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. Criminal law
law concerned with public wrongs against society
Minimum necessary
purpose - pride - patience - persistence - perspective
Patient Identifiable Information

2. making known - or using information relating to the private life or affairs of a person without their approval or permission
Designated record set
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Security
Invasion of Privacy Publishing

3. Bioethics
Privacy
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
although medical records are confidential - there are times when they can be released w/o a patient consent.
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

4. Libel
Encryption
false and malicious writing about another
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
regular - in a secure location

5. HIPAA states...
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Ethical
only those who meed to know should have access to patient information
Limited data set

6. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
Examples of PHI
Security
security rule
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

7. EPHI
Electronic Protected Health Information
Electronic transmission
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
state laws setting time limit for bringing a lawsuit

8. What information do patients NOT have access to?
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
State preemption
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
generally only patient can auth release of own medical record - there are a few exceptions

9. Titile II of HIPAA
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
treatment - payment - & healthcare operations
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
same legal standards apply to all patient records whether on paper or computer

10. Negligence
addresses portability of insurance coverage when employees change or lose their jobs
Transaction
What types of disclosures do not require patient permission?
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

11. Coded information that can't be read until is decoded.
Portability
Encryption
Insurance portability - administrative simplification - privacy and security
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

12. Uniform anotomical gift act
Standard
only those who meed to know should have access to patient information
law that permits a person w/ a legal age and sound mind to give their body to donation
Insurance portability - administrative simplification - privacy and security

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

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14. Policies and procedures use to protect electronic information from unauthorized access
Security
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
Standard
Permission

15. DII
state laws setting time limit for bringing a lawsuit
improper performance of an otherwise lawful act. civil
De-Identified Information
Standard

16. Title I of HIPAA
security rule
Electronic Protected Health Information
same legal standards apply to all patient records whether on paper or computer
addresses portability of insurance coverage when employees change or lose their jobs

17. HIPAA
Ethical
same legal standards apply to all patient records whether on paper or computer
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Limited data set

18. Implied consent
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.
What types of disclosures do not require patient permission?
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.
although medical records are confidential - there are times when they can be released w/o a patient consent.

19. Advanced directives
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
Portability
De-Identified Information
comes on after a few idle seconds and the use of a privacy screen should be mandatory

20. Fax machines
substance abuse treatment
should only be used when no other - more secure mode of transmission is available
Limited data set
Rule

21. Who regulates HIPAA?
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
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
have a unique password and it should be changed frequently
U.S. goverment

22. 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
Privacy
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Covered entities

23. A written document detailing a health care provider's privacy practices.
Notice of Privacy Practices (NPP)
Notice of Privacy Practices
located in a secured and private space
false and malicious writing about another

24. 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
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
Examples of PHI
have a unique password and it should be changed frequently
Covered entities

25. interrogatory
a contract that comes about from the actions of the parties rather than words
A written set of questions requiring written answers from a plaintiff or defendant under oath
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
U.S. goverment

26. Fax Machines and HIPAA
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.
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
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
Examples of PHI

27. Medical records used for health care research

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28. Protected health information from which certain patient identifiers have been removed
Limited data set
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
law concerned with public wrongs against society
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

29. Implied contract
should never be released w/o a patient's signed consent or court order
State preemption
regular - in a secure location
a contract that comes about from the actions of the parties rather than words

30. Professional Negligence
malpractice
substance abuse treatment
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
What types of disclosures do not require patient permission?

31. Ethics
the philosophical study of moral values and rules - conducts
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
purpose - pride - patience - persistence - perspective
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

32. Statue of limitations
state laws setting time limit for bringing a lawsuit
Designated record set
Firewalls
Portability

33. Battery
Notice of Privacy Practices
although medical records are confidential - there are times when they can be released w/o a patient consent.
the philosophical study of moral values and rules - conducts
illegal touching of another person

34. Federal law protects patient records dealing with...
substance abuse treatment
illegal touching of another person
Patient
although medical records are confidential - there are times when they can be released w/o a patient consent.

35. Data must be backed up at ___________ and those back-up files should be stored ________.
regular - in a secure location
need to know
although medical records are confidential - there are times when they can be released w/o a patient consent.
treatment - payment - & healthcare operations

36. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Treatment - payment and health care operations (TPO)
Notice of Privacy Practices (NPP)
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Regulations

37. The use of uniform electronic network protocols to transfer business information between organizations.
Electronic data interchange
Treatment - payment and health care operations (TPO)
comes on after a few idle seconds and the use of a privacy screen should be mandatory
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

38. Disclosure without Consent
although medical records are confidential - there are times when they can be released w/o a patient consent.
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Limited data set
What types of disclosures do not require patient permission?

39. Patient records are _____________ so not all staff will have access.
Electronic transmission
need to know
Patient rights under HIPAA
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

40. Key entities
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
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
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
Tort

41. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Portability
Electronic Protected Health Information
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
need to know

42. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
Minimum necessary
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Firewalls
State preemption

43. HI
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Health Information
addresses portability of insurance coverage when employees change or lose their jobs
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

44. NPP
Notice of Privacy Practices
purpose - pride - patience - persistence - perspective
Electronic data interchange
same legal standards apply to all patient records whether on paper or computer

45. OIG - Office of the Inspector General
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
testimony under oath
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

46. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Notice of Privacy Practices
Covered transactions
Invasion of Privacy Publishing
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

47. 4d's of negligence
State preemption
should never be released w/o a patient's signed consent or court order
U.S. goverment
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

48. Common law
must be reported to authorities by law
law concerned with public wrongs against society
a contract that comes about from the actions of the parties rather than words
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

49. Hardware or software designed to prevent unauthorized access to electronic information.
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Firewalls
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
State preemption

50. Protected Health Information (PHI)
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Patient Identifiable Information
Patient rights under HIPAA
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)