HIPAA Regulations Overview

Questions and Answers

What do the acronyms PHI and EPHI stand for?

PHI stands for Protected Health Information. EPHI stands for Protected Health Information in an Electronic Format.

List the three criteria of an electronic signature.

Message Integrity, Nonrepudiation, User Authentication

Compare the difference between consent and authorization.

Authorization requires the patient's permission to disclose PHI. Signed consent is optional. The patient gives consent for the provider to disclose PHI for purposes of treatment, obtaining payment, and operation of the healthcare facility by acknowledging receipt of a copy of the office privacy policy.

Does a provider need the patient's consent to share PHI with an authorized government agency?

False Signup and view all the answers

List the four components of the HIPAA Administrative Simplification Subsection.

Transactions and Code Sets, Uniform Identifiers, Privacy, Security Signup and view all the answers

Which part of the regulation went into effect first?

Transactions and Code Sets Signup and view all the answers

Which part of the regulation went into effect last?

Uniform Identifiers Signup and view all the answers

Business Associate Agreements apply to which components of the Administrative Simplification subsection?

Privacy and Security Signup and view all the answers

What department of the U.S. government enforces HIPAA?

Department of Health and Human Services or HHS Signup and view all the answers

List the three categories of the Security Rule.

Administrative Safeguards, Physical Safeguards, Technical Safeguards Signup and view all the answers

Name the covered entities under HIPAA.

Health care providers, health plans, clearinghouses Signup and view all the answers

Which components of the Administrative Simplification Subsection have employee training as one of the requirements?

Privacy and Security Signup and view all the answers

List the requirements for the medical office privacy policy.

Notice must be in plain language. How the covered entity may use and disclose protected health information about an individual. The individual's rights with respect to the information. How the individual may exercise these rights. How the individual may complain to the covered entity. The covered entity's legal duties with respect to the information, including a statement that the covered entity is required by law to maintain the privacy of protected health information. Whom individuals can contact for further information about the covered entity's privacy policies. Signup and view all the answers

Name three of the technical safeguards.

Access Control, Unique User Identification, Emergency Access Procedure, Automatic Logoff, Encryption and Decryption, Audit Controls, Integrity Mechanism to Authenticate Electronic Protected Health Information, Person or Entity Authentication, Transmission Security, Integrity Controls Signup and view all the answers

Who may sign an authorization to release PHI?

The patient or the patient's personal representative Signup and view all the answers

Study Notes

Key Terms and Definitions

PHI: Stands for Protected Health Information.
EPHI: Stands for Protected Health Information in an Electronic Format.
Electronic Signature Criteria: Includes Message Integrity, Nonrepudiation, and User Authentication.

Authorization: Requires patient permission to disclose PHI.
Consent: Optional; allows providers to use PHI for treatment, payment, and operational purposes after acknowledging the privacy policy.

No patient consent needed to share PHI with authorized government agencies.

HIPAA Administrative Simplification Components

Components: Include Transactions and Code Sets, Uniform Identifiers, Privacy, and Security.

Implementation of Regulations

First Regulation: Transactions and Code Sets went into effect first.
Last Regulation: Uniform Identifiers were the last to be implemented.

Business Associate Agreements

Apply to Privacy and Security components of the Administrative Simplification subsection.

Enforcement of HIPAA

Enforced by the U.S. Department of Health and Human Services (HHS), including divisions like CMS and OCR.

Security Rule Categories

Categories: Include Administrative Safeguards, Physical Safeguards, and Technical Safeguards.

Covered Entities Under HIPAA

Include health care providers, health plans, and clearinghouses.

Employee Training Requirements

Required under the Privacy and Security components of the Administrative Simplification subsection.

Medical Office Privacy Policy Requirements

Must be in plain language, detailing usage and disclosure of PHI, individual's rights, complaint processes, legal duties, and contact information for inquiries.

Technical Safeguards Examples

Include Access Control, Unique User Identification, Emergency Access Procedure, Automatic Logoff, Encryption, Audit Controls, and Transmission Security.

Authorization to Release PHI

Can be signed by the patient or the patient’s personal representative.

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Description

Test your knowledge of HIPAA regulations, key terms, and concepts related to Protected Health Information (PHI) and electronic communications. This quiz covers the differences between consent and authorization, as well as the components of HIPAA's Administrative Simplification. Brush up on your understanding of compliance and regulations governing the healthcare industry.