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What are the three Organizational Arrangements - ANSWER--Organized Health
Care Arrangement (OHCA)
Affiliated Covered Entities (ACE)
Hybrid Covered Entity (HCE)
What is a Hybrid Covered Entity (HCE) - ANSWER--single covered entity with
non-health care components
What is an Organized Health Care Arrangement (OHCA)? - ANSWER--clinically
integrated care setting where individuals receive health care from more than one
covered entity
What is an Affiliated Covered Entity (ACE)? - ANSWER--(1) legally separate
covered entities that share common control or common ownership
(2) choose to designate themselves as one affiliated CE for the purposes of
complying with the HIPAA Privacy standard
What must a Affiliated Entity agree to? - ANSWER--Be treated as a single CE.
Must agree to follow a standard policy and procedure
What is a Business Associate? - ANSWER--(1) Separate entity working on behalf
of the CE providing Treatment, Payment, and Healthcare Operations (TPO) and/or
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associated activities requiring access and/or will create, receive, maintain, and/or
transmit PHI
(2) Must have a business associate agreement
Who is allowed to access PHI? - ANSWER--(1) Workforce: employees,
volunteers, trainees, and others under control of the CE
(2) Business Associates: Separate entity working on behalf of the CE providing
Treatment, Payment, and Healthcare Operations (TPO) and/or associated activities
requiring access and/or use of PHI
What is an example of a BA? - ANSWER--claims processing
data analysis
billing
benefit management
quality assurance
quality improvement
practice management
legal
actuarial
accounting
accreditation
other administrative services
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What has been the main complaint with holding a BA accountable under the 2000
Privacy Rule? - ANSWER--- lack of penalties for non-compliance
- federal penalties could only be levied against the CE
Which new regulation corrected shortcomings of the HIPAA 2000 regulation
concerning BAs? - ANSWER--Health Information Technology
for Economic and Clinical Health (HITECH)
Who is responsible for privacy and security of BAs? - ANSWER--The CE has
legal liability for violations, and possible penalties for the BA.
What is Health Information? - ANSWER--any information, whether oral or
recorded in any form or medium, that is created or received by a health care
provider, health plan, public health authority, employer, life insurer, school or
university, or health care clearinghouse, and relates to the past, present, or future
physical or mental health or condition of an individual. This includes the provision
of health care to an individual, or the past, present, or future payment for the
provision of health care to an individual.
What is Individually Identifiable Health Information
(IIHI)? - ANSWER--information that is a subset
of health information, including demographic
information collected from an individual
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that is created or received by a health care
provider, health plan, employer, or health care
clearinghouse, and relates to the past, present,
or future physical or mental health condition of
an individual, the provision of health care to an
individual, or the past, present, or future payment
or the provision of payment of health care to anindividual, and identifies the
individual, or has a reasonable basis that can be used to identify the individual
What is CSP? - ANSWER--Cloud Service Provider
What is Protected Health Information (PHI)? - ANSWER--(1) Health information
collected from an individual that is created or received by a covered entity
that is
(2) transmitted by electronic media, maintained in electronic media, or transmitted
or maintained in any other form or medium.
(3) PHI excludes IIHI in education records covered by the Family Educational
Rights and Privacy Act (FERPA)
What is Electronic Protected Health Information
(EPHI)? - ANSWER--is when IIHI is transmitted by electronic media or
maintained in electronic media.