Podcast
Questions and Answers
What did the Health Insurance Portability and Accountability Act of 1996 (HIPAA) modernize?
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?
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?
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?
What does HIPAA generally not restrict patients from doing?
What is the main focus of HIPAA in relation to personally identifiable information?
What is the main focus of HIPAA in relation to personally identifiable information?
Under HIPAA, who can patients voluntarily share their health information with?
Under HIPAA, who can patients voluntarily share their health information with?
What does PHI stand for in the context of the text?
What does PHI stand for in the context of the text?
How long does a covered entity have to disclose PHI to the individual upon request?
How long does a covered entity have to disclose PHI to the individual upon request?
Under what circumstances can covered entities disclose PHI to law enforcement officials?
Under what circumstances can covered entities disclose PHI to law enforcement officials?
What right does the Privacy Rule give individuals regarding their PHI?
What right does the Privacy Rule give individuals regarding their PHI?
What is the responsibility of covered entities regarding communications with individuals?
What is the responsibility of covered entities regarding communications with individuals?
Which title of HIPAA sets guidelines for pre-tax medical spending accounts?
Which title of HIPAA sets guidelines for pre-tax medical spending accounts?
Under which title of HIPAA are employers allowed to tie premiums or co-payments to tobacco use or body mass index?
Under which title of HIPAA are employers allowed to tie premiums or co-payments to tobacco use or body mass index?
Which rule of HIPAA regulates the use and disclosure of Protected Health Information (PHI) in healthcare treatment, payment, and operations?
Which rule of HIPAA regulates the use and disclosure of Protected Health Information (PHI) in healthcare treatment, payment, and operations?
Which title of HIPAA requires coverage of and limits restrictions on benefits for pre-existing conditions?
Which title of HIPAA requires coverage of and limits restrictions on benefits for pre-existing conditions?
Which entity is required by HIPAA to create standards for the use and dissemination of health-care information?
Which entity is required by HIPAA to create standards for the use and dissemination of health-care information?
Which title of HIPAA establishes policies and procedures for maintaining the privacy and security of individually identifiable health information?
Which title of HIPAA establishes policies and procedures for maintaining the privacy and security of individually identifiable health information?
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.
