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. Coded information that can't be read until is decoded.
Encryption
false charges and malicious oral statements about someone
generally only patient can auth release of own medical record - there are a few exceptions
improper performance of an otherwise lawful act. civil

2. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
State preemption
Regulations
The body of laws made by states is their own statutory laws

3. Civil law
Permission
need to know
malpractice
concerns noncriminal disputes between private parties

4. Patient records are _____________ so not all staff will have access.
the philosophical study of moral values and rules - conducts
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
need to know
security rule

5. 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.
Regulations
Examples of PHI
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
generally only patient can auth release of own medical record - there are a few exceptions

6. Computes and HIPAA
same legal standards apply to all patient records whether on paper or computer
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
regular - in a secure location
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

7. De-Identified Information
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Verification
Tort
Patient

8. Who regulates HIPAA?
Electronic data interchange
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
purpose - pride - patience - persistence - perspective
U.S. goverment

9. Doctor release of patient
What types of disclosures do not require patient permission?
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
a minor - rather than the parent - must sign the release of patient information
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

10. Common law
Treatment - payment and health care operations (TPO)
Electronic transmission
purpose - pride - patience - persistence - perspective
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

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

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12. Verify the identification of anyone requesting patient information.
Verification
false and malicious writing about another
Invasion of Privacy Publishing
Code sets

13. Sending information over electronic networks.
Rule
Electronic transmission
a contract that comes about from the actions of the parties rather than words
Electronic Protected Health Information

14. Confidentiality

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15. Privacy Officer
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
Transaction
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

16. Conforming to proper professional behavior
must be reported to authorities by law
Ethical
Verification
Insurance portability - administrative simplification - privacy and security

17. Deposition
Standard
state laws setting time limit for bringing a lawsuit
testimony under oath
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

18. HI
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Invasion of Privacy Publishing
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Health Information

19. Business Associate Agreements applies to...
Notice of Privacy Practices (NPP)
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
Electronic data interchange
Code sets

20. TPO
treatment - payment - & healthcare operations
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
false and malicious writing about another
What types of disclosures do not require patient permission?

21. Uniform anotomical gift act
Verification
De-Identified Information
Privacy
law that permits a person w/ a legal age and sound mind to give their body to donation

22. Medical records used for health care research

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23. Data must be backed up at ___________ and those back-up files should be stored ________.
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
regular - in a secure location
Notice of Privacy Practices (NPP)

24. 4d's of negligence
false charges and malicious oral statements about someone
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
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
treatment - payment - & healthcare operations

25. Disclosure without Consent
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
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.
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

26. 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.
Covered transactions
Treatment - payment and health care operations (TPO)
Notice of Privacy Practices (NPP)
Privacy

27. Freedom from unauthorized intrusion
located in a secured and private space
Privacy
Verification
Limited data set

28. Protected health information from which certain patient identifiers have been removed
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
security rule
purpose - pride - patience - persistence - perspective
Limited data set

29. HIPAA compliance mandates that computer systems must be...
The body of laws made by states is their own statutory laws
testimony under oath
located in a secured and private space
Notice of Privacy Practices (NPP)

30. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
security rule
malpractice
Insurance portability - administrative simplification - privacy and security
Covered transactions

31. Any wrongdoing for which an action for damages may be brought
the philosophical study of moral values and rules - conducts
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
located in a secured and private space
Tort

32. Criminal law
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
law concerned with public wrongs against society
law that permits a person w/ a legal age and sound mind to give their body to donation
Regulations

33. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Electronic Protected Health Information
Portability
Patient

34. Statutory
Permission
testimony under oath
The body of laws made by states is their own statutory laws
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

35. making known - or using information relating to the private life or affairs of a person without their approval or permission
Limited data set
Invasion of Privacy Publishing
Rule
Firewalls

36. interrogatory
Examples of PHI
A written set of questions requiring written answers from a plaintiff or defendant under oath
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

37. Transmission of information between two parties fro financial or administrative activities.
Insurance portability - administrative simplification - privacy and security
Privacy
Transaction
a contract that comes about from the actions of the parties rather than words

38. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Covered transactions
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
have a unique password and it should be changed frequently

39. Reportable diseases...
concerns noncriminal disputes between private parties
must be reported to authorities by law
Individually Identifiable Health Information
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

40. Disabilities act

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41. General exceptions for releasing patient information
although medical records are confidential - there are times when they can be released w/o a patient consent.
Electronic Protected Health Information
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
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

42. Titile II of HIPAA
Treatment - payment and health care operations (TPO)
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.
Privacy

43. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
Insurance portability - administrative simplification - privacy and security
addresses portability of insurance coverage when employees change or lose their jobs
State preemption
purpose - pride - patience - persistence - perspective

44. Implied consent
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
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.
illegal touching of another person
A written set of questions requiring written answers from a plaintiff or defendant under oath

45. 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
should never be released w/o a patient's signed consent or court order
Notice of Privacy Practices
Covered transactions

46. Unlawful act done without permission.
Regulations
Malfeasance
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
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.

47. Clearinghouse
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
Regulations
illegal touching of another person

48. Subpoenas
Minimum necessary
Health Information
Ethical
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

49. Under some circumstances ...
Covered transactions
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
a minor - rather than the parent - must sign the release of patient information
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

50. The limited amount of patient information to be disclosed - depending on circumstances.
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
Patient Identifiable Information
same legal standards apply to all patient records whether on paper or computer