What is it? Is it PHI? What may UBA or I do? What must UBA or I do? What shouldn't I do? Who do I call?
100
What is protected health information (PHI)?
Individually identifiable information, including demographic information and genetic information, related to the past, present, or future physical or mental health or condition, the provision of health care to the individual, or the past, present, or future payment for such health care.
100
What is the minimum necessary?
If I need access to PHI to carry out my job duties, then I'm allowed to access PHI under certain conditions and limitations under this standard.
100
What are the HIPAA regulations?
UBA must disclose PHI when HHS requires disclosure to investigate or determine UBA's compliance with these laws.
100
What is employment termination?
If I sell PHI or PI to any source, then UBA may take this action if it determines that my sale is major misconduct.
100
Who is our Director of Compliance, Karen Hsu
This is who I call first if the U.S. Dept. of Health and Human Services (HHS) comes knocking on UBA's door.
200
What is a limited data set?
A type of data set from which all direct identifiers (from a list) are removed regarding the individual and the individual's relatives, employers, and household members. This type of data set is PHI.
200
What is make an amendment?
As a plan participant, I may ask for the plan to take this action, if I want changes made to my PHI in my designated record set.
200
What is an individual's request for a copy of his or her PHI?
UBA must provide PHI to an individual or an individual's representative under these conditions.
200
What is retraining, re-evaluation, and/or written warning with discussion of policies and procedures?
If I release PHI or PI without proper authorization, then UBA may take this action if it determines that my disclosure is serious misconduct.
200
Who is our Director of Compliance, Karen Hsu
This is who I call with questions about UBA's privacy policy.
300
What is de-identified information?
Information that is no longer PHI because it has been changed using either the expert determination method or safe harbor method.
300
What is an accounting of disclosures?
As a plan participant, I may ask for this type of list, if I want a list of certain disclosures of my PHI that the plan has made in the last 6 years.
300
What are policies and procedures?
Documents that UBA is required to implement to guide staff and business associates on UBA's compliance with the HIPAA privacy regulations.
300
What is a non-retaliation policy?
UBA has this type of policy that prevents UBA and its staff from intimidating, threatening, coercing, discriminating against, or taking any adverse action against someone who exercises rights or participates in processes established by the HIPAA privacy regulations.
300
Who is our Director of Compliance, Karen Hsu
This is who I call if I think there is a breach of unsecured PHI.
400
What is a designated record set?
UBA uses these records to make decisions about an individual, including medical, claims, and billing records and enrollment, payment, claims adjudication, and case or medical management records systems maintained by or for a health plan.
400
What is verify identity?
UBA takes this action in response to a person making a request for PHI, before UBA makes a disclosure permitted by the privacy regulations.
400
What is 6 years?
The number of years that UBA maintains its privacy policy documents such as authorizations, revocations, complaints and their disposition, and contents of accounting of disclosures provided.
400
What is destroy the documents?
If documents are under a litigation hold, then I should not do this to the documents until UBA's President, General Counsel, or Director of Compliance releases the litigation hold.
400
Who is our Director of Compliance, Karen Hsu
This is who I call if I receive an individual's Authorization to Release Information.
500
What is an employer?
When UBA maintains records in its capacity as this type of entity, the records are not protected health information (PHI).
500
What is litigation or investigation?
UBA may keep documents beyond their routine retention period if the documents are potentially relevant to this type of event.
500
What is make a breach notification?
The action that UBA must take when UBA discovers, or by using due diligence, should have known about an unauthorized acquisition, access, use, or disclosure of PHI which compromises the security or privacy of unsecured PHI.
500
What is a business associate agreement (BAA)?
When UBA is a business associate, I cannot use or disclose PHI beyond what this document provides or requires, within the bounds of the privacy regulations and other federal and state laws.
500
Who is our Director of Compliance, Karen Hsu
After reviewing Appendix A in the privacy policy, this is who I call if the category or type of PHI or PI required to carry out my job duties needs to be updated.






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