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. Medical records used for health care research

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2. IIHI
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.
testimony under oath
Health Information
Individually Identifiable Health Information

3. OIG - Office of the Inspector General
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Designated record set
improper performance of an otherwise lawful act. civil
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.

4. Releasing patient information
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Covered entities
generally only patient can auth release of own medical record - there are a few exceptions
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

5. A written document detailing a health care provider's privacy practices.
purpose - pride - patience - persistence - perspective
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
located in a secured and private space
Notice of Privacy Practices (NPP)

6. Titile II of HIPAA
the philosophical study of moral values and rules - conducts
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Individually Identifiable Health Information

7. The limited amount of patient information to be disclosed - depending on circumstances.
Minimum necessary
A written set of questions requiring written answers from a plaintiff or defendant under oath
Standard
Transaction

8. A reason for each use and disclosure of patient information.
Patient rights under HIPAA
Permission
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
Invasion of Privacy Publishing

9. Subpoenas
De-Identified Information
generally only patient can auth release of own medical record - there are a few exceptions
Minimum necessary
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

10. Protected health information from which certain patient identifiers have been removed
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
generally only patient can auth release of own medical record - there are a few exceptions
Limited data set
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.

11. Fax machines
Electronic data interchange
should only be used when no other - more secure mode of transmission is available
The body of laws made by states is their own statutory laws
addresses portability of insurance coverage when employees change or lose their jobs

12. Advanced directives
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Notice of Privacy Practices
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

13. Hardware or software designed to prevent unauthorized access to electronic information.
Firewalls
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Rule
Electronic transmission

14. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Portability
Standard

15. Statutory
A written set of questions requiring written answers from a plaintiff or defendant under oath
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
The body of laws made by states is their own statutory laws

16. Coded information that can't be read until is decoded.
the philosophical study of moral values and rules - conducts
What types of disclosures do not require patient permission?
need to know
Encryption

17. Freedom from unauthorized intrusion
have a unique password and it should be changed frequently
Ethical
Privacy
Firewalls

18. Battery
Treatment - payment and health care operations (TPO)
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
illegal touching of another person
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

19. 4d's of negligence
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
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Designated record set

20. Transmission of information between two parties fro financial or administrative activities.
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Transaction
Tort
improper performance of an otherwise lawful act. civil

21. 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
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Privacy
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

22. What information do patients NOT have access to?
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
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
Covered entities

23. Patient records are _____________ so not all staff will have access.
need to know
addresses portability of insurance coverage when employees change or lose their jobs
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Ethical

24. A general HIPAA requirement
Standard
only those who meed to know should have access to patient information
need to know
Patient Identifiable Information

25. Deposition
law concerned with public wrongs against society
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
testimony under oath
same legal standards apply to all patient records whether on paper or computer

26. HIPAA compliance mandates that computer systems must be...
only those who meed to know should have access to patient information
located in a secured and private space
law concerned with public wrongs against society
Privacy

27. Conforming to proper professional behavior
Ethical
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Portability

28. Confidentiality

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29. Disabilities act

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30. Under some circumstances ...
false charges and malicious oral statements about someone
Invasion of Privacy Publishing
a minor - rather than the parent - must sign the release of patient information
A written set of questions requiring written answers from a plaintiff or defendant under oath

31. Professional Negligence
The body of laws made by states is their own statutory laws
malpractice
Covered transactions
should only be used when no other - more secure mode of transmission is available

32. Unlawful act done without permission.
should only be used when no other - more secure mode of transmission is available
Individually Identifiable Health Information
a minor - rather than the parent - must sign the release of patient information
Malfeasance

33. What are the 3 purposes of HIPAA?
Electronic data interchange
Patient Identifiable Information
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Insurance portability - administrative simplification - privacy and security

34. Any wrongdoing for which an action for damages may be brought
Code sets
Notice of Privacy Practices
Notice of Privacy Practices (NPP)
Tort

35. Disclosure without Consent
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.
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
although medical records are confidential - there are times when they can be released w/o a patient consent.
security rule

36. Includes records maintained by or for a covered entity.
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 minor - rather than the parent - must sign the release of patient information
Designated record set
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

37. Verify the identification of anyone requesting patient information.
Malfeasance
a minor - rather than the parent - must sign the release of patient information
Minimum necessary
Verification

38. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
What types of disclosures do not require patient permission?
located in a secured and private space
Firewalls

39. Federal law protects patient records dealing with...
Rule
regular - in a secure location
generally only patient can auth release of own medical record - there are a few exceptions
substance abuse treatment

40. Policies and procedures use to protect electronic information from unauthorized access
Security
What types of disclosures do not require patient permission?
Covered transactions
Firewalls

41. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Covered entities
Covered transactions
Patient Identifiable Information

42. Uniform anotomical gift act
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
law that permits a person w/ a legal age and sound mind to give their body to donation
a minor - rather than the parent - must sign the release of patient information
improper performance of an otherwise lawful act. civil

43. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Standard
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Regulations

44. HI
Treatment - payment and health care operations (TPO)
Insurance portability - administrative simplification - privacy and security
Covered entities
Health Information

45. 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
Tort
concerns noncriminal disputes between private parties
only those who meed to know should have access to patient information

46. Criminal law
law concerned with public wrongs against society
Examples of PHI
Security
Invasion of Privacy Publishing

47. HIPAA
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Encryption
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
State preemption

48. 5P's of ethical power
Tort
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
purpose - pride - patience - persistence - perspective
although medical records are confidential - there are times when they can be released w/o a patient consent.

49. The person recieving treatