Healthcare Provider Obligations and Covered Entities Flashcards
7 cards from real HIPAA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Healthcare Provider Obligations and Covered Entities flashcards as text
A patient requests access to their electronic health record. Under the HIPAA Right of Access, the covered entity must provide access within how many days?
Answer: 30 days
Covered entities must act on a patient's request for access to PHI within 30 days, with a possible 30-day extension if notified in advance.
Which of the following is a permissible reason for a covered entity to deny a patient's request to amend their PHI?
Answer: The provider believes the PHI is accurate and complete
A covered entity may deny an amendment request if it determines the PHI is accurate and complete as originally recorded.
Under the HIPAA Security Rule, which type of safeguard includes conducting a risk analysis?
Answer: Administrative safeguards
Conducting a risk analysis is a required implementation specification under the Administrative Safeguards section of the HIPAA Security Rule.
A group health plan sponsor wants to access PHI held by its insurer for plan administration. What must the plan documents include to permit this access?
Answer: Specific language restricting and controlling the sponsor's use of PHI
Plan documents must be amended to include specific provisions limiting the plan sponsor's use and disclosure of PHI received from the group health plan.
Which of the following is NOT a covered transaction under HIPAA's Transaction and Code Set standards?
Answer: Paper prescription routing between providers
HIPAA's Transaction and Code Set Rule applies only to electronic transactions; paper-based processes are not covered by these standards.
A covered entity voluntarily reports a potential HIPAA violation to OCR before being investigated. How may this affect the outcome?
Answer: It can be considered a mitigating factor that reduces civil monetary penalties
The OCR considers voluntary reporting a mitigating factor when determining civil monetary penalties under HIPAA.
Which federal agency is responsible for investigating HIPAA Privacy and Security Rule complaints against covered entities?
Answer: The Office for Civil Rights (OCR) within HHS
HHS Office for Civil Rights (OCR) is the primary enforcement body for HIPAA Privacy and Security Rule complaints.