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Quiz 2
HIPAA and OIG
| Question | Answer |
|---|---|
| What is a compliance plan? | A compliance plan is a written set of instructions outlining the process for coding and submitting accurate claims, and what to do if mistakes are found. |
| What is the definition of a Health Plan under HIPAA? | The definition of "health plan" in HIPAA regulations excludes any policy plan, or program that provides or pays for the cost of excepted benefits. |
| What does "Minimum Necessary" mean under HIPAA? | A key provision -- only the minimum necessary protected health information should be shared to satisfy a particular purpose. If information is not required to satisfy a particular purpose, it must be withheld. |
| Under HIPAA federal guidelines covered entities are? | a healthcare provider and health plan |
| What does PHI stand for? | Protected Health Information |
| When does HIPAA provide federal protection for personal health information? | When it is held by a covered entity. |
| Is a patient a covered entity? | No. |
| What is the most important title under HIPAA covering the position of Medical Coder? | Medical Liability Reform |
| Medical Liability Reform falls under? | Title II of HIPAA |
| What is Title II of HIPAA known as? | Administration Simplification |
| What is Administration Simplification? | It speaks to the increasing use of technology in the healthcare industry and addresses the need for: |
| How many parts are there to HIPAA? | Five. |
| What does HIPAA mean? | Health Insurance Portability and Accountability Act (HIPAA) |
| What year was HIPAA enacted? | 1996 |