A covered entity may disclose protected health information to the individual who is the subject of the information. (2) Treatment, Payment, Health Care Operations. A covered entity may use and disclose protected health information for its own treatment, payment, and health care operations activities.
What allows for disclosure of protected health information?
The Privacy Rule permits use and disclosure of protected health information, without an individual’s authorization or permission, for 12 national priority purposes.
Who is permitted for protected health information?
In general, a covered entity may only use or disclose PHI if either: (1) the HIPAA Privacy Rule specifically permits or requires it; or (2) the individual who is the subject of the information gives authorization in writing.
What are 4 examples of protected health information?
Health information such as diagnoses, treatment information, medical test results, and prescription information are considered protected health information under HIPAA, as are national identification numbers and demographic information such as birth dates, gender, ethnicity, and contact and emergency contact …
When can you use or disclose PHI quizlet?
However, PHI can be used and disclosed without a signed or verbal authorization from the patient when it is a necessary part of treatment, payment, or healthcare operations. The Minimum Necessary Standard Rule states that only the information needed to get the job done should be provided.
Which uses and disclosures of PHI are allowed without a person’s consent?
There are a few scenarios where you can disclose PHI without patient consent: coroner’s investigations, court litigation, reporting communicable diseases to a public health department, and reporting gunshot and knife wounds.
Which of the following is an example of a permitted use or disclosure of PHI for health care operations?
Use or disclose protected health information for its own treatment, payment, and health care operations activities. For example: A hospital may use protected health information about an individual to provide health care to the individual and may consult with other health care providers about the individual’s treatment.
Which use disclosure of PHI is allowed under the HIPAA Privacy Rule?
Which use/disclosure of PHI is allowed under the HIPAA Privacy Rule? Discussing a patient’s case with a provider involved in the patient’s care. PHI should be disclosed only to those with a need to know, such as providers involved in the patient’s care. You just studied 18 terms!
What activities can PHI be used for?
How Your PHI May be Used and Disclosed without Your Authorization
- Treatment Purposes.
- Payment Purposes.
- Health Care Operations.
- Collection of Information by Public Health Agencies.
- Child Abuse or Neglect.
- Food and Drug Administration.
- Communicable Diseases.
- Workplace Injuries.
Which of the following does protected health information include?
Protected health information includes all individually identifiable health information, including demographic data, medical histories, test results, insurance information, and other information used to identify a patient or provide healthcare services or healthcare coverage.
What is considered protected health information?
Protected health information (PHI), also referred to as personal health information, is the demographic information, medical histories, test and laboratory results, mental health conditions, insurance information and other data that a healthcare professional collects to identify an individual and determine appropriate …
Which of the following is an example of a prohibited disclosure of PHI?
Personal Use or Disclosure of PHI
Use and disclosure for personal purposes, or to benefit someone other than the patient and the BU Covered Component, is prohibited. For example: Workforce members may not post any information, photos, videos or anything else about a patient on social media; and.
PHI can be disclosed without authorization if it cannot be used to identify a person.
What are 5 exceptions to the HIPAA law?
HIPAA Exceptions Defined
To public health authorities to prevent or control disease, disability or injury. To foreign government agencies upon direction of a public health authority. To individuals who may be at risk of disease. To family or others caring for an individual, including notifying the public.
Does HIPAA allows the use and disclosure of PHI for treatment?
The HIPAA Privacy Rule allows covered entities to disclose individuals’ protected health information (PHI) for purposes of treatment, payment, and health care operations (TPO). HIPAA does not require a written authorization, consent, or any other form of release for most TPO disclosures.
You may disclose the PHI to a government agency authorized by law to receive such a report if you reasonably believe the patient to be a victim of adult abuse, neglect or violence. You may obtain the patient’s agreement but are not required to in certain circumstances.
Which of the following are considered PHI?
PHI is health information in any form, including physical records, electronic records, or spoken information. Therefore, PHI includes health records, health histories, lab test results, and medical bills. Essentially, all health information is considered PHI when it includes individual identifiers.
Which of the following is a best example of protected health information?
Which of the following is an example of Protected Health Information (PHI)? Explanation of benefits from a health insurance company. Which of the following is the best example of Personally Identifiable Information (PPI)?
Which of the following is not considered sensitive protected health information?
