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Healthcare /CPLEE The Health Insurance Portability and Accountability Act (HIPAA) Part 2

CPLEE The Health Insurance Portability and Accountability Act (HIPAA) Part 2

Healthcare16 CardsCreated 15 days ago

This deck covers important concepts and patient rights under the Health Insurance Portability and Accountability Act (HIPAA), focusing on privacy policies, patient consent, and the management of Protected Health Information (PHI).

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_________________________: While patients must be informed of a practitioner’s privacy policy, they do not need to give _____________ consent. HIPAA allows for the disclosures of PHI for the purposes of treatment, payment, or to carry out health care operations. However, it is still considered the standard of practice for psychologists to obtain written permission from patients for any disclosures of confidential information.

• General consent • Written
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Key Terms

Term
Definition
_________________________: While patients must be informed of a practitioner’s privacy policy, they do not need to give _____________ consent. HIPAA allows for the disclosures of PHI for the purposes of treatment, payment, or to carry out health care operations. However, it is still considered the standard of practice for psychologists to obtain written permission from patients for any disclosures of confidential information.
• General consent • Written
________________________: This refers to obtaining patient permission to disclose information on a release of information form. According to HIPAA, this is not needed for disclosures, as long as any of the disclosures are for the purposes of treatment, payment, or healthcare operations. However, it is needed for any other type of disclosure (e.g., a patient’s spouse requests PHI).
Authorization.
According to HIPAA, managed care organizations and other third-party reimbursement entities ___________ require the release of psychotherapy notes in order to provide reimbursement.
May not.
HIPAA provides for ___ basic patients’ rights.
6.
Right of _____________: Patients have the right to be informed about the psychologist’s privacy policy and the ways in which PHI may be used or disclosed, as well as patients’ rights to limit uses and disclosures. Patients should be provided with a written copy of the psychologist’s privacy policy.
Right of Notice.
Right to ___________________: Psychologists are obligated to agree to “reasonable requests” to restrict use and disclosure of PHI. Psychologists are not obligated to agree to any and all limits on disclosure and use that are requested by patients.
Right to Request Restriction.
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CPLEE The Health Insurance Portability and Accountability Act (HIPAA) Part 2
TermDefinition
_________________________: While patients must be informed of a practitioner’s privacy policy, they do not need to give _____________ consent. HIPAA allows for the disclosures of PHI for the purposes of treatment, payment, or to carry out health care operations. However, it is still considered the standard of practice for psychologists to obtain written permission from patients for any disclosures of confidential information.
• General consent • Written
________________________: This refers to obtaining patient permission to disclose information on a release of information form. According to HIPAA, this is not needed for disclosures, as long as any of the disclosures are for the purposes of treatment, payment, or healthcare operations. However, it is needed for any other type of disclosure (e.g., a patient’s spouse requests PHI).
Authorization.
According to HIPAA, managed care organizations and other third-party reimbursement entities ___________ require the release of psychotherapy notes in order to provide reimbursement.
May not.
HIPAA provides for ___ basic patients’ rights.
6.
Right of _____________: Patients have the right to be informed about the psychologist’s privacy policy and the ways in which PHI may be used or disclosed, as well as patients’ rights to limit uses and disclosures. Patients should be provided with a written copy of the psychologist’s privacy policy.
Right of Notice.
Right to ___________________: Psychologists are obligated to agree to “reasonable requests” to restrict use and disclosure of PHI. Psychologists are not obligated to agree to any and all limits on disclosure and use that are requested by patients.
Right to Request Restriction.
Right to Receive ____________________________ by _______________________ and at Alternative Locations: Patients may elect to have psychologists mail their bills to an address other than their home address or not too call them at their home phone, in order to protect patients’ confidentiality.
Right to Receive Confidential Communications by Alternative Means and at Alternative Locations.
____________________: Patients have the right to inspect and receive a copy of PHI that is in the medical record. Records may only be withheld when disclosure would jeopardize the life or physical safety of the patient or others. Patients do not have a right to inspect or obtain a copy of their _____________________.
• Access to Records • Psychotherapy notes
Right of ____________________: Patients may request changes to their PHI to improve accuracy. If a psychotherapist determines that such a change would make the PHI less accurate, the request may be denied. The record may never be expunged; instead, changes should be noted as amendments. All requests for amendments, as well as whether they were granted or denied, must be documented.
Right of Amendment.
Right of __________________: Patients have the right to receive record of all the disclosures of their PHI for the past six years. This record must include information about the date of the disclosure, the party to whom the information was disclosed, and a description of what was disclosed and for what purpose. Written authorization by the patient may be used in lieu of such an accounting procedure.
Accounting.
HIPAA outlines ___ duties applicable to all providers who need to be HIPAA compliant.
5.
___________________________: Psychologists must have one of these, and it must be given to all patients. It must reflect compliance with HIPAA and state laws. A HIPAA compliance officer must be designated; in most small practices this would be the practitioner him or herself.
Written Privacy Policy.
_____________________: Psychologists must track disclosures of PHI.
Tracking Disclosures.
______________________________: Psychologist must ensure that employees are trained and compliant with HIPAA requirements. They must obtain contractual assurances that business associates (e.g., billing companies) comply with HIPAA.
Compliance of Employees and Business Associates.
_______________________________: If psychologists want psychotherapy notes to receive more stringent protections, they must maintain these notes separately from the rest of the medical record.
Protection for Psychotherapy Notes.
____________________________: Access to PHI must be protected; practitioners must take appropriate and reasonable actions such as locking filing cabinets, ensuring that electronic records are protected with passwords and firewalls, and encrypting e-mails that contain PHI.
Safeguarding Access to PHI.