Question

Choose two of the following and define and summarize.

• Health Insurance Portability and Accountability Act (HIPAA)
• Privacy Security Code Sets
• National provider Identification (NPI)
• Current Procedural Terminology (CPT)
• Healthcare common Procedure Code Sets (HCPCS)

Answer 1

1* HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT.

The health insurance portability and accountability act of 1996 is a United States Federal statute enacted by the 104th United congress and signed into law by president Bill Clinton on August 21,1996.

THREE RULES OF HIPPA.

1. Administrative
2. Physical, and
3. Technical

FOUR MAIN PURPOSES OF HIPPA.

1.Assure health insurance portability by eliminating job-lock due to pre-existing medical conditions.

2.Reduce healthcare fraud and abuse.

3.Enforce standards for health information.

4.Guarantee security and privacy of health.

FIVE MAIN COMPONENTS OF HIPPA.

1.Focus on health care access.

2.Preventing health care fraud.

3.Tax-related health provisions.

4.Application of group health insurance requirements.

5.Revenue offset for employees.

2* NATIONAL PROVIDER IDENTIFIER.

A national provider identifier is a unique

10-digit identification number issued to health care providers in the United States by the centres for Medicare and medical services

EXAMPLES OF NPI.

Covered by glba are, Name, address, income, social security number or other information on an application.

* Healthcare providers include physicians, pharmacist, physician assistant, nurse practitioners,nurse anesthetists,dentists,denturists.

* By the Department of health and human services to cross reference health care providers in fraud and abuse files and other programs integrity files.