HIPAA HITECH Act and Technology Requirements 2 — Questions and Answers
Question 1: Under the HITECH Act, what is the minimum penalty per violation for 'willful neglect' that is not corrected within 30 days?
- $1,000
- $10,000
- $50,000 (Correct answer)
- $100,000
Correct answer: $50,000
Willful neglect not corrected within 30 days carries a minimum penalty of $50,000 per violation under HITECH's tiered penalty structure.
Question 2: Which HITECH Act provision requires covered entities to provide patients with an electronic copy of their PHI upon request?
- Breach Notification Rule
- Right of Access provision (Correct answer)
- Meaningful Use requirement
- Business Associate expansion
Correct answer: Right of Access provision
HITECH's Right of Access provision requires covered entities using EHRs to provide patients with electronic copies of their PHI when requested.
Question 3: What does the HITECH Act require regarding accounting of disclosures for covered entities using EHR systems?
- Disclosures for treatment must be tracked for 3 years
- Accounting must include treatment, payment, and operations disclosures (Correct answer)
- Only disclosures for marketing need to be tracked
- Accounting requirements are eliminated for EHR users
Correct answer: Accounting must include treatment, payment, and operations disclosures
HITECH expanded accounting of disclosures requirements to include treatment, payment, and operations disclosures for covered entities using EHR systems.
Question 4: Under HITECH, which entity type became directly liable for HIPAA compliance even without a business associate agreement in place?
- Subcontractors of business associates (Correct answer)
- Health information exchanges
- Clearinghouses
- Cloud hosting providers
Correct answer: Subcontractors of business associates
HITECH made subcontractors of business associates directly liable for HIPAA compliance, extending the compliance chain beyond direct business associates.
Question 5: What is the maximum annual cap for violations of an identical provision under HITECH's penalty structure?
- $250,000
- $500,000
- $1,000,000
- $1,500,000 (Correct answer)
Correct answer: $1,500,000
HITECH caps annual penalties for violations of an identical provision at $1,500,000 per calendar year regardless of the tier.
Question 6: Which HITECH provision restricts covered entities from selling electronic PHI for marketing without patient authorization?
- Safe harbor encryption provision
- Minimum necessary standard
- Restrictions on sale of PHI (Correct answer)
- Notice of Privacy Practices requirement
Correct answer: Restrictions on sale of PHI
HITECH's restrictions on sale of PHI prohibit covered entities from receiving remuneration in exchange for PHI without patient authorization.
Question 7: Under the HITECH Act, within how many days must a business associate notify a covered entity of a breach discovery?
- 30 days
- 45 days
- 60 days (Correct answer)
- 72 hours
Correct answer: 60 days
Business associates must notify covered entities of a discovered breach within 60 days of discovery under HITECH's breach notification requirements.
Under the HITECH Act, what is the minimum penalty per violation for 'willful neglect' that is not corrected within 30 days?