each section highlights essential information relevant to healthcare compliance and patient notification processes. Test your knowledge on these crucial regulations in the healthcare sector.
