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. Computes and HIPAA
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
A written set of questions requiring written answers from a plaintiff or defendant under oath
same legal standards apply to all patient records whether on paper or computer
comes on after a few idle seconds and the use of a privacy screen should be mandatory

2. Implied 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.
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
What types of disclosures do not require patient permission?

3. Bioethics
have a unique password and it should be changed frequently
Transaction
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Electronic data interchange

4. Business Associate Agreements applies to...
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
law that permits a person w/ a legal age and sound mind to give their body to donation
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
Portability

5. Policies and procedures use to protect electronic information from unauthorized access
Security
Standard
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
concerns noncriminal disputes between private parties

6. Confidentiality

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7. Implied contract
Regulations
a contract that comes about from the actions of the parties rather than words
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
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. Statue of limitations
Electronic data interchange
treatment - payment - & healthcare operations
state laws setting time limit for bringing a lawsuit
need to know

9. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Covered entities
security rule
have a unique password and it should be changed frequently

10. Medical records can be released w/o consent to...
Tort
state laws setting time limit for bringing a lawsuit
Ethical
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

11. Libel
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 and malicious writing about another
a minor - rather than the parent - must sign the release of patient information
although medical records are confidential - there are times when they can be released w/o a patient consent.

12. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Examples of PHI
Regulations
Patient rights under HIPAA

13. What are the 3 purposes of HIPAA?
located in a secured and private space
Insurance portability - administrative simplification - privacy and security
Standard
generally only patient can auth release of own medical record - there are a few exceptions

14. HIPAA compliance mandates that computer systems must be...
should only be used when no other - more secure mode of transmission is available
Portability
located in a secured and private space
Electronic Protected Health Information

15. 4d's of negligence
false charges and malicious oral statements about someone
testimony under oath
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
Patient rights under HIPAA

16. 5P's of ethical power
Encryption
Insurance portability - administrative simplification - privacy and security
purpose - pride - patience - persistence - perspective
Rule

17. De-Identified Information
purpose - pride - patience - persistence - perspective
State preemption
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

18. Hardware or software designed to prevent unauthorized access to electronic information.
Electronic data interchange
Firewalls
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Regulations

19. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
false charges and malicious oral statements about someone
What types of disclosures do not require patient permission?
regular - in a secure location
Examples of PHI

20. 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.
should only be used when no other - more secure mode of transmission is available
located in a secured and private space
Examples of PHI
same legal standards apply to all patient records whether on paper or computer

21. 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.
Encryption
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Treatment - payment and health care operations (TPO)
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

22. Federal law protects patient records dealing with...
substance abuse treatment
Verification
Ethical
false and malicious writing about another

23. Protected health information from which certain patient identifiers have been removed
Security
Limited data set
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
Code sets

24. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
have a unique password and it should be changed frequently
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
State preemption
Electronic data interchange

25. Uniform anotomical gift act
the philosophical study of moral values and rules - conducts
law that permits a person w/ a legal age and sound mind to give their body to donation
need to know
Transaction

26. DII
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
De-Identified Information
Electronic transmission
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

27. Clearinghouse
concerns noncriminal disputes between private parties
although medical records are confidential - there are times when they can be released w/o a patient consent.
What types of disclosures do not require patient permission?
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

28. 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
What types of disclosures do not require patient permission?
Patient rights under HIPAA
Standard
Firewalls

29. Disabilities act

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30. PII
Patient Identifiable Information
Regulations
Covered entities
although medical records are confidential - there are times when they can be released w/o a patient consent.

31. Ethics
a contract that comes about from the actions of the parties rather than words
the philosophical study of moral values and rules - conducts
The body of laws made by states is their own statutory laws
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

32. HI
state laws setting time limit for bringing a lawsuit
Health Information
Rule
Insurance portability - administrative simplification - privacy and security

33. Unlawful act done without permission.
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Treatment - payment and health care operations (TPO)
a minor - rather than the parent - must sign the release of patient information
Malfeasance

34. Conforming to proper professional behavior
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
substance abuse treatment
have a unique password and it should be changed frequently
Ethical

35. Reportable diseases...
Ethical
must be reported to authorities by law
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.
What types of disclosures do not require patient permission?

36. Professional Negligence
The body of laws made by states is their own statutory laws
generally only patient can auth release of own medical record - there are a few exceptions
malpractice
A written set of questions requiring written answers from a plaintiff or defendant under oath

37. Verify the identification of anyone requesting patient information.
Verification
Firewalls
improper performance of an otherwise lawful act. civil
Electronic transmission

38. Subpoenas
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
malpractice
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Patient

39. Slander
malpractice
Code sets
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
false charges and malicious oral statements about someone

40. TPO
Patient Identifiable Information
need to know
treatment - payment - & healthcare operations
Individually Identifiable Health Information

41. Patient records are _____________ so not all staff will have access.
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
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
need to know
A written set of questions requiring written answers from a plaintiff or defendant under oath

42. IIHI
Encryption
Individually Identifiable Health Information
Designated record set
although medical records are confidential - there are times when they can be released w/o a patient consent.

43. The computer screen should have a screensaver that...
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
U.S. goverment
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
comes on after a few idle seconds and the use of a privacy screen should be mandatory

44. Document that includes the standards
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Rule
a minor - rather than the parent - must sign the release of patient information
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

45. OIG - Office of the Inspector General
addresses portability of insurance coverage when employees change or lose their jobs
Firewalls
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
purpose - pride - patience - persistence - perspective

46. Negligence
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Ethical
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
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

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

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48. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Patient rights under HIPAA
substance abuse treatment
Malfeasance
Covered transactions

49. HIPAA
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)
substance abuse treatment
Ethical

50. Some state laws specifically protect __________. A patient would need to sign a specific request.
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
generally only patient can auth release of own medical record - there are a few exceptions
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
security rule