UNIT 7 CAHIMS 100% VERIFIED SOLUTION UPDATE

UNIT 7 CAHIMS 100% VERIFIED SOLUTION UPDATE
True or false? Administrative activities, fraud and abuse investigations, and health
insurance policy underwriting are not covered by the HIPAA Privacy Rule. - ANS-false
In general, patient authorization is not required in order to disclose personal health
information for the purposes of treatment, payment, and healthcare operations (TPO).
Healthcare operations are all activities that support the treatment and payment activities
of healthcare. Administrative activities, fraud and abuse investigations, and health
insurance policy underwriting are just a few examples of healthcare operations.
The National Research Council (NRC) recommends that all organizations that handle
protected health information (PHI) should have --authentication/access/audit-- controls
in place to ensure that users can access only the information they need to perform their
job. - ANS-access
True or false? Under the HIPAA compliance audit program, entities that the Office for
Civil Rights (OCR) finds not to be in good faith compliance with HIPAA could face large
penalties. - ANS-true
True or false? Although it is resource intensive, humans must directly verify the
accuracy of data stored in databases to ensure their integrity. - ANS-false
--Nonrepudiation/Integrity/Availability-- provides proof that a certain action has taken
place or that something or someone is what or who they claim to be. - ANSNonrepudiation
Nonrepudiation requires that those who access protected health information are allowed
to do so and that they prove they are who they say they are.
When Minjoon received a statement from his insurance company regarding his recent
eye surgery, he noticed that it said he had surgery on his right eye, but the surgery was
actually performed on his left eye. It turns out that the mistake was in the provider's
records, which he eventually had corrected. Which of the following principles underlying
HIPAA privacy and security came into play when the records were changed?
Accountability
Public responsibility
Consumer control
Security - ANS-consumer control
Under the HITECH Act, covered entities must maintain a log of breaches and annually
report them to --HHS/affected patients/local media--. - ANS-HHS
Providing patients with a copy of their paper health record poses a security safeguard
challenge because the data must be encrypted. - ANS-false
Data encryption is a security safeguard for electronic data, not paper data.
An example of a public health agency that functions primarily as a --
covered/hybrid/noncovered-- entity is one that is mandated by state law to receive
protected health information (PHI) from healthcare providers in order to conduct an
epidemiological investigation. - ANS-noncovered
In cases of --international disease outbreaks/births and deaths/workplace medical
surveillance--, public health agencies must notify patients of disclosure of their protected
health information (PHI) even though patient authorization is not required. - ANSworkplace medical surveillance
Acme Health Informatics is a company that receives medical claim information from
providers who do not have systems that can process standard code sets electronically.
Acme converts this information into standard electronic format and submits it to the
appropriate health insurance plan for processing.
True or false? Acme Health Informatics is not a covered entity according to HIPAA. -
ANS-false
Acme Health Informatics is a healthcare clearinghouse and so is a covered entity
according to HIPAA.
True or false? The Privacy Act of 1974 applied only to federal agencies, not to state or
local governments. - ANS-true
Sonja is a data entry clerk for American Health Insurance Corporation. Her sole job
function is to type information from paper claims into the company's computer system
so it can be processed. She cannot view records of customer service calls or previously
submitted claims. Which recommendation of the National Research Council (NRC) is
the company following?
Software discipline
Backup plans
Audit trails
Access controls - ANS-access controls
General Hospital has an automated process in place that records all accesses to its
computer systems. Designated staff are charged with running reports to break down
and review these accesses to ensure that any access to and creation or modification of
protected health information (PHI) complies with regulations and hospital guidelines.
Which of the following safeguards is the hospital implementing in maintaining this record
of all accesses to its PHI?
Administrative
Physical
Technical - ANS-technical
Which of the following best ensures health information database integrity?
Restricting database access only to individuals who need it to do their job.
Analyzing information stored in databases to promote public health.
Verifying the accuracy of the information retrieved from a database.
Training employees who must access databases on privacy and security requirements.
- ANS-Verifying the accuracy of the information retrieved from a database.
True or false? Accountability is the ethical expectation of privacy between a patient and
healthcare provider. - ANS-false
Accountability stipulates that individuals and groups will be held responsible for their
actions. Confidentiality is the ethical expectation of privacy between a patient and
healthcare provider. It means that protected health information is not to be made
available or disclosed to unauthorized persons.
The recommendations for punishments for privacy or security violations relates to which
principle?
Boundaries
Security
Consumer control
Accountability
Public responsibility - ANS-Accountability

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