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. Includes records maintained by or for a covered entity.
improper performance of an otherwise lawful act. civil
Designated record set
Security
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

2. 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
De-Identified Information
Privacy
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

3. Verify the identification of anyone requesting patient information.
Verification
Electronic Protected Health Information
Standard
security rule

4. Clearinghouse
Patient
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
Electronic data interchange
Covered entities

5. Data must be backed up at ___________ and those back-up files should be stored ________.
false and malicious writing about another
regular - in a secure location
purpose - pride - patience - persistence - perspective
should never be released w/o a patient's signed consent or court order

6. 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
Patient rights under HIPAA
Standard
Notice of Privacy Practices

7. A reason for each use and disclosure of patient information.
Permission
purpose - pride - patience - persistence - perspective
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
illegal touching of another person

8. Doctor release of patient
Transaction
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
What types of disclosures do not require patient permission?

9. Sending information over electronic networks.
Standard
need to know
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.
Electronic transmission

10. 5P's of ethical power
purpose - pride - patience - persistence - perspective
Covered transactions
Transaction
comes on after a few idle seconds and the use of a privacy screen should be mandatory

11. Slander
Electronic Protected Health Information
Permission
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.
false charges and malicious oral statements about someone

12. 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.
Minimum necessary
Treatment - payment and health care operations (TPO)
Firewalls
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

13. Implied contract
The body of laws made by states is their own statutory laws
Encryption
a contract that comes about from the actions of the parties rather than words
false charges and malicious oral statements about someone

14. All persons who will have access are required to...
have a unique password and it should be changed frequently
Electronic transmission
purpose - pride - patience - persistence - perspective
Portability

15. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
The body of laws made by states is their own statutory laws
illegal touching of another person
Regulations
testimony under oath

16. EPHI
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
comes on after a few idle seconds and the use of a privacy screen should be mandatory
U.S. goverment
Electronic Protected Health Information

17. Emancipated minors

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18. De-Identified Information
located in a secured and private space
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
U.S. goverment
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

19. Advanced directives
substance abuse treatment
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
law that permits a person w/ a legal age and sound mind to give their body to donation
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

20. Criminal law
U.S. goverment
Privacy
law concerned with public wrongs against society
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.

21. HIPAA
purpose - pride - patience - persistence - perspective
a contract that comes about from the actions of the parties rather than words
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
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.

22. Computes and HIPAA
Code sets
Examples of PHI
same legal standards apply to all patient records whether on paper or computer
Regulations

23. Disclosure without Consent
concerns noncriminal disputes between private parties
have a unique password and it should be changed frequently
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.

24. Reportable diseases...
should never be released w/o a patient's signed consent or court order
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
must be reported to authorities by law
Health Information

25. What information do patients NOT have access to?
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
although medical records are confidential - there are times when they can be released w/o a patient consent.
concerns noncriminal disputes between private parties
should only be used when no other - more secure mode of transmission is available

26. 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
Rule
What types of disclosures do not require patient permission?
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

27. Document that includes the standards
Covered entities
Rule
State preemption
purpose - pride - patience - persistence - perspective

28. HIPAA compliance mandates that computer systems must be...
located in a secured and private space
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Covered transactions
Individually Identifiable Health Information

29. Freedom from unauthorized intrusion
U.S. goverment
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
malpractice
Privacy

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

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31. TPO
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
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.
treatment - payment - & healthcare operations
generally only patient can auth release of own medical record - there are a few exceptions

32. Any wrongdoing for which an action for damages may be brought
Individually Identifiable Health Information
illegal touching of another person
Patient
Tort

33. 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.
law that permits a person w/ a legal age and sound mind to give their body to donation
Covered entities
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

34. Releasing patient information
located in a secured and private space
law that permits a person w/ a legal age and sound mind to give their body to donation
Limited data set
generally only patient can auth release of own medical record - there are a few exceptions

35. Policies and procedures use to protect electronic information from unauthorized access
Individually Identifiable Health Information
De-Identified Information
Security
have a unique password and it should be changed frequently

36. Bioethics
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
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.
need to know
substance abuse treatment

37. Confidentiality

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38. Under some circumstances ...
a minor - rather than the parent - must sign the release of patient information
state laws setting time limit for bringing a lawsuit
have a unique password and it should be changed frequently
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

39. Fax machines
false charges and malicious oral statements about someone
should only be used when no other - more secure mode of transmission is available
Covered 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

40. Misfeasance
malpractice
improper performance of an otherwise lawful act. civil
Notice of Privacy Practices
U.S. goverment

41. The limited amount of patient information to be disclosed - depending on circumstances.
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Minimum necessary
Standard
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

42. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
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
should never be released w/o a patient's signed consent or court order
A written set of questions requiring written answers from a plaintiff or defendant under oath

43. Libel
false and malicious writing about another
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Permission
improper performance of an otherwise lawful act. civil

44. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Limited data set
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Covered transactions

45. Statutory
The body of laws made by states is their own statutory laws
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.
purpose - pride - patience - persistence - perspective
false charges and malicious oral statements about someone

46. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
Notice of Privacy Practices
State preemption
Standard
comes on after a few idle seconds and the use of a privacy screen should be mandatory

47. Conforming to proper professional behavior
The body of laws made by states is their own statutory laws
false and malicious writing about another
malpractice
Ethical

48. Civil law
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
Verification
testimony under oath
concerns noncriminal disputes between private parties

49. 4d's of negligence
a contract that comes about from the actions of the parties rather than words
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
Examples of PHI
regular - in a secure location

50. interrogatory
Permission
Malfeasance
A written set of questions requiring written answers from a plaintiff or defendant under oath
Verification