Podcast
Questions and Answers
Under HIPAA, a covered entity (CE) is defined as:
Under HIPAA, a covered entity (CE) is defined as:
- A health plan
- A health care clearinghouse
- A health care provider engaged in standard electronic transactions
- All of the above (correct)
The minimum necessary standard:
The minimum necessary standard:
- Limits uses, disclosures, and requests for PHI
- Does not apply to disclosures for treatment purposes
- Does not apply to uses made pursuant to individual authorization
- All of the above (correct)
Which of the following would be considered PHI?
Which of the following would be considered PHI?
An individual's first and last name and the medical diagnosis in a physician's progress report
The HIPAA Privacy Rule applies to which of the following?
The HIPAA Privacy Rule applies to which of the following?
Which of the following statements about the HIPAA Security Rule are true?
Which of the following statements about the HIPAA Security Rule are true?
The HIPAA Security Rule applies to which of the following?
The HIPAA Security Rule applies to which of the following?
Which of the following are fundamental objectives of information security?
Which of the following are fundamental objectives of information security?
Technical safeguards are:
Technical safeguards are:
If an individual believes that a DoD covered entity (CE) is not complying with HIPAA, he or she may file a complaint with the:
If an individual believes that a DoD covered entity (CE) is not complying with HIPAA, he or she may file a complaint with the:
Which of the following are categories for punishing violations of federal health care laws?
Which of the following are categories for punishing violations of federal health care laws?
Which HHS Office is charged with protecting an individual patient's health information privacy and security through the enforcement of HIPAA?
Which HHS Office is charged with protecting an individual patient's health information privacy and security through the enforcement of HIPAA?
A covered entity (CE) must have an established complaint process.
A covered entity (CE) must have an established complaint process.
Which of the following are examples of personally identifiable information (PII)?
Which of the following are examples of personally identifiable information (PII)?
The e-Government Act promotes the use of electronic government services by the public and improves the use of information technology in the government.
The e-Government Act promotes the use of electronic government services by the public and improves the use of information technology in the government.
A Systems of Records Notice (SORN) serves as a notice to the public about a system of records and must:
A Systems of Records Notice (SORN) serves as a notice to the public about a system of records and must:
Under the Privacy Act, individuals have the right to request amendments of their records contained in a system of records.
Under the Privacy Act, individuals have the right to request amendments of their records contained in a system of records.
A breach as defined by the DoD is broader than a HIPAA breach (or breach defined by HHS).
A breach as defined by the DoD is broader than a HIPAA breach (or breach defined by HHS).
Which of the following are common causes of breaches?
Which of the following are common causes of breaches?
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Study Notes
HIPAA Overview
- Covered entities (CE) under HIPAA include health plans, health care clearinghouses, and health care providers engaged in standard electronic transactions.
- The minimum necessary standard restricts uses and disclosures of protected health information (PHI) to what is essential for the intended purpose, excluding treatment-related requests.
- PHI encompasses identifiable health information, including individuals’ names and medical diagnoses.
HIPAA Privacy Rule
- The HIPAA Privacy Rule governs PHI in any format maintained or transmitted by a covered entity or business associate.
HIPAA Security Rule
- Establishes national standards for the protection of electronic PHI (ePHI), requiring administrative, technical, and physical safeguards.
- Applies specifically to PHI transmitted electronically.
Information Security Objectives
- Fundamental objectives outlined in the HIPAA Security Rule include confidentiality, integrity, and availability, necessitating protective measures against threats to these areas.
Technical and Administrative Safeguards
- Technical safeguards refer to the IT policies and procedures that protect and control access to ePHI.
Filing Complaints
- Individuals suspecting non-compliance by a DoD CE with HIPAA may file a complaint with the DHA Privacy Office, HHS Secretary, and/or the MTF HIPAA Privacy Officer.
Violations of Federal Health Care Laws
- Violations of federal health care laws can incur criminal penalties, civil monetary penalties, and sanctions.
Office for Civil Rights (OCR)
- The OCR is responsible for enforcing HIPAA to safeguard the privacy and security of individual health information.
Complaint Process
- Covered entities must have a defined process for receiving and addressing complaints related to HIPAA violations.
Personally Identifiable Information (PII)
- PII includes data that can be linked to an identifiable individual, such as Social Security Numbers, home addresses, and personal medical information.
e-Government Act
- Promotes improved use of electronic government services and the application of information technology in government operations.
Systems of Records Notice (SORN)
- A SORN notifies the public about a records system, detailing routine uses, requiring republication for new uses, and necessitating submissions to OMB and Congress.
Privacy Act Rights
- Individuals can request amendments to their personal records in a system of records under the Privacy Act.
Breach Definitions
- The Department of Defense's definition of a breach is broader than that defined by HIPAA or HHS.
Causes of Breaches
- Common breach causes often result from human error, administrative oversights, or security lapses.
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