•When public responsibility requires disclosure
  • What is the Inadvertent penalty and what are the fines?
  • What is "Administration Simplification"?
  • What is a criminal penalty and what are the fines?
  • What is "Permitted Disclosure without Authorization"?
Deliberate, for gain, causes harm- $250,000.00 in fines and up to 10 years jail time
  • What is the Inadvertent penalty and what are the fines?
  • What is the civil penalty and what are the fines?
  • What is the "minimum necessary" rule?
  • What is a criminal penalty and what are the fines?
Electronic Data InterchangeSecurityPrivacy
  • What are the 5 parts of HIPAA?
  • What are the three types of penalties?
  • What are the Special Protection Implementations?
  • What are the 3 major focus areas of HIPAA?
Protects the privacy and the security of individually identifiable health informationEstablishes the 6 patient rights of health information
  • What are the Minimum Necessary RuleDeciding Questions?
  • What are some general forms that patients can obtain because of HIPAA?
  • What is the Minimum Necessary Rule of Thumb?
  • What does the privacy rule do?
A. Any person who deals with individually identifiable health information B. Direct care providersC. People who handle billingD. People who plan health operationsE. Those providing pieces of service
  • What did the law have to include in HIPAA to protect the patient?
  • What does HIPAA stand for?
  • Who must comply?
  • What are the Minimum Necessary RuleDeciding Questions?
Must be in writing and the patient voluntarily agrees to let the organization use the information for a particular purpose
  • What are some inappropriate uses of PHI (Personal Health Information)?
  • What should I do if a patient asks about a patient?
  • If authorization for PHI is given by the patient what are the requirements?
  • What is the civil penalty and what are the fines?
Ex. Limit use of faxes for highly sensitive information, verify numbers & availability of receiver, keep fax machines secure, remove fax promptly on arrival.
  • What are some inappropriate uses of PHI (Personal Health Information)?
  • What are the Responsibilities of the HCP w/ HIPAA?
  • What are some examples of the "minimum necessary" rule?
  • What are the 6 patients rights of health information?
•If visitors ask about a patient, direct them to the information desk, the compliance officer or medical records department
  • What are some examples of the "minimum necessary" rule?
  • What should I do if a patient asks about a patient?
  • What is the civil penalty and what are the fines?
  • What were the goals that HIPAA was designed for?
Civil- Done w/o intent to gain, but deliberate: $ 100.00 per violation up to $25,000.00 per year for each violation-
  • What is the Inadvertent penalty and what are the fines?
  • What is the civil penalty and what are the fines?
  • What is the "minimum necessary" rule?
  • What are the covered entity Responsibilities?
•If someone asks for information about a patient's case, ask why it is needed and disclose only the minimum amount necessary for that person to do his or her job.
  • What are the Minimum Necessary RuleDeciding Questions?
  • What as not affected by HIPAA?
  • What does the privacy rule do?
  • What is the Minimum Necessary Rule of Thumb?
Patient's expectations of privacy and confidentiality are important to providing quality careAffects all aspects of care: hospitals, outpatient, diagnostic, or the business officeLaws have increased in strength in response to situations in which private information has ended up in the wrong hands
  • What are the Responsibilities of the HCP w/ HIPAA?
  • Why is privacy and confidentiality important?
  • How is protected health information used?
  • Why were Privacy and Confidentiality rules included in HIPAA?
Inadvertent-standards in place, safe guards present, still happened: None
  • What are the Special Protection Implementations?
  • What is the Inadvertent penalty and what are the fines?
  • What is a criminal penalty and what are the fines?
  • What is the "minimum necessary" rule?
Uniform billing processUse of electronic transmittalsContinuity in patient careEmployment opportunities-HIPAA officers, Office of Civil Rights expanded, fraud squads, hotlinesViolation of confidentiality now a federal crime !!!
  • What are the covered entity Responsibilities?
  • What are the key points of HIPAA?
  • What are the Responsibilities of the HCP w/ HIPAA?
  • What are the Benefits of HIPAA?
Any personally identifiable information is now confidentialPatients are allowed access to copies of their MRHCP must now provide a written statement to the pt that states how personal information may be used (pt rights of confidentiality)The use of personal medical information is now limitedDiscussion of Healthcare options and tx optionsPt may now request confidential communication be done in a way they prefer
  • What are the Responsibilities of the HCP w/ HIPAA?
  • What are the 3 major focus areas of HIPAA?
  • What are the Benefits of HIPAA?
  • What are the key points of HIPAA?
•Psychiatric situations •Genetic Treatment •HIV/AIDS
  • What are the 3 major focus areas of HIPAA?
  • What are the Special Protection Implementations?
  • What are the three types of penalties?
  • What are the covered entity Responsibilities?
It reduces health care fraud, guarantee security and privacy of healthcare info., enforce standards for electronic data interchange
  • What does HIPAA give patients?
  • What does HIPAA do?
  • What is the "minimum necessary" rule?
  • What does HIPAA's standards provide patients with?
•Establish clear policies and practices that minimize information revealed •Maintain training •Obtain authorizations and maintain files
  • What are the covered entity Responsibilities?
  • What are the Responsibilities of the HCP w/ HIPAA?
  • What are some examples of the "minimum necessary" rule?
  • What are the Special Protection Implementations?
Receive notice of privacy policiesAccess to health information on fileLimit uses and disclosures of medical informationMake amendments to medical recordRevoke authorizationsHave an accounting of info disclosures for up to 6 years
  • What are the 6 patients rights of health information?
  • What are the Responsibilities of the HCP w/ HIPAA?
