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Relias HIPAA and Behavioral Health Exam

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Relias HIPAA and Behavioral Health Exam

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Relias HIPAA and Behavioral Health Exam (Latest
2024/ 2025 Update) Questions and Verified
Answers| 100% Correct| Grade A

-Goal: improve portability and continuity of health insurance
-Originated as plan to reduce health care administrative costs - ANSWERHIPAA

under HIPAA, healthcare providers ensure that patient _______ is always maintained
- ANSWERconfidentiality

Refers to any patient information in any form that is created or received by a
covered entity, relates to a patient's health condition in the past, present, or future,
and identifies the patient. - ANSWERPHI

government agency that accepts and investigates complaints related to the Privacy
Rule, it enforces civil violations of HIPAA privacy standards, - ANSWERoffice of civil
rights

Government agency that investigates the most serious violations of the Privacy Rule,
prosecutes criminal violations - ANSWERdepartment of justice

any piece of information that identifies or could be used to identify any specific
individual - ANSWERPHI

Patients have the right to be told how their _________ can be used. - ANSWERPHI

this part of HIPAA focuses on continuation of health insurance coverage and
insurance reform - ANSWERTitle I

These types of law regulatesmany types of health insurance - ANSWERState laws

Employer offered health plans are regulated by this Act of 1974 - ANSWERERISA

COBRA is under this part of HIPAA - ANSWERTitle I

this act of 1985 allows employees who are leaving a job to elect to continue their
previous employer's health coverage for a limited time. - ANSWERCOBRA

Being able to transfer group health insurance form one job to another -
ANSWERPortability

this part of HIPAA gave certain people the ability to enroll in new healthcare plans of
different types. - ANSWERTitle I

, controls the private health information of individuals. It is known as administrative
simplification. - ANSWERTitle II

The rules in this part of HIPAA cover administrative, financial, and case management
policies and procedures. It contains strict requirements for the uniform transfer rules
of patient confidentiality. - ANSWERTitle II

this part of HIPAA restricted electronic transfer of healthcare data, gave patients
more rights regarding their own personal information, and put in place better
security of this information. - ANSWERTitle II

this part of HIPAA sought to reduce paperwork, simplify internet form processing,
and standardize the administration of healthcare information. - ANSWERTitle II

The electronic exchange of information between computers, especially the exchange
of health information among physicians and insurance companies. -
ANSWERelectronic data interchange

-Electronic health information transaction standards
-Penalties
-Privacy
-Provider and health plan mandate and timetable (2 years to start)
-State law preemption - ANSWERtitle II provisions

allowed HIPAA to supersede state laws unless HHS decided otherwise; however,
when state law is stronger, it must be followed. - ANSWERState law preemption

HIPAA governs how many types of covered entitities. - ANSWER3

Any health care provider, health insurance plans, or clearinghouse to which the
Privacy Rule applies (those who must comply with HIPAA) - ANSWERCovered entity

these plans include group health plans, HMOs, Medicare, Medicaid, supplemental
Medicare policies, long-term policies, employee benefit plans, TRICARE, CHAMPVA,
Indian Health Service, Federal Employees Health Benefits Program, approved childe
health plans, high-risk plans, etc. - ANSWERHealth insurance plan

this includes hospitals, nursing, facilities, rehabilitation facilities, hospices, home
health care, pharmacies, private practices, dental practices, labs, chiropractors,
osteopaths, podiatrists, and therapists. - ANSWERHealthcare provider

providers that provide direct treatment to patients - ANSWERDirect providers

providers that include labs that handle patient test results - ANSWERIndirect
providers

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