The following types of PII may be transmitted electronically without protection because they are not considered sufficiently sensitive to require protection: Work, home, and cell phone numbers. Work and home addresses. Work and personal email addresses.
What are the 3 rules of HIPAA?
The Health Insurance Portability and Accountability Act (HIPAA) lays out three rules for protecting patient health information, namely: The Privacy Rule. The Security Rule. The Breach Notification Rule.
Which of the following is an inappropriate use of PHI for research under the privacy Rule?
Which of the following is an inappropriate use of PHI for research under the Privacy Rule? If a researcher represents that the PHI is only of deceased people, no authorization is required.
Which of the following is a reason for disclosing protected health information to law enforcement?
In general, HIPAA allows for PHI disclosures to law enforcement in the following situations: If there is a court order, warrant, subpoena, or other administrative request. To identify or locate a suspect, fugitive, material witness, or missing person.
Chapter 9
| Question | Multiple Choice |
|---|---|
| Which of the following provides a complete description to patients about how PHI is used in a healthcare facility? | Notice of privacy practices |
| In which of the following instances must patient authorization be obtained prior to disclosure? | To the patient’s attorney |
In which circumstances might CES disclose PHI without the patient’s consent?
When is the use or disclosure of PHI required, even without patient authorization? 1) When the patient or their representative requests access or accounting of disclosures (with exceptions), 2) When HHS is conducting an investigation, review, or enforcement action.
Under HIPAA, your health care provider may share your information face-to-face, over the phone, or in writing. A health care provider or health plan may share relevant information if: You give your provider or plan permission to share the information. You are present and do not object to sharing the information.
Covered entities may disclose protected health information to funeral directors as needed, and to coroners or medical examiners to identify a deceased person, determine the cause of death, and perform other functions authorized by law.
Which of the following are exempt from the HIPAA security Rule?
Organizations that do not have to follow the government’s privacy rule known as the Health Insurance Portability and Accountability Act (HIPAA) include the following, according to the US Department of Health and Human Services: Life insurers. Employers. Workers’ compensation carriers.
What are the 4 main rules of HIPAA?
The HIPAA Security Rule Standards and Implementation Specifications has four major sections, created to identify relevant security safeguards that help achieve compliance: 1) Physical; 2) Administrative; 3) Technical, and 4) Policies, Procedures, and Documentation Requirements.
What are the two situations in which disclosure of protected health information is required?
A covered entity must disclose protected health information in only two situations: (a) to individuals (or their personal representatives) specifically when they request access to, or an accounting of disclosures of, their protected health information; and (b) to HHS when it is undertaking a compliance investigation or …
PHI can be disclosed without authorization if it cannot be used to identify a person.
What are the three legitimate purposes for which PHI may be disclosed?
To the Individual – A HIPAA covered entity may disclose protected health information to the individual who is the subject of the information. Another option is obtaining consent – written permission from individuals to use and disclose their PHI for treatment, payment, and health care operations.
Which of the following is an example of a permissible disclosure of protected health information PHI for payment purposes?
Which of the following is an example of a permissible disclosure of protected health information (PHI) for payment purposes? Submitting a claim to the patient’s insurance company with health information that is required to get the claim paid.
Which of the following is an example of a permitted use or disclosure of PHI for health care operations?
Use or disclose protected health information for its own treatment, payment, and health care operations activities. For example: A hospital may use protected health information about an individual to provide health care to the individual and may consult with other health care providers about the individual’s treatment.
Which of the following describes protected health information?
Protected health information includes all individually identifiable health information, including demographic data, medical histories, test results, insurance information, and other information used to identify a patient or provide healthcare services or healthcare coverage.
Which of the following is an example of a prohibited disclosure of PHI?
Personal Use or Disclosure of PHI
Use and disclosure for personal purposes, or to benefit someone other than the patient and the BU Covered Component, is prohibited. For example: Workforce members may not post any information, photos, videos or anything else about a patient on social media; and.
Which of the following would be considered PHI?
PHI is health information in any form, including physical records, electronic records, or spoken information. Therefore, PHI includes health records, health histories, lab test results, and medical bills. Essentially, all health information is considered PHI when it includes individual identifiers.
Which of the following is the best example of protected health information quizlet?
Which of the following is an example of Protected Health Information (PHI)? Explanation of benefits from a health insurance company. Which of the following is the best example of Personally Identifiable Information (PPI)?