  • What are the Benefits of HIPAA?
  • What are some Confidentiality Practices You should see?
Information can be disclosed to other health care providers if the information is for treatment. Only minimal amount of PHI is handled
  • What is the "minimum necessary" rule?
  • What is protected health information?
  • What is the civil penalty and what are the fines?
  • When is authorization not needed?
Determine what services patients are to receiveUse confidential information to be able to bill patients or their insurance companiesQuality control directors review information to make sure patients are receiving quality care
  • What is protected health information?
  • What is the "minimum necessary" rule?
  • What are the 6 patients rights of health information?
  • How is protected health information used?
Federal privacy standards to protect patients' medical records and other health information provided to health plans, doctors, hospitals and other health care providers.
  • What is an example of criminal penalty?
  • What is an example of a civil penalty?
  • What is HIPAA?
  • What does HIPAA give patients?
-Inadvertent-civil-Criminal
  • What are the three types of penalties?
  • What is the "minimum necessary" rule?
  • What are the key points of HIPAA?
  • What are the Special Protection Implementations?
•Information about an organ donor•About a deceased patient•For fundraising as long as the information is limited to individual demographics and dates of service
  • What are the 5 parts of HIPAA?
  • What are some HIPAA exceptions?
  • When is disclosure required?
  • When is authorization not needed?
How much information are you planning to use or disclose?•How important is it that you use/disclose this information?•What is the likelihood that further uses or disclosures could occur?•Where is the information being disclosed (location) and in what form (paper, verbal, or electronic)
  • What is the Minimum Necessary Rule of Thumb?
  • What are the Minimum Necessary RuleDeciding Questions?
  • Who developed HIPAA?
  • What as not affected by HIPAA?
State laws providing additional protections to consumers are not affected by this new rule
  • Who developed HIPAA?
  • What as not affected by HIPAA?
  • What does the privacy rule do?
  • Who must comply?
1) Technology
  • What is "Standardization"?
  • Why do we need HIPAA?
  • When did HIPAA take effect?
  • What does PHI stand for?
Selling information for databasesAdvertising
  • What are some inappropriate uses of PHI (Personal Health Information)?
  • What are the 6 patients rights of health information?
  • What are some examples of the "minimum necessary" rule?
  • What are the 3 major focus areas of HIPAA?
•HIPAA gives the patients the right to inspect and copy the PHI that your facility keeps about them
  • When did HIPAA take effect?
  • What is "Privacy Protection"?
  • What does HIPAA give patients?
  • What are the 5 parts of HIPAA?
•Specific forms such as General Records Release, Authorization for Use or Disclosure of PHI
  • What does the privacy rule do?
  • What are some general forms that patients can obtain because of HIPAA?
  • What did the law have to include in HIPAA to protect the patient?
  • Who must comply?
PortabilityStandardizationAdministration SimplificationAccountabilityPrivacy Protection
  • What does HIPAA give patients?
  • What are the 5 parts of HIPAA?
  • What are some HIPAA exceptions?
  • What are the covered entity Responsibilities?
Patient's consent for release.
  • What is the civil penalty and what are the fines?
  • What is "Administration Simplification"?
  • What are some inappropriate uses of PHI (Personal Health Information)?
  • What is required when acting on the "minimum necessary" rule?
From The Patient
  • When is authorization not needed?
  • Where is authorization for PHI usage obtained from when it's used for something other than treatment, payment, or routine operations?
  • Why were Privacy and Confidentiality rules included in HIPAA?
  • What is required when acting on the "minimum necessary" rule?
Patients have the right to revoke at any time
  • What are the 3 major focus areas of HIPAA?
  • What is "Administration Simplification"?
  • What is the patient's right if they authorize usage of PHI other than the need of Payment, Treatment, or routine operations?
  • What is the civil penalty and what are the fines?
Privacy and Confidentiality rules
  • What did the law have to include in HIPAA to protect the patient?
  • What is the patient's right if they authorize usage of PHI other than the need of Payment, Treatment, or routine operations?
  • What is the Inadvertent penalty and what are the fines?
  • What is required when acting on the "minimum necessary" rule?
To protect the patient
  • What are the three types of penalties?
  • What is required when acting on the "minimum necessary" rule?
  • Why were Privacy and Confidentiality rules included in HIPAA?
  • What does PHI stand for?
Of billing of format and language
  • What is "Administration Simplification"?
  • What is "Standardization"?
  • What does PHI stand for?
  • When did HIPAA take effect?
Access to their medical records and more control over how their personal health information is used and disclosed
  • What are the covered entity Responsibilities?
  • What is the civil penalty and what are the fines?
  • What does HIPAA's standards provide patients with?
  • What does HIPAA do?
Crime has been committedAbuseSTD's,TBOrgan donationDeath- funeral; director
  • What was an advantage of HIPAA?
  • What does HIPAA give patients?
  • What is "Portability"?
  • When is disclosure required?
Example: Publishing- or allowing the publishing of health status or care detail of a patient
  • What is an example of criminal penalty?
  • What is an example of a civil penalty?
  • What is "Administration Simplification"?
  • What was an advantage of HIPAA?
Physical and Mental healthProvision of health care to patientPayment for the patient's health careAnything that can be communicated orally in written form or through other mediaEx. Name, date of birth, SS #, address, phone #, patient account #, date, location of healthcare service, Dx., Tx., meds, email address, photo, lab results.
  • What some examples of Protected health information?
  • What are the 6 patients rights of health information?
  • What were the goals that HIPAA was designed for?
  • What are some examples of the "minimum necessary" rule?
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