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Health Information Management · RHIA/RHIT

Health Information Management: HIPAA and Legal Compliance

HIPAA privacy and security rule requirements, release of information rules, and legal health record concepts.

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What does HIPAA stand for?
The Health Insurance Portability and Accountability Act
In what year was HIPAA enacted?
1996
What are the two main rules established under HIPAA to protect patient information?
The Privacy Rule and the Security Rule
What does the HIPAA Privacy Rule primarily protect?
The privacy of individually identifiable health information, called protected health information (PHI)
What does the HIPAA Security Rule primarily protect?
The confidentiality, integrity, and availability of electronic protected health information (ePHI)
What does the abbreviation PHI stand for?
Protected health information
How many identifiers does HIPAA specify that can make health information individually identifiable?
18 identifiers
What are the three types of safeguards required under the HIPAA Security Rule?
Administrative, physical, and technical safeguards
What is an example of an administrative safeguard under the HIPAA Security Rule?
Workforce training and a designated security officer
What is an example of a physical safeguard under the HIPAA Security Rule?
Facility access controls and workstation security
What is an example of a technical safeguard under the HIPAA Security Rule?
Access controls, audit controls, and encryption of electronic data
What is the "minimum necessary" standard under HIPAA?
Covered entities must limit use and disclosure of PHI to the minimum needed to accomplish the intended purpose
What is a "covered entity" under HIPAA?
A health plan, healthcare clearinghouse, or healthcare provider that transmits health information electronically
What is a "business associate" under HIPAA?
A person or entity that performs functions on behalf of a covered entity involving the use or disclosure of PHI
What document must a covered entity have in place with a business associate to permit sharing of PHI?
A business associate agreement (BAA)

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