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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. HI
the philosophical study of moral values and rules - conducts
Notice of Privacy Practices
Health Information
Rule

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
should never be released w/o a patient's signed consent or court order
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Covered entities
regular - in a secure location

3. Verify the identification of anyone requesting patient information.
Rule
Verification
Treatment - payment and health care operations (TPO)
Electronic Protected Health Information

4. Business Associate Agreements applies to...
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
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

5. De-Identified Information
a contract that comes about from the actions of the parties rather than words
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Rule
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

6. Conforming to proper professional behavior
Code sets
Ethical
Health Information
Patient rights under HIPAA

7. Protected health information from which certain patient identifiers have been removed
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
The body of laws made by states is their own statutory laws
Limited data set

8. Doctor release of patient
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
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.
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

9. Medical records can be released w/o consent to...
state laws setting time limit for bringing a lawsuit
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
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
Rule

10. Key entities
Patient Identifiable Information
located in a secured and private space
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

11. Deposition
Privacy
testimony under oath
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
a minor - rather than the parent - must sign the release of patient information

12. Common law
State preemption
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
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

13. The limited amount of patient information to be disclosed - depending on circumstances.
Patient rights under HIPAA
should only be used when no other - more secure mode of transmission is available
Minimum necessary
false and malicious writing about another

14. 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.
illegal touching of another person
Examples of PHI
need to know
law that permits a person w/ a legal age and sound mind to give their body to donation

15. Fax machines
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
Insurance portability - administrative simplification - privacy and security
Electronic transmission
should only be used when no other - more secure mode of transmission is available

16. What information do patients NOT have access to?
State preemption
security rule
Notice of Privacy Practices
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

17. 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
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
State preemption
testimony under oath

18. Data must be backed up at ___________ and those back-up files should be stored ________.
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
Electronic Protected Health Information
regular - in a secure location
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

19. Medical records used for health care research

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20. Professional Negligence
Electronic data interchange
false and malicious writing about another
malpractice
Minimum necessary

21. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Regulations
concerns noncriminal disputes between private parties
Invasion of Privacy Publishing
Electronic transmission

22. Implied contract
Examples of PHI
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Electronic data interchange
a contract that comes about from the actions of the parties rather than words

23. Subpoenas
generally only patient can auth release of own medical record - there are a few exceptions
Rule
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

24. IIHI
Individually Identifiable Health Information
regular - in a secure location
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
A written set of questions requiring written answers from a plaintiff or defendant under oath

25. OIG - Office of the Inspector General
De-Identified Information
Patient
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
State preemption

26. HIPAA
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Limited data set
Tort

27. Statutory
Minimum necessary
same legal standards apply to all patient records whether on paper or computer
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
The body of laws made by states is their own statutory laws

28. A reason for each use and disclosure of patient information.
Permission
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Firewalls

29. Transmission of information between two parties fro financial or administrative activities.
Transaction
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
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
Code sets

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

31. Libel
Minimum necessary
false and malicious writing about another
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

32. Criminal law
Electronic data interchange
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
comes on after a few idle seconds and the use of a privacy screen should be mandatory
law concerned with public wrongs against society

33. Fax Machines and HIPAA
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
Covered entities
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Privacy

34. Releasing patient information
generally only patient can auth release of own medical record - there are a few exceptions
Insurance portability - administrative simplification - privacy and security
Designated record set
need to know

35. Disclosure without Consent
although medical records are confidential - there are times when they can be released w/o a patient consent.
Patient rights under HIPAA
Permission
Portability

36. Privacy Officer
the philosophical study of moral values and rules - conducts
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
a minor - rather than the parent - must sign the release of patient information
Notice of Privacy Practices (NPP)

37. Disabilities act

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38. EPHI
Electronic Protected Health Information
State preemption
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
Transaction

39. Implied consent
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Ethical
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.
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

40. Patient records are _____________ so not all staff will have access.
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
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
need to know
The body of laws made by states is their own statutory laws

41. 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 and health care operations (TPO)
same legal standards apply to all patient records whether on paper or computer
Code sets
Electronic transmission

42. All persons who will have access are required to...
should never be released w/o a patient's signed consent or court order
a contract that comes about from the actions of the parties rather than words
have a unique password and it should be changed frequently
only those who meed to know should have access to patient information

43. Sending information over electronic networks.
Covered transactions
Electronic transmission
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.
Invasion of Privacy Publishing

44. Statue of limitations
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
concerns noncriminal disputes between private parties
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
state laws setting time limit for bringing a lawsuit

45. Ethics
state laws setting time limit for bringing a lawsuit
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Portability
the philosophical study of moral values and rules - conducts

46. 4d's of negligence
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
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
false and malicious writing about another

47. interrogatory
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Regulations
Electronic Protected Health Information
A written set of questions requiring written answers from a plaintiff or defendant under oath

48. Some state laws specifically protect __________. A patient would need to sign a specific request.
State preemption
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
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

49. Hardware or software designed to prevent unauthorized access to electronic information.
the philosophical study of moral values and rules - conducts
should only be used when no other - more secure mode of transmission is available
Firewalls
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

50. The use of uniform electronic network protocols to transfer business information between organizations.
Electronic data interchange
A written set of questions requiring written answers from a plaintiff or defendant 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
substance abuse treatment