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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:
  1. Discuss the reasons for passage of the Health Insurance Portability and Accountability Act (HIPAA).


  2. Differentiate between the two major provisions of HIPAA, Title I and Title II.


  3. Discuss the improvements to health insurance coverage under Title I.


  4. Identify the five key provisions of HIPAA Administrative Simplification.


  5. Define the concept of preemption.


  6. List the four areas in which standards under HIPAA Administrative Simplification have been legislated.


  7. Describe the HIPAA rule-making process.


  8. Describe the types of facilities and health care professionals who are considered covered entities under HIPAA.


  9. Differentiate between a covered entity and a business associate.


  10. Describe how allied health personnel can keep up with HIPAA standards and enforcement in their careers.







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