Allied Health · CCMA

CCMA: Administrative and Legal Concepts

HIPAA, medical records management, and scheduling concepts tested on the Certified Clinical Medical Assistant exam.

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What does the acronym HIPAA stand for?
Health Insurance Portability and Accountability Act
In what year was HIPAA enacted?
1996
What is the main purpose of the HIPAA Privacy Rule?
To protect patients' health information and set limits on its use and disclosure
What is the main purpose of the HIPAA Security Rule?
To protect electronic protected health information (ePHI) through administrative, physical, and technical safeguards
What does PHI stand for?
Protected Health Information
What is a covered entity under HIPAA?
A health plan, health care clearinghouse, or health care provider that transmits health information electronically
What is a business associate under HIPAA?
A person or company that performs services for a covered entity involving the use or disclosure of PHI
What is the HIPAA minimum necessary standard?
Only the minimum amount of PHI needed to accomplish the intended purpose should be used or disclosed
What document must a covered entity give patients explaining how their PHI may be used?
A Notice of Privacy Practices
Within how many days must a covered entity respond to a patient's request to access their own medical record?
30 days
What HIPAA right allows a patient to ask that an error in their record be corrected?
The right to request an amendment
What does the TPO exception to HIPAA authorization stand for?
Treatment, Payment, and Health care Operations
Is patient authorization required to disclose PHI for treatment, payment, or health care operations?
No, TPO disclosures do not require a separate authorization
What is an incidental disclosure under HIPAA?
A secondary disclosure of PHI that occurs as an unavoidable byproduct of a permitted disclosure
What is de-identified health information?
Health information with all identifying details removed so it can no longer be linked to a specific person

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