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. Key entities
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
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
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
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

2. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
have a unique password and it should be changed frequently
security rule
Patient rights under HIPAA
U.S. goverment

3. Protected health information from which certain patient identifiers have been removed
security rule
De-Identified Information
Limited data set
located in a secured and private space

4. Uniform anotomical gift act
law that permits a person w/ a legal age and sound mind to give their body to donation
treatment - payment - & healthcare operations
Ethical
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

5. Doctor release of patient
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
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
Patient
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

6. Confidentiality

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7. 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
Privacy
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Insurance portability - administrative simplification - privacy and security

8. Freedom from unauthorized intrusion
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
Electronic Protected Health Information
Insurance portability - administrative simplification - privacy and security
Privacy

9. interrogatory
located in a secured and private space
A written set of questions requiring written answers from a plaintiff or defendant under oath
The body of laws made by states is their own statutory laws
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

10. Professional Negligence
substance abuse treatment
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
malpractice
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. 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
concerns noncriminal disputes between private parties
Covered entities
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.

12. All persons who will have access are required to...
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
a contract that comes about from the actions of the parties rather than words
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
have a unique password and it should be changed frequently

13. Data must be backed up at ___________ and those back-up files should be stored ________.
regular - in a secure location
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
substance abuse treatment
Privacy

14. 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.
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
Treatment - payment and health care operations (TPO)
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
false and malicious writing about another

15. Coded information that can't be read until is decoded.
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.
concerns noncriminal disputes between private parties
Encryption
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. Common law
Designated record set
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Privacy
same legal standards apply to all patient records whether on paper or computer

17. Federal law protects patient records dealing with...
substance abuse treatment
law concerned with public wrongs against society
Electronic transmission
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

18. Libel
purpose - pride - patience - persistence - perspective
Patient Identifiable Information
malpractice
false and malicious writing about another

19. Under some circumstances ...
have a unique password and it should be changed frequently
State preemption
a minor - rather than the parent - must sign the release of patient 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

20. Subpoenas
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Permission
a contract that comes about from the actions of the parties rather than words
Transaction

21. Slander
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.
false charges and malicious oral statements about someone
regular - in a secure location
improper performance of an otherwise lawful act. civil

22. Disabilities act

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23. Business Associate Agreements applies to...
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
addresses portability of insurance coverage when employees change or lose their jobs
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
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.

24. Any wrongdoing for which an action for damages may be brought
Notice of Privacy Practices
U.S. goverment
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Tort

25. Bioethics
regular - in a secure location
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
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Individually Identifiable Health Information

26. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
State preemption
Patient Identifiable Information
false charges and malicious oral statements about someone
Regulations

27. Sending information over electronic networks.
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
Electronic transmission
Patient

28. Clearinghouse
Examples of PHI
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
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.

29. The computer screen should have a screensaver that...
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Covered transactions
State preemption
Standard

30. Battery
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Verification
testimony under oath
illegal touching of another person

31. Unlawful act done without permission.
Malfeasance
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
false and malicious writing about another
Minimum necessary

32. Advanced directives
have a unique password and it should be changed frequently
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
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Covered entities

33. NPP
Invasion of Privacy Publishing
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
law concerned with public wrongs against society
Notice of Privacy Practices

34. Deposition
need to know
concerns noncriminal disputes between private parties
testimony under oath
Individually Identifiable Health Information

35. Implied consent
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
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.
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
addresses portability of insurance coverage when employees change or lose their jobs

36. Who regulates HIPAA?
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
U.S. goverment
Verification
Treatment - payment and health care operations (TPO)

37. The use of uniform electronic network protocols to transfer business information between organizations.
should never be released w/o a patient's signed consent or court order
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
should only be used when no other - more secure mode of transmission is available
Electronic data interchange

38. Releasing patient information
Covered entities
false and malicious writing about another
law that permits a person w/ a legal age and sound mind to give their body to donation
generally only patient can auth release of own medical record - there are a few exceptions

39. Reportable diseases...
Ethical
must be reported to authorities by law
Tort
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

40. Conforming to proper professional behavior
Ethical
improper performance of an otherwise lawful act. civil
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
the philosophical study of moral values and rules - conducts

41. Civil law
U.S. goverment
concerns noncriminal disputes between private parties
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Notice of Privacy Practices (NPP)

42. Misfeasance
improper performance of an otherwise lawful act. civil
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
addresses portability of insurance coverage when employees change or lose their jobs
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

43. Titile II of HIPAA
although medical records are confidential - there are times when they can be released w/o a patient consent.
should never be released w/o a patient's signed consent or court order
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Covered transactions

44. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
Standard
comes on after a few idle seconds and the use of a privacy screen should be mandatory
What types of disclosures do not require patient permission?
Privacy

45. HIPAA states...
Covered transactions
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Privacy
only those who meed to know should have access to patient information

46. 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
law concerned with public wrongs against society
Limited data set
Verification
Covered entities

47. Policies and procedures use to protect electronic information from unauthorized access
Security
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Tort
State preemption

48. Privacy Officer
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
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
the philosophical study of moral values and rules - conducts
regular - in a secure location

49. What information do patients NOT have access to?
Electronic Protected Health Information
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Electronic transmission

50. 5P's of ethical power
purpose - pride - patience - persistence - perspective
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Transaction
although medical records are confidential - there are times when they can be released w/o a patient consent.