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. 4d's of negligence
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
Tort
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Health Information

2. Doctor release of patient
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Malfeasance
Transaction
Ethical

3. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
law concerned with public wrongs against society
Covered transactions
Patient rights under HIPAA
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

4. Transmission of information between two parties fro financial or administrative activities.
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
Regulations
Transaction
Notice of Privacy Practices

5. Medical records used for health care research

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6. Libel
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Portability
false and malicious writing about another
Permission

7. Key entities
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
only those who meed to know should have access to patient information
Invasion of Privacy Publishing
need to know

8. Civil law
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
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
concerns noncriminal disputes between private parties

9. Protected Health Information (PHI)
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Insurance portability - administrative simplification - privacy and security
need to know

10. General exceptions for releasing patient information
false and malicious writing about another
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Tort
Health Information

11. DII
state laws setting time limit for bringing a lawsuit
Electronic transmission
De-Identified Information
only those who meed to know should have access to patient information

12. De-Identified Information
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Health Information
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.

13. Unlawful act done without permission.
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Malfeasance

14. Patient records are _____________ so not all staff will have access.
must be reported to authorities by law
Standard
Individually Identifiable Health Information
need to know

15. Privacy Officer
Covered transactions
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
Treatment - payment and health care operations (TPO)
Privacy

16. 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.
addresses portability of insurance coverage when employees change or lose their jobs
Treatment - payment and health care operations (TPO)
illegal touching of another person
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

17. The use of uniform electronic network protocols to transfer business information between organizations.
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Transaction
Electronic data interchange
Notice of Privacy Practices

18. Medical records can be released w/o consent to...
Electronic data interchange
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
testimony under oath
Covered entities

19. HIPAA compliance mandates that computer systems must be...
Transaction
security rule
located in a secured and private space
Permission

20. 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
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Ethical

21. 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
Patient rights under HIPAA
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

22. Statutory
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
Insurance portability - administrative simplification - privacy and security
Verification
The body of laws made by states is their own statutory laws

23. Includes records maintained by or for a covered entity.
Portability
Ethical
Designated record set
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

24. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
purpose - pride - patience - persistence - perspective
Transaction
security rule
Examples of PHI

25. Negligence
The body of laws made by states is their own statutory laws
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
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Code sets

26. Any wrongdoing for which an action for damages may be brought
Rule
Tort
Electronic data interchange
Limited data set

27. 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
law concerned with public wrongs against society
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
need to know

28. Ethics
the philosophical study of moral values and rules - conducts
Regulations
a minor - rather than the parent - must sign the release of patient information
state laws setting time limit for bringing a lawsuit

29. A written document detailing a health care provider's privacy practices.
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
De-Identified Information
Notice of Privacy Practices (NPP)

30. The person recieving treatment
Patient
Rule
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Designated record set

31. HIPAA
a contract that comes about from the actions of the parties rather than words
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

32. What are the 3 purposes of HIPAA?
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
although medical records are confidential - there are times when they can be released w/o a patient consent.
Insurance portability - administrative simplification - privacy and security
State preemption

33. What information do patients NOT have access to?
Permission
a contract that comes about from the actions of the parties rather than words
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
have a unique password and it should be changed frequently

34. Battery
Permission
illegal touching of another person
Insurance portability - administrative simplification - privacy and security
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

35. Under some circumstances ...
should only be used when no other - more secure mode of transmission is available
a minor - rather than the parent - must sign the release of patient information
Portability
illegal touching of another person

36. Hardware or software designed to prevent unauthorized access to electronic information.
Firewalls
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written 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.
Covered entities

37. HIPAA states...
only those who meed to know should have access to patient information
A written set of questions requiring written answers from a plaintiff or defendant under oath
Portability
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

38. Releasing patient information
Limited data set
generally only patient can auth release of own medical record - there are a few exceptions
State preemption
regular - in a secure location

39. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
improper performance of an otherwise lawful act. civil
Designated record set
Regulations
law concerned with public wrongs against society

40. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
have a unique password and it should be changed frequently
the philosophical study of moral values and rules - conducts
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Portability

41. Titile II of HIPAA
Notice of Privacy Practices (NPP)
malpractice
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Patient Identifiable Information

42. Fax machines
should only be used when no other - more secure mode of transmission is available
treatment - payment - & healthcare operations
addresses portability of insurance coverage when employees change or lose their jobs
Firewalls

43. Criminal law
Invasion of Privacy Publishing
law concerned with public wrongs against society
A written set of questions requiring written answers from a plaintiff or defendant under oath
illegal touching of another person

44. 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
Covered transactions
Patient rights under HIPAA
improper performance of an otherwise lawful act. civil
Malfeasance

45. making known - or using information relating to the private life or affairs of a person without their approval or permission
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
De-Identified Information
Tort
Invasion of Privacy Publishing

46. Disclosure without Consent
law that permits a person w/ a legal age and sound mind to give their body to donation
State preemption
although medical records are confidential - there are times when they can be released w/o a patient consent.
Minimum necessary

47. Emancipated minors

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48. Uniform anotomical gift act
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.
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
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

49. NPP
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
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Notice of Privacy Practices
have a unique password and it should be changed frequently

50. A general HIPAA requirement
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Standard
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
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.