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. Clearinghouse
Individually Identifiable Health Information
State preemption
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
The body of laws made by states is their own statutory laws

2. Any wrongdoing for which an action for damages may be brought
should only be used when no other - more secure mode of transmission is available
the philosophical study of moral values and rules - conducts
Tort
although medical records are confidential - there are times when they can be released w/o a patient consent.

3. Slander
Notice of Privacy Practices
illegal touching of another person
false charges and malicious oral statements about someone
purpose - pride - patience - persistence - perspective

4. The use of uniform electronic network protocols to transfer business information between organizations.
What types of disclosures do not require patient permission?
Electronic data interchange
malpractice
Electronic Protected Health Information

5. Protected Health Information (PHI)
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
should only be used when no other - more secure mode of transmission is available
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
state laws setting time limit for bringing a lawsuit

6. 4d's of negligence
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
Notice of Privacy Practices
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Electronic Protected Health Information

7. 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
Covered entities
Patient rights under HIPAA
Ethical
Regulations

8. Deposition
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
law that permits a person w/ a legal age and sound mind to give their body to donation
testimony under oath
treatment - payment - & healthcare operations

9. NPP
Notice of Privacy Practices
De-Identified Information
Ethical
State preemption

10. Doctor release of patient
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
security rule
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

11. Misfeasance
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
need to know
improper performance of an otherwise lawful act. civil
should never be released w/o a patient's signed consent or court order

12. Some state laws specifically protect __________. A patient would need to sign a specific request.
U.S. goverment
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
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
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

13. OIG - Office of the Inspector General
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
U.S. goverment
concerns noncriminal disputes between private parties
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

14. Confidentiality

15. De-Identified Information
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Electronic transmission
State preemption
Standard

16. Fax Machines and HIPAA
Electronic data interchange
should never be released w/o a patient's signed consent or court order
Limited data set
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

17. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
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?
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
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.

18. IIHI
Individually Identifiable Health Information
generally only patient can auth release of own medical record - there are a few exceptions
De-Identified Information
Rule

19. General exceptions for releasing patient information
law that permits a person w/ a legal age and sound mind to give their body to donation
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
concerns noncriminal disputes between private parties

20. 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
Electronic Protected Health Information
Covered entities
Verification
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

21. Business Associate Agreements applies to...
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
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
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
security rule

22. Advanced directives
concerns noncriminal disputes between private parties
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
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
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

23. Coded information that can't be read until is decoded.
Encryption
located in a secured and private space
Patient Identifiable Information
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

24. Key entities
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
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
addresses portability of insurance coverage when employees change or lose their jobs
illegal touching of another person

25. All persons who will have access are required to...
Electronic transmission
false and malicious writing about another
treatment - payment - & healthcare operations
have a unique password and it should be changed frequently

26. Bioethics
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Patient
Patient Identifiable Information

27. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
Transaction
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
regular - in a secure location
State preemption

28. A written document detailing a health care provider's privacy practices.
Permission
regular - in a secure location
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Notice of Privacy Practices (NPP)

29. Hardware or software designed to prevent unauthorized access to electronic information.
Firewalls
must be reported to authorities by law
should only be used when no other - more secure mode of transmission is available
Examples of PHI

30. Sending information over electronic networks.
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
substance abuse treatment
State preemption
Electronic transmission

31. Document that includes the standards
Examples of PHI
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
De-Identified Information
Rule

32. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
improper performance of an otherwise lawful act. civil
Portability
illegal touching of another person
Covered transactions

33. A reason for each use and disclosure of patient information.
Permission
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Firewalls
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

34. What are the 3 purposes of HIPAA?
Treatment - payment and health care operations (TPO)
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Insurance portability - administrative simplification - privacy and security
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

35. The person recieving treatment
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
security rule
Standard
Patient

36. DII
located in a secured and private space
De-Identified Information
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)

37. making known - or using information relating to the private life or affairs of a person without their approval or permission
Invasion of Privacy Publishing
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
a minor - rather than the parent - must sign the release of patient information
a contract that comes about from the actions of the parties rather than words

38. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Regulations
Rule
Individually Identifiable Health Information
Transaction

39. Title I of HIPAA
addresses portability of insurance coverage when employees change or lose their jobs
security rule
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
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

40. Disclosure without Consent
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
concerns noncriminal disputes between private parties
although medical records are confidential - there are times when they can be released w/o a patient consent.
have a unique password and it should be changed frequently

41. Good samaritan law
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
generally only patient can auth release of own medical record - there are a few exceptions
law that permits a person w/ a legal age and sound mind to give their body to donation
Portability

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

43. Data must be backed up at ___________ and those back-up files should be stored ________.
located in a secured and private space
regular - in a secure location
The body of laws made by states is their own statutory laws
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

44. Professional Negligence
malpractice
State preemption
Code sets
A written set of questions requiring written answers from a plaintiff or defendant under oath

45. Patient records are _____________ so not all staff will have access.
state laws setting time limit for bringing a lawsuit
need to know
Verification
only those who meed to know should have access to patient information

46. HIPAA compliance mandates that computer systems must be...
law that permits a person w/ a legal age and sound mind to give their body to donation
located in a secured and private space
must be reported to authorities by law
Permission

47. HIPAA states...
comes on after a few idle seconds and the use of a privacy screen should be mandatory
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
only those who meed to know should have access to patient information
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

48. EPHI
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Patient rights under HIPAA
Electronic Protected Health Information
De-Identified Information

49. HI
Health Information
Patient Identifiable Information
Verification
Electronic transmission

50. Common law
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Limited data set
comes on after a few idle seconds and the use of a privacy screen should be mandatory
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