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HIPAA

Instructions:

Answer 50 questions in 15 minutes.
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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. All persons who will have access are required to...
Limited data set
concerns noncriminal disputes between private parties
have a unique password and it should be changed frequently
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

2. Implied consent
Examples of PHI
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 transactions
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

3. 5P's of ethical power
purpose - pride - patience - persistence - perspective
false and malicious writing about another
law concerned with public wrongs against society
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

4. Hardware or software designed to prevent unauthorized access to electronic information.
Portability
only those who meed to know should have access to patient information
Firewalls
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

5. 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
Code sets
Covered entities
Health Information
substance abuse treatment

6. Some state laws specifically protect __________. A patient would need to sign a specific request.
Insurance portability - administrative simplification - privacy and security
De-Identified Information
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Malfeasance

7. 4d's of negligence
the philosophical study of moral values and rules - conducts
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
should never be released w/o a patient's signed consent or court order
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. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
regular - in a secure location
Regulations
should never be released w/o a patient's signed consent or court order
Portability

9. The person recieving treatment
Health Information
addresses portability of insurance coverage when employees change or lose their jobs
Patient
Ethical

10. Protected health information from which certain patient identifiers have been removed
illegal touching of another person
Transaction
Limited data set
The body of laws made by states is their own statutory laws

11. NPP
a minor - rather than the parent - must sign the release of patient information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Notice of Privacy Practices
regular - in a secure location

12. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
Electronic transmission
need to know
State preemption
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

13. IIHI
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
malpractice
Individually Identifiable Health Information
Transaction

14. Federal law protects patient records dealing with...
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Patient
substance abuse treatment
illegal touching of another person

15. Slander
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
false charges and malicious oral statements about someone
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

16. EPHI
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Health Information
Individually Identifiable Health Information
Electronic Protected Health Information

17. Statue of limitations
Treatment - payment and health care operations (TPO)
located in a secured and private space
state laws setting time limit for bringing a lawsuit
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

18. TPO
treatment - payment - & healthcare operations
false charges and malicious oral statements about someone
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
State preemption

19. Bioethics
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
a minor - rather than the parent - must sign the release of patient information
Designated record set
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

20. Uniform anotomical gift act
should only be used when no other - more secure mode of transmission is available
Tort
law that permits a person w/ a legal age and sound mind to give their body to donation
Limited data set

21. Misfeasance
should never be released w/o a patient's signed consent or court order
located in a secured and private space
improper performance of an otherwise lawful act. civil
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

22. OIG - Office of the Inspector General
The body of laws made by states is their own statutory laws
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

23. HI
Health Information
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
false charges and malicious oral statements about someone
law that permits a person w/ a legal age and sound mind to give their body to donation

24. Sending information over electronic networks.
Encryption
Electronic transmission
Malfeasance
addresses portability of insurance coverage when employees change or lose their jobs

25. What information do patients NOT have access to?
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
illegal touching of another person
Covered transactions

26. 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
De-Identified Information
treatment - payment - & healthcare operations
Insurance portability - administrative simplification - privacy and security
Patient rights under HIPAA

27. 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.
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
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
Examples of PHI
Minimum necessary

28. Fax Machines and HIPAA
law concerned with public wrongs against society
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
although medical records are confidential - there are times when they can be released w/o a patient consent.
Covered entities

29. Protected Health Information (PHI)
Individually Identifiable Health Information
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Patient Identifiable Information
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

30. 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.
treatment - payment - & healthcare operations
Treatment - payment and health care operations (TPO)
addresses portability of insurance coverage when employees change or lose their jobs
should never be released w/o a patient's signed consent or court order

31. Any set of codes use to encode health care data elements.
should never be released w/o a patient's signed consent or court order
What types of disclosures do not require patient permission?
Code sets
should only be used when no other - more secure mode of transmission is available

32. Unlawful act done without permission.
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
Malfeasance
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
only those who meed to know should have access to patient information

33. Transmission of information between two parties fro financial or administrative activities.
De-Identified Information
Transaction
a contract that comes about from the actions of the parties rather than words
only those who meed to know should have access to patient information

34. Subpoenas
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 rights under HIPAA
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

35. Statutory
Rule
malpractice
The body of laws made by states is their own statutory laws
Covered transactions

36. making known - or using information relating to the private life or affairs of a person without their approval or permission
although medical records are confidential - there are times when they can be released w/o a patient consent.
improper performance of an otherwise lawful act. civil
Patient
Invasion of Privacy Publishing

37. Good samaritan law
Notice of Privacy Practices (NPP)
Permission
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
What types of disclosures do not require patient permission?

38. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Permission
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
treatment - payment - & healthcare operations
Covered transactions

39. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Patient Identifiable Information
Regulations
Patient rights under HIPAA
security rule

40. interrogatory
De-Identified Information
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
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
A written set of questions requiring written answers from a plaintiff or defendant under oath

41. Freedom from unauthorized intrusion
security rule
Privacy
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
Insurance portability - administrative simplification - privacy and security

42. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
What types of disclosures do not require patient permission?
Permission
Patient
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

43. Reportable diseases...
Rule
must be reported to authorities by law
U.S. goverment
Health Information

44. The limited amount of patient information to be disclosed - depending on circumstances.
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
should never be released w/o a patient's signed consent or court order
Minimum necessary
Privacy

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

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46. Libel
have a unique password and it should be changed frequently
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Security
false and malicious writing about another

47. PII
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
Patient Identifiable Information
malpractice
regular - in a secure location

48. The use of uniform electronic network protocols to transfer business information between organizations.
Regulations
The body of laws made by states is their own statutory laws
false charges and malicious oral statements about someone
Electronic data interchange

49. Civil law
concerns noncriminal disputes between private parties
need to know
generally only patient can auth release of own medical record - there are a few exceptions
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

50. Doctor release of patient
De-Identified Information
Portability
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Notice of Privacy Practices (NPP)

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HIPAA

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