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. Transmission of information between two parties fro financial or administrative activities.
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Transaction
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

2. A general HIPAA requirement
substance abuse treatment
Tort
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Standard

3. Sending information over electronic networks.
Electronic transmission
Covered entities
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
improper performance of an otherwise lawful act. civil

4. Who regulates HIPAA?
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Transaction
Portability
U.S. goverment

5. Battery
Examples of PHI
Portability
illegal touching of another person
Encryption

6. HIPAA states...
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
illegal touching of another person
only those who meed to know should have access to patient information
Invasion of Privacy Publishing

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
Security
state laws setting time limit for bringing a lawsuit
Patient

8. What are the 3 purposes of HIPAA?
Malfeasance
false charges and malicious oral statements about someone
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
Insurance portability - administrative simplification - privacy and security

9. Common 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
Encryption
located in a secured and private space
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

10. Title I of HIPAA
Malfeasance
improper performance of an otherwise lawful act. civil
addresses portability of insurance coverage when employees change or lose their jobs
should only be used when no other - more secure mode of transmission is available

11. Bioethics
treatment - payment - & healthcare operations
Limited data set
Invasion of Privacy Publishing
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

12. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
a minor - rather than the parent - must sign the release of patient information
security rule
Code sets
same legal standards apply to all patient records whether on paper or computer

13. The person recieving treatment
Notice of Privacy Practices (NPP)
Verification
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

14. Releasing patient information
generally only patient can auth release of own medical record - there are a few exceptions
addresses portability of insurance coverage when employees change or lose their jobs
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

15. Patient records are _____________ so not all staff will have access.
Standard
need to know
Patient Identifiable Information
law that permits a person w/ a legal age and sound mind to give their body to donation

16. making known - or using information relating to the private life or affairs of a person without their approval or permission
improper performance of an otherwise lawful act. civil
security rule
Encryption
Invasion of Privacy Publishing

17. IIHI
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
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Individually Identifiable Health Information
Portability

18. 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
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
concerns noncriminal disputes between private parties
Transaction

19. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
State preemption
Firewalls
a minor - rather than the parent - must sign the release of patient information
substance abuse treatment

20. Disabilities act

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21. Clearinghouse
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
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Covered transactions
false and malicious writing about another

22. Data must be backed up at ___________ and those back-up files should be stored ________.
regular - in a secure location
What types of disclosures do not require patient permission?
Code sets
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

23. Misfeasance
generally only patient can auth release of own medical record - there are a few exceptions
Portability
improper performance of an otherwise lawful act. civil
Rule

24. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
illegal touching of another person
should only be used when no other - more secure mode of transmission is available
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
Regulations

25. 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.
false and malicious writing about another
Regulations
should never be released w/o a patient's signed consent or court order

26. A written document detailing a health care provider's privacy practices.
Covered transactions
should never be released w/o a patient's signed consent or court order
Notice of Privacy Practices (NPP)
comes on after a few idle seconds and the use of a privacy screen should be mandatory

27. HI
Malfeasance
should only be used when no other - more secure mode of transmission is available
Health Information
law concerned with public wrongs against society

28. General exceptions for releasing patient information
Regulations
should never be released w/o a patient's signed consent or court order
De-Identified Information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

29. Policies and procedures use to protect electronic information from unauthorized access
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.
Security
testimony under oath
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

30. Statutory
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Privacy
The body of laws made by states is their own statutory laws
Permission

31. Protected health information from which certain patient identifiers have been removed
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Limited data set
Individually Identifiable Health Information
Patient rights under HIPAA

32. TPO
Malfeasance
should never be released w/o a patient's signed consent or court order
must be reported to authorities by law
treatment - payment - & healthcare operations

33. 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.
false and malicious writing about another
addresses portability of insurance coverage when employees change or lose their jobs
Treatment - payment and health care operations (TPO)
Patient Identifiable Information

34. 5P's of ethical power
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
Permission
purpose - pride - patience - persistence - perspective
the philosophical study of moral values and rules - conducts

35. NPP
Notice of Privacy Practices
Health Information
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

36. Federal law protects patient records dealing with...
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
substance abuse treatment
should only be used when no other - more secure mode of transmission is available
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

37. Freedom from unauthorized intrusion
Electronic transmission
Privacy
generally only patient can auth release of own medical record - there are a few exceptions
Electronic data interchange

38. Coded information that can't be read until is decoded.
Encryption
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Privacy

39. Slander
false charges and malicious oral statements about someone
law concerned with public wrongs against society
Electronic data interchange
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

40. EPHI
Examples of PHI
Patient Identifiable Information
Regulations
Electronic Protected Health Information

41. HIPAA compliance mandates that computer systems must be...
Patient Identifiable Information
Standard
same legal standards apply to all patient records whether on paper or computer
located in a secured and private space

42. What information do patients NOT have access to?
regular - in a secure location
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
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

43. Medical records can be released w/o consent to...
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
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
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
Notice of Privacy Practices (NPP)

44. PII
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
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
treatment - payment - & healthcare operations
Patient Identifiable Information

45. Statue of limitations
Transaction
state laws setting time limit for bringing a lawsuit
law that permits a person w/ a legal age and sound mind to give their body to donation
Patient rights under HIPAA

46. The computer screen should have a screensaver that...
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Insurance portability - administrative simplification - privacy and security
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
comes on after a few idle seconds and the use of a privacy screen should be mandatory

47. Emancipated minors

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48. 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
Notice of Privacy Practices (NPP)
Notice of Privacy Practices
Ethical
Covered entities

49. Document that includes the standards
Rule
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Verification

50. All persons who will have access are required to...
have a unique password and it should be changed frequently
Examples of PHI
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