CVS Patient Confidentiality and HIPAA 5

Question 1

A minor patient picks up birth control at CVS. Her parents later call asking for her prescription records. Under HIPAA, the pharmacy should:

Accepted Answer

Follow applicable state law, which may grant the minor the right to control this PHI

Answer

HIPAA defers to state law on minors' rights; many states allow minors to consent to certain services and control related PHI.

Question 2

What is the maximum civil monetary penalty per violation category under HIPAA for willful neglect that is not corrected?

Accepted Answer

$1.9 million per violation category per year

Answer

Willful neglect violations that are not corrected carry the highest penalty tier, up to $1.9 million per violation category annually.

Question 3

A patient opts out of the pharmacy's prescription refill reminder program. Under HIPAA, this is an example of exercising the right to:

Accepted Answer

Restrict certain uses and disclosures of their PHI

Answer

Patients have the right to request restrictions on how their PHI is used or disclosed for treatment, payment, or operations purposes.

Question 4

Which of the following scenarios represents appropriate use of PHI for Treatment, Payment, or Operations (TPO) without requiring patient authorization?

Accepted Answer

Sending a patient's prescription information to their insurance company for claim adjudication

Answer

Sending PHI to an insurance company for payment (claim adjudication) is a standard TPO use that does not require separate authorization.

Question 5

A pharmacy notices repeated unauthorized access to patient records by one employee. Under HIPAA, what is the appropriate response?

Accepted Answer

Investigate immediately, document findings, apply sanctions, and determine if a breach occurred

Answer

HIPAA requires covered entities to apply sanctions for policy violations, investigate potential breaches, and document their response.

CVS - Assessment Practice Test

CVS - Assessment Practice Test

CVS Patient Confidentiality and HIPAA 5