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WTI Insurance Ch. 2

Medical Insurance for Pharmacy Technicians

QuestionAnswer
The main federal government agency responsible for health care is the Centers for Medicare and Medicaid Services. T
The Health Insurance Portability and Accountability Act (HIPAA) of 1996 was not designed to uncover fraud and abuse. F
States may not restrict price increases on premiums and other charges to patients. F
Pharmacies cannot withhold the information in a patient’s medical records unless providing it would be detrimental to the patient’s health. T
The HIPAA Privacy Rule has requirements that cover patients’ health information. T
Health care providers are not one of the entities that must follow HIPAA regulations. F
Individually identifiable health information that is transmitted or maintained by electronic media, such as over the Internet, by computer modem, or on magnetic tape or compact disks is defined as protected health information. T
The minimum necessary standard means taking reasonable safeguards to protect PHI from incidental disclosure. T
Patients’ rights do not apply to a designated record set. F
Pharmacies only need to have copies of the Notice of Privacy Practices available upon request. F
What are the ways CMS performs activities to ensure the quality of health care? Regulating all laboratory testing other than research performed on humans, evaluating the quality of health care facilities and services, and preventing discrimination based on health status for people buying health insurance
CMS administers the Medicare and Medicaid programs to more than: 90 million Americans
The Health Insurance Portability and Accountability Act (HIPAA) of 1996 is designed to: Uncover fraud and abuse, ensure health insurance coverage for workers and their families when they change or lose their jobs, and protect peoples’ private health information
To further regulate the health care industry, states may do: Control situations in which an insurer can cancel a patient’s coverage, restrict price increases on premiums and other charges to patients, and require that policies include a guaranteed renewal provision
Patients’ medical records that are stored in the pharmacy practice are legal documents that belong to: the pharmacy that created them
What are the three parts to HIPAA’s Administrative Simplification provisions? Security Rule, Privacy Rule, and Electronic Transaction and Code Set Standards
Who has to follow the regulations under HIPAA? Health care clearinghouses, health care providers, and health plans
Under HIPAA, the term 'business associates' may include all of the following entities: Transaction companies, law firms, and collection agencies
The first comprehensive federal protection for the privacy of health information was the: HIPAA Privacy Rule
What are examples of patients’ protected health information: Birth date, social security number, and certificate or license number
Created by: lrhamyWTI