Test your basic knowledge |

HIPAA

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can study here.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. Common law
Examples of PHI
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Invasion of Privacy Publishing
the philosophical study of moral values and rules - conducts

2. Statue of limitations
state laws setting time limit for bringing a lawsuit
Covered transactions
Prohibits discrimination preventing indiviualds with physical or mental disabilities or chronic illness - from accessing public services & accomodations. Employers requires 'reasonable accommodation' be provided so they can perform duties.
a minor - rather than the parent - must sign the release of patient information

3. Statutory
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Standard
The body of laws made by states is their own statutory laws
Limited data set

4. NPP
state laws setting time limit for bringing a lawsuit
substance abuse treatment
Notice of Privacy Practices
Rule

5. HIPAA
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Designated record set
need to know
only those who meed to know should have access to patient information

6. Disabilities act

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7. Business Associate Agreements applies to...
malpractice
located in a secured and private space
U.S. Department of Health and Human Services (HHS; established national standards for HIPAA) - Centers for Medicare and Medicaid Services (CMS; enforce insurance portability and transaction/code set requirements) - Office for Civil Rights (OCR; enfor
individuals such as cleaning staff and consultants who work in the office. These individuals do not need access to patient info but may come in contact while completing their duties

8. All persons who will have access are required to...
Malfeasance
false charges and malicious oral statements about someone
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
have a unique password and it should be changed frequently

9. Fax machines
should only be used when no other - more secure mode of transmission is available
the philosophical study of moral values and rules - conducts
Type of consent in which a patient who is unable to give consent is given treatment under the legal assumption that he or she would want treatment.
Notice of Privacy Practices (NPP)

10. What are the 3 purposes of HIPAA?
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Insurance portability - administrative simplification - privacy and security
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
illegal touching of another person

11. The use of uniform electronic network protocols to transfer business information between organizations.
Examples of PHI
Electronic data interchange
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Code sets

12. Transmission of information between two parties fro financial or administrative activities.
a service company that recieves electronic or paper claims from the provider - checks and prepares them for processing - and transmits them in HIPAA-complaint format to the correct carriers
Portability
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Transaction

13. Title I of HIPAA
Rule
improper performance of an otherwise lawful act. civil
addresses portability of insurance coverage when employees change or lose their jobs
Electronic data interchange

14. Key entities
The body of laws made by states is their own statutory laws
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
must be reported to authorities by law
U.S. Department of Health and Human Services (HHS; established national standards for HIPAA) - Centers for Medicare and Medicaid Services (CMS; enforce insurance portability and transaction/code set requirements) - Office for Civil Rights (OCR; enfor

15. Medical records used for health care research

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16. Slander
Transaction
located in a secured and private space
A written set of questions requiring written answers from a plaintiff or defendant under oath
false charges and malicious oral statements about someone

17. HIPAA states...
only those who meed to know should have access to patient information
comes on after a few idle seconds and the use of a privacy screen should be mandatory
although medical records are confidential - there are times when they can be released w/o a patient consent.
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

18. Misfeasance
Security
improper performance of an otherwise lawful act. civil
Encryption
a contract that comes about from the actions of the parties rather than words

19. OIG - Office of the Inspector General
have a unique password and it should be changed frequently
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
state laws setting time limit for bringing a lawsuit
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

20. In order for a fax document to be HIPAA compliant...

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21. General exceptions for releasing patient information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Patient rights under HIPAA
improper performance of an otherwise lawful act. civil
Transaction

22. In HIPAA language health plans - Health care clearinghouses - and all health care providers that transmit HIPAA standard transactions electronically are called covered entities. Hospitals - nursing homes - hospices - pharmacies - physician practices
Code sets
State preemption
Covered entities
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

23. Any set of codes use to encode health care data elements.
Permission
Code sets
only those who meed to know should have access to patient information
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

24. Criminal law
Examples of PHI
A written set of questions requiring written answers from a plaintiff or defendant under oath
Portability
law concerned with public wrongs against society

25. Negligence
Patient Identifiable Information
must be reported to authorities by law
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
have a unique password and it should be changed frequently

