What does HIPAA primarily regulate?
HIPAA regulates the privacy and security of patient health information in the healthcare industry.
Which federal agency enforces HIPAA regulations?
The Office for Civil Rights (OCR) under the Department of Health and Human Services enforces HIPAA compliance.
What is considered a violation of patient confidentiality?
Sharing patient information without consent is a direct violation of HIPAA and patient confidentiality rules.
What does the OIG do in relation to medical coding?
The Office of Inspector General (OIG) monitors and investigates healthcare fraud, waste, and abuse.
What is upcoding in medical billing?
Upcoding refers to the illegal practice of billing for a more expensive service than was provided.
What must be obtained before releasing a patient's medical records?
A signed patient authorization is required under HIPAA to release protected health information.
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What document outlines an organization’s policies for handling PHI?
A privacy policy describes how an organization collects, uses, and protects patient health information.
Which law protects against healthcare fraud and abuse?
The False Claims Act penalizes fraudulent billing practices in federally funded healthcare programs.
What is the primary goal of compliance programs in healthcare facilities?
Compliance programs help detect and prevent violations, ensuring adherence to laws and regulations.