| THE GOAL OF HIPAA: ADMINISTRATIVE SIMPLIFICATION
Title I: Health Insurance Reform
Insurance Background
Portability and Required Coverage: COBRA and HIPAA
Additional Laws Affecting the Availability of Insurance Coverage
Title II: Administrative Simplification
Purpose and Extent of Administrative Simplification
Administrative Simplification Standards
Rule-Making Process
Covered Entities: Complying with HIPAA
Covered Entities: Health Plans, Providers, and Clearinghouses
Business Associates
Staying Up to Date
After studying this chapter, you should be able to:
- Discuss the reasons for passage of the Health Insurance Portability and Accountability Act (HIPAA).
- Differentiate between the two major provisions of HIPAA, Title I and Title II.
- Discuss the improvements to health insurance coverage under Title I.
- Identify the five key provisions of HIPAA Administrative Simplification.
- Define the concept of preemption.
- List the four areas in which standards under HIPAA Administrative Simplification have been legislated.
- Describe the HIPAA rule-making process.
- Describe the types of facilities and health care professionals who are considered covered entities under HIPAA.
- Differentiate between a covered entity and a business associate.
- Describe how allied health personnel can keep up with HIPAA standards and enforcement in their careers.
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