HIPAA Titles I and II Quiz

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Questions and Answers

What did the Health Insurance Portability and Accountability Act of 1996 (HIPAA) modernize?

The flow of healthcare information (correct)

The billing process in healthcare

The training of healthcare professionals

The structure of healthcare organizations

Who is generally prohibited from disclosing protected information under HIPAA?

Patients and their representatives

Healthcare insurance companies

Healthcare providers and businesses (correct)

Government agencies

What does Title I of HIPAA primarily protect?

Confidentiality of medical records

Healthcare provider reimbursements

Access to healthcare information

Health insurance coverage for workers and their families (correct)

What does HIPAA generally not restrict patients from doing?

Receiving information about themselves Signup and view all the answers

What is the main focus of HIPAA in relation to personally identifiable information?

Protecting it from fraud and theft Signup and view all the answers

Under HIPAA, who can patients voluntarily share their health information with?

Family members, friends, or individuals not part of a covered entity Signup and view all the answers

What does PHI stand for in the context of the text?

Personal Health Information Signup and view all the answers

How long does a covered entity have to disclose PHI to the individual upon request?

30 days Signup and view all the answers

Under what circumstances can covered entities disclose PHI to law enforcement officials?

For law enforcement purposes as required by law Signup and view all the answers

What right does the Privacy Rule give individuals regarding their PHI?

Request correction of inaccurate PHI Signup and view all the answers

What is the responsibility of covered entities regarding communications with individuals?

Take reasonable steps to ensure confidentiality Signup and view all the answers

Which title of HIPAA sets guidelines for pre-tax medical spending accounts?

Title III Signup and view all the answers

Under which title of HIPAA are employers allowed to tie premiums or co-payments to tobacco use or body mass index?

Title I Signup and view all the answers

Which rule of HIPAA regulates the use and disclosure of Protected Health Information (PHI) in healthcare treatment, payment, and operations?

Privacy Rule Signup and view all the answers

Which title of HIPAA requires coverage of and limits restrictions on benefits for pre-existing conditions?

Title I Signup and view all the answers

Which entity is required by HIPAA to create standards for the use and dissemination of health-care information?

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

Which title of HIPAA establishes policies and procedures for maintaining the privacy and security of individually identifiable health information?

Title II Signup and view all the answers

Study Notes

Summary of HIPAA Titles I and II

Title II of HIPAA, known as Administrative Simplification (AS) provisions, requires national standards for electronic health care transactions and national identifiers for providers, health insurance plans, and employers.
Title III sets guidelines for pre-tax medical spending accounts, Title IV sets guidelines for group health plans, and Title V governs company-owned life insurance policies.
Title I regulates the availability and breadth of group health plans and certain individual health insurance policies, addressing the issue of "job lock."
Title I requires coverage of and limits restrictions on benefits for pre-existing conditions, allowing individuals to reduce exclusion periods based on prior creditable coverage.
Employers are allowed to tie premiums or co-payments to tobacco use or body mass index under Title I.
Insurers must issue policies without exclusion to those leaving group health plans with creditable coverage exceeding 18 months, and renew individual policies regardless of health condition.
Some health care plans are exempt from Title I requirements, such as long-term health plans and limited-scope plans like dental or vision plans.
Title II of HIPAA establishes policies and procedures for maintaining the privacy and security of individually identifiable health information.
Title II requires the Department of Health and Human Services (HHS) to create standards for the use and dissemination of health-care information.
The HHS has promulgated five rules regarding Administrative Simplification: the Privacy Rule, the Transactions and Code Sets Rule, the Security Rule, the Unique Identifiers Rule, and the Enforcement Rule.
The Privacy Rule regulates the use and disclosure of Protected Health Information (PHI) in healthcare treatment, payment, and operations by "covered entities."
The effective compliance date of the Privacy Rule was April 14, 2003, with a one-year extension for certain "small plans".

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Description

Test your knowledge of the Health Insurance Portability and Accountability Act (HIPAA) Titles I and II with this quiz. Explore the regulations, requirements, and provisions related to healthcare transactions, national identifiers, privacy, security, and more.