Question

you need to read very carefully the question and provide the information that is required. If the question specifies to provide names, you should provide names. If the question asks " you will accept or deny the request?" you have to provide an answer and the justification for that answer.you need to read very carefully the scenario and analyze all the elements and details included. You are the person who will make the decision of releasing or not releasing the medical information. Please analyze each scenario and apply HIPAA rules. Each detail in scenario will give you a hint how that specific situation needs to be handled. Try to apply the concepts learned (for example TPO concept) to each scenario.

5. Why are most health care providers considered a covered entity according to the HIPAA definition? Consider what activity/activities they perform.

6. If a patient was in the Emergency Department in a neighboring hospital and you received a call from them requesting that you fax copies of a patient's health records how would you handle this situation? Please be specific.

7. Please provide one specific title or name of each type of covered entity (i.e. name of a specific hospital or healthcare facility, name of a specific healthcare plan, etc.) according to the HIPPA definition.

8. Is there any data contained within a patient's health record that is not considered protected health information (PHI)? Answer yes or no. Please explain your answer applying the definition of PHI.

Answer 1

QUESTION 5

Health care providers are included in the covered entity under HIPPA regulations because the transmit information electronically that is related to the client's health with ant transaction within Human and Health Services.

There are three activities performed bt health care providers under the HIPPA Act.

a. Treatment includes the provision of health care services, consultation between health care providers, health care provision with the third party or referrals.

b. Payment includes payment or reimbursement for health services under the coverage of plans or programs.

c. Health care operation includes improvement in the activities of a covered entity related to administration, legal, finance and quality. It supports the basic function of treatment and payment.

QUESTION 6

1.Health care provider is strictly obliged to protect the information about the patient that is confidential.

2. Health care provider need to understand and to have compliance with rules and regulation of HIPPA.

3. Under HIPPA's regulation, the protected health information includes:-

- Identification data

- Medical treatment and its course

-Medical history with medical procedures and medication

- Billing information

- photographs and videos

4. Always consult Human resource office or HIPPA office, if any suspicion arises which is capable of compromising the client's privacy. Ask for work-place security and adhere to the privacy policy and procedures.

QUESTION 7

4 types of the covered entity with example are as follows:-

a. Health plan- example health: insurance company and government health programs.

b. Health care clearinghouse- for example Billing services or community health information management system.

c. Health care provider- example: Doctors, nurses or pharmacist or dentist.

d. Health care- example: preventive, promotive, rehabilitative, diagnostic, therapeutic or medical services.

QUESTION 8

Any data that is not covered under PHI: for example- heart rate findings or blood sugar levels.