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. General exceptions for releasing patient information
De-Identified Information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
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.

2. making known - or using information relating to the private life or affairs of a person without their approval or permission
Invasion of Privacy Publishing
a contract that comes about from the actions of the parties rather than words
must be reported to authorities by law
the philosophical study of moral values and rules - conducts

3. Protected Health Information (PHI)
Standard
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
only those who meed to know should have access to patient information
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

4. HIPAA states...
Portability
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
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

5. Disclosure without Consent
Health Information
Portability
Malfeasance
although medical records are confidential - there are times when they can be released w/o a patient consent.

6. PII
malpractice
false charges and malicious oral statements about someone
Patient Identifiable Information
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

7. All persons who will have access are required to...
have a unique password and it should be changed frequently
Security
Covered transactions
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

8. 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
Transaction
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
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
Patient rights under HIPAA

9. Fax machines
Insurance portability - administrative simplification - privacy and security
Electronic transmission
should only be used when no other - more secure mode of transmission is available
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

10. Fax Machines and HIPAA
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
false charges and malicious oral statements about someone
regular - in a secure location
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

11. IIHI
Malfeasance
Individually Identifiable Health Information
Limited data set
Treatment - payment and health care operations (TPO)

12. Criminal law
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Invasion of Privacy Publishing
law concerned with public wrongs against society
illegal touching of another person

13. A reason for each use and disclosure of patient information.
Permission
regular - in a secure location
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Verification

14. 5P's of ethical power
testimony under oath
purpose - pride - patience - persistence - perspective
Regulations
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

15. Unlawful act done without permission.
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Malfeasance
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.
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

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

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17. What are the 3 purposes of HIPAA?
A written set of questions requiring written answers from a plaintiff or defendant under oath
Insurance portability - administrative simplification - privacy and security
Standard
The body of laws made by states is their own statutory laws

18. Libel
false and malicious writing about another
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
same legal standards apply to all patient records whether on paper or computer

19. Any set of codes use to encode health care data elements.
State preemption
Code sets
state laws setting time limit for bringing a lawsuit
Electronic data interchange

20. Negligence
Limited data set
Electronic data interchange
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

21. 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
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

22. Titile II of HIPAA
malpractice
Examples of PHI
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Encryption

23. Hardware or software designed to prevent unauthorized access to electronic information.
Firewalls
What types of disclosures do not require patient permission?
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Insurance portability - administrative simplification - privacy and security

24. Civil law
same legal standards apply to all patient records whether on paper or computer
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.
concerns noncriminal disputes between private parties

25. Business Associate Agreements applies to...
Electronic data interchange
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
Ethical
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

26. Emancipated minors

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27. Verify the identification of anyone requesting patient information.
Rule
Verification
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.
The body of laws made by states is their own statutory laws

28. Protected health information from which certain patient identifiers have been removed
should never be released w/o a patient's signed consent or court order
Limited data set
Insurance portability - administrative simplification - privacy and security
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

29. Disabilities act

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30. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
treatment - payment - & healthcare operations
have a unique password and it should be changed frequently
purpose - pride - patience - persistence - perspective
What types of disclosures do not require patient permission?

31. De-Identified Information
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
same legal standards apply to all patient records whether on paper or computer
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 written set of questions requiring written answers from a plaintiff or defendant under oath

32. Clearinghouse
Malfeasance
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
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
The body of laws made by states is their own statutory laws

33. A written document detailing a health care provider's privacy practices.
concerns noncriminal disputes between private parties
Notice of Privacy Practices (NPP)
Security
the philosophical study of moral values and rules - conducts

34. Doctor release of patient
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
substance abuse treatment
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

35. A general HIPAA requirement
Standard
should never be released w/o a patient's signed consent or court order
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

36. Confidentiality

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37. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
security rule
Regulations
the philosophical study of moral values and rules - conducts
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

38. Good samaritan law
Patient Identifiable Information
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
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

39. The person recieving treatment
U.S. goverment
although medical records are confidential - there are times when they can be released w/o a patient consent.
Patient
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

40. EPHI
false charges and malicious oral statements about someone
treatment - payment - & healthcare operations
Electronic Protected Health Information
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

41. Slander
false charges and malicious oral statements about someone
Standard
law concerned with public wrongs against society
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

42. Advanced directives
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
law that permits a person w/ a legal age and sound mind to give their body to donation
Covered transactions
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

43. Under some circumstances ...
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
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

44. Sending information over electronic networks.
Electronic transmission
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
Patient rights under HIPAA
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

45. Uniform anotomical gift act
Covered entities
law that permits a person w/ a legal age and sound mind to give their body to donation
although medical records are confidential - there are times when they can be released w/o a patient consent.
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

46. Federal law protects patient records dealing with...
The body of laws made by states is their own statutory laws
substance abuse treatment
Minimum necessary
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

47. Implied contract
a contract that comes about from the actions of the parties rather than words
Insurance portability - administrative simplification - privacy and security
should only be used when no other - more secure mode of transmission is available
same legal standards apply to all patient records whether on paper or computer

48. The use of uniform electronic network protocols to transfer business information between organizations.
Verification
Electronic data interchange
regular - in a secure location
law that permits a person w/ a legal age and sound mind to give their body to donation

49. Transmission of information between two parties fro financial or administrative activities.
Covered transactions
Transaction
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
malpractice

50. 4d's of negligence
Covered transactions
security rule
Portability
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