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?

    <p>Receiving information about themselves</p> Signup and view all the answers

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

    <p>Protecting it from fraud and theft</p> Signup and view all the answers

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

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

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

    <p>Personal Health Information</p> Signup and view all the answers

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

    <p>30 days</p> Signup and view all the answers

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

    <p>For law enforcement purposes as required by law</p> Signup and view all the answers

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

    <p>Request correction of inaccurate PHI</p> Signup and view all the answers

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

    <p>Take reasonable steps to ensure confidentiality</p> Signup and view all the answers

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

    <p>Title III</p> 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?

    <p>Title I</p> 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?

    <p>Privacy Rule</p> Signup and view all the answers

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

    <p>Title I</p> Signup and view all the answers

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

    <p>Department of Health and Human Services (HHS)</p> 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?

    <p>Title II</p> 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.

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