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. Good samaritan law
although medical records are confidential - there are times when they can be released w/o a patient consent.
law that permits a person w/ a legal age and sound mind to give their body to donation
Encryption
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

2. Transmission of information between two parties fro financial or administrative activities.
Every office should have one! - responsible for making surethat thise office is HIPAA compliant - privacy officer should be.. an effective communicator with ability to answer questions about sespected HIPPA violations and complaints
Transaction
A written set of questions requiring written answers from a plaintiff or defendant under oath
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

3. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
generally only patient can auth release of own medical record - there are a few exceptions
State preemption

4. A general HIPAA requirement
state laws setting time limit for bringing a lawsuit
generally only patient can auth release of own medical record - there are a few exceptions
Standard
testimony under oath

5. 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.
Firewalls
Treatment - payment and health care operations (TPO)
Every office should have one! - responsible for making surethat thise office is HIPAA compliant - privacy officer should be.. an effective communicator with ability to answer questions about sespected HIPPA violations and complaints
Malfeasance

6. 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
Covered entities
Invasion of Privacy Publishing
U.S. goverment
law concerned with public wrongs against society

7. What are the 3 purposes of HIPAA?
Treatment - payment and health care operations (TPO)
Insurance portability - administrative simplification - privacy and security
Security
substance abuse treatment

8. Verify the identification of anyone requesting patient information.
Portability
What types of disclosures do not require patient permission?
Verification
a contract that comes about from the actions of the parties rather than words

9. The person recieving treatment
Regulations
Encryption
purpose - pride - patience - persistence - perspective
Patient

10. HIPAA compliance mandates that computer systems must be...
located in a secured and private space
Limited data set
Covered entities
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

11. Unlawful act done without permission.
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
Health Information
improper performance of an otherwise lawful act. civil
Malfeasance

12. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Regulations
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
addresses portability of insurance coverage when employees change or lose their jobs
Every office should have one! - responsible for making surethat thise office is HIPAA compliant - privacy officer should be.. an effective communicator with ability to answer questions about sespected HIPPA violations and complaints

13. Misfeasance
Covered entities
Encryption
improper performance of an otherwise lawful act. civil
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

14. Freedom from unauthorized intrusion
Privacy
need to know
must be reported to authorities by law
Tort

15. Ethics
Permission
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
the philosophical study of moral values and rules - conducts
Regulations

16. Conforming to proper professional behavior
Patient Identifiable Information
Invasion of Privacy Publishing
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Ethical

17. The use of uniform electronic network protocols to transfer business information between organizations.
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
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Electronic data interchange
Transaction

18. 5P's of ethical power
Patient
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
purpose - pride - patience - persistence - perspective
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

19. 4d's of negligence
Minimum necessary
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
De-Identified Information
generally only patient can auth release of own medical record - there are a few exceptions

20. Federal law protects patient records dealing with...
substance abuse treatment
Ethical
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
although medical records are confidential - there are times when they can be released w/o a patient consent.

21. Disclosure without Consent
Code sets
although medical records are confidential - there are times when they can be released w/o a patient consent.
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
law that permits a person w/ a legal age and sound mind to give their body to donation

22. Includes records maintained by or for a covered entity.
Designated record set
should only be used when no other - more secure mode of transmission is available
Firewalls
concerns noncriminal disputes between private parties

23. Releasing patient information
need to know
Patient rights under HIPAA
generally only patient can auth release of own medical record - there are a few exceptions
law that permits a person w/ a legal age and sound mind to give their body to donation

24. Titile II of HIPAA
Ethical
Encryption
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
comes on after a few idle seconds and the use of a privacy screen should be mandatory

25. Sending information over electronic networks.
Electronic transmission
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
false charges and malicious oral statements about someone
Code sets

26. Civil law
State preemption
security rule
concerns noncriminal disputes between private parties
Patient Identifiable Information

27. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Portability
state laws setting time limit for bringing a lawsuit
the philosophical study of moral values and rules - conducts
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

28. Negligence
Rule
Limited data set
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

29. Title I of HIPAA
addresses portability of insurance coverage when employees change or lose their jobs
malpractice
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Verification

30. HIPAA states...
only those who meed to know should have access to patient information
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
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Portability

31. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
What types of disclosures do not require patient permission?
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Tort
generally only patient can auth release of own medical record - there are a few exceptions

32. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Covered transactions
Designated record set
law concerned with public wrongs against society

33. Common law
A written set of questions requiring written answers from a plaintiff or defendant under oath
Code sets
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

34. Subpoenas
Standard
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Minimum necessary
What types of disclosures do not require patient permission?

35. Patient records are _____________ so not all staff will have access.
Code sets
need to know
must be reported to authorities by law
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

36. Fax Machines and HIPAA
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
purpose - pride - patience - persistence - perspective
Patient Identifiable Information
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

37. See & Copy their health records - update health records - obtain a list of the institution's disclosures - other than for payment & healthcare operations - request a restriction on a certain uses or disclosures - choose how to receive their health in
Patient rights under HIPAA
Minimum necessary
law concerned with public wrongs against society
Designated record set

38. making known - or using information relating to the private life or affairs of a person without their approval or permission
Invasion of Privacy Publishing
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Electronic transmission
Notice of Privacy Practices (NPP)

39. Computes and HIPAA
same legal standards apply to all patient records whether on paper or computer
Designated record set
Standard
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

40. Protected Health Information (PHI)
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
generally only patient can auth release of own medical record - there are a few exceptions
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

41. De-Identified Information
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
testimony under oath
Transaction
only those who meed to know should have access to patient information

42. Statue of limitations
state laws setting time limit for bringing a lawsuit
a minor - rather than the parent - must sign the release of patient information
substance abuse treatment
The body of laws made by states is their own statutory laws

43. Protected health information from which certain patient identifiers have been removed
although medical records are confidential - there are times when they can be released w/o a patient consent.
Limited data set
state laws setting time limit for bringing a lawsuit
Electronic data interchange

44. Uniform anotomical gift act
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
law that permits a person w/ a legal age and sound mind to give their body to donation
addresses portability of insurance coverage when employees change or lose their jobs
What types of disclosures do not require patient permission?

45. 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.
Examples of PHI
should only be used when no other - more secure mode of transmission is available
addresses portability of insurance coverage when employees change or lose their jobs
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

46. Implied contract
a contract that comes about from the actions of the parties rather than words
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
addresses portability of insurance coverage when employees change or lose their jobs
Rule

47. DII
Privacy
De-Identified Information
Portability
must be reported to authorities by law

48. Medical records can be released w/o consent to...
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
state laws setting time limit for bringing a lawsuit
Security
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

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

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50. Medical records used for health care research

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