FREE RIBO Insurance Laws and Regulations Test 3
You work in the billing department of your agency, and while processing claims, you notice the name of someone you know. Since you are curious, you decide to investigate, and you pull their medical record and read it. Is this appropriate?
No, it is not appropriate to investigate and read someone's medical record without a legitimate reason or proper authorization. Accessing someone's medical information without their consent is a violation of their privacy rights and breaches confidentiality. In this scenario, the individual's personal connection does not justify the intrusion into their medical records. It is important to respect and uphold patient confidentiality and only access medical records for legitimate and authorized purposes.
Which of the following is NOT a best practice for privacy and security?
It is not a best practice for privacy and security to not shred documents containing PHI (Protected Health Information). Shredding documents that contain sensitive information helps to prevent unauthorized access and protects individuals' privacy. It ensures that the information cannot be easily reconstructed or used maliciously. Therefore, it is important to shred documents containing PHI to maintain privacy and security.
Which of the following information is generally considered confidential?
All of the information listed - demographics, diagnosis, billing information, and dates of service - is generally considered confidential. Demographics such as age, gender, and address can be used to identify individuals. Diagnosis and medical conditions are sensitive personal information that should be kept private. Billing information includes financial details that should be protected. Dates of service can reveal when and where a person received medical treatment, which is also considered confidential. Therefore, all of the above options are generally considered confidential information.
You always abide by the HIPAA privacy rule.
The statement "You always abide by the HIPAA privacy rule" is incorrect. It is not possible for someone to always abide by the HIPAA privacy rule as it requires continuous effort and adherence to the regulations set forth by HIPAA. Compliance with HIPAA is an ongoing process that involves regular training, updates, and implementation of privacy measures. Therefore, the correct answer is False.
A person's phone number is not considered pHI because it can be located in an online or paper telephone directory.
A person's phone number is considered PHI (Protected Health Information) because it is a unique identifier that can be used to identify an individual's health information. Even though phone numbers may be publicly available in telephone directories, when they are linked to an individual's health information, they are protected under HIPAA regulations. Therefore, the statement that a person's phone number is not considered PHI is false.
Confidentiality means that data is not to be made available to unauthorized persons.
Confidentiality refers to the practice of keeping sensitive information private and secure, ensuring that it is only accessible to authorized individuals. This principle ensures that data is not disclosed or shared with unauthorized persons, protecting it from potential misuse or unauthorized access. Therefore, the statement "Confidentiality means that data is not to be made available to unauthorized persons" is true as it accurately reflects the concept of confidentiality.
If you see other staff violating privacy policies, you should
If you see other staff violating privacy policies, it is important to take action rather than ignoring it. Giving them a helpful, gentle reminder can be a good approach to address the issue informally and remind them of the importance of privacy policies. However, if the violation continues or is more serious, it is necessary to report the problems and violations to the appropriate authorities or supervisors. Therefore, the correct answer is both B and C, as both options involve taking action to address and report privacy policy violations.
You receive a call from staff at a local hospital stating that they need information regarding a former client of yours who is scheduled for surgery. They fax you a release of information form that only authorizes the release of medications, but the person on the phone is asking for dates of treatment and diagnoses. How would you respond?
The correct answer is to release information regarding medications only. The release of information form specifically authorizes the release of medications, not dates of treatment and diagnoses. Therefore, it is important to adhere to the limitations outlined in the form and only provide the requested information.
How many major concepts are associated with the privacy rule?
The correct answer is Two. The privacy rule is associated with two major concepts. These concepts include the use and disclosure of protected health information (PHI) and the individual's rights regarding their PHI. The rule outlines how PHI can be used and disclosed by covered entities, as well as the rights of individuals to access, amend, and request restrictions on the use of their PHI. By understanding these two concepts, organizations can ensure compliance with the privacy rule and protect individuals' privacy rights.
Clients need to receive a copy of the Notice of Privacy Practices.
Clients need to receive a copy of the Notice of Privacy Practices because it is a legal requirement under the Health Insurance Portability and Accountability Act (HIPAA). The Notice of Privacy Practices outlines how an organization handles protected health information, including how it is used, disclosed, and protected. By providing clients with a copy of this notice, they are informed about their privacy rights and can make informed decisions about their healthcare.
pHI stands for Private Health Information.
PHI stands for Protected Health Information, not Private Health Information. Protected Health Information refers to any information about a person's health status, medical conditions, treatment, or payment for healthcare services that can be linked to an individual. It is important to protect PHI to ensure patient privacy and comply with HIPAA regulations. Therefore, the correct answer is False.