26. Battery
illegal touching of another person
state laws setting time limit for bringing a lawsuit
allows patients to give directions to health care providers about treatment choices in circumstances in which the patient may no longer be able to provide that direction. There are two types: Living Will and Durable Power of Attorney
Electronic data interchange

27. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
A written set of questions requiring written answers from a plaintiff or defendant under oath
What types of disclosures do not require patient permission?
De-Identified Information
Patient

28. Conforming to proper professional behavior
state laws setting time limit for bringing a lawsuit
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Ethical
Privacy

29. Unlawful act done without permission.
Malfeasance
same legal standards apply to all patient records whether on paper or computer
a contract that comes about from the actions of the parties rather than words
individuals such as cleaning staff and consultants who work in the office. These individuals do not need access to patient info but may come in contact while completing their duties

30. Federal law protects patient records dealing with...
addresses portability of insurance coverage when employees change or lose their jobs
substance abuse treatment
Portability
What types of disclosures do not require patient permission?

31. De-Identified Information
have a unique password and it should be changed frequently
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Security
should only be used when no other - more secure mode of transmission is available

32. Confidentiality

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33. 4d's of negligence
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Individually Identifiable Health Information
Duty; duty of care - Derelict; breach of the duty of care - Direct cause; legally recognizable injury occurs as a result of breach of care - Damage; wrongful activity must have been the cause
security rule

34. Document that includes the standards
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Minimum necessary
Rule
false and malicious writing about another

35. A written document detailing a health care provider's privacy practices.
need to know
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
A written set of questions requiring written answers from a plaintiff or defendant under oath
Notice of Privacy Practices (NPP)

36. Policies and procedures use to protect electronic information from unauthorized access
Treatment - payment and health care operations (TPO)
law that permits a person w/ a legal age and sound mind to give their body to donation
Transaction
Security

37. Hardware or software designed to prevent unauthorized access to electronic information.
substance abuse treatment
Examples of PHI
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Firewalls

38. Treatment means that a health care provider can provide care; payment means that a provider can disclose PHI to be reimbursed; health care operations refers to HIPAA approved activities and transactions.
should only be used when no other - more secure mode of transmission is available
Treatment - payment and health care operations (TPO)
Regulations
testimony under oath

39. Clearinghouse
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
a service company that recieves electronic or paper claims from the provider - checks and prepares them for processing - and transmits them in HIPAA-complaint format to the correct carriers

40. The limited amount of patient information to be disclosed - depending on circumstances.
Minimum necessary
Malfeasance
located in a secured and private space
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

41. EPHI
Malfeasance
Electronic data interchange
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Electronic Protected Health Information

42. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
improper performance of an otherwise lawful act. civil
Covered transactions
Minimum necessary
regular - in a secure location

43. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Regulations
Duty; duty of care - Derelict; breach of the duty of care - Direct cause; legally recognizable injury occurs as a result of breach of care - Damage; wrongful activity must have been the cause
concerns noncriminal disputes between private parties
Firewalls

44. Under some circumstances ...
must be reported to authorities by law
Treatment - payment and health care operations (TPO)
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
a minor - rather than the parent - must sign the release of patient information

45. Includes records maintained by or for a covered entity.
Designated record set
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
h/c workers --qualified people of organizations(perf. data processinf or transcript) -certain gov. auth. (pub health activities) -appropriate auth(protect vic. of abuse) -law enforcement officials or judicial orders
Permission

46. Name - address - date of birth - phone/fax numbers - social security number - medical record number - and photographs - nursing and physician notes - billing and other treatment records used during a patient's visit in a hospital or office.
testimony under oath
Covered entities
Ethical
Examples of PHI

47. TPO
treatment - payment - & healthcare operations
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Notice of Privacy Practices (NPP)
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

48. HI
generally only patient can auth release of own medical record - there are a few exceptions
treatment - payment - & healthcare operations
Health Information
false and malicious writing about another

49. Some state laws specifically protect __________. A patient would need to sign a specific request.
Firewalls
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
state laws setting time limit for bringing a lawsuit
located in a secured and private space

50. Releasing patient information
Electronic data interchange
Tort
generally only patient can auth release of own medical record - there are a few exceptions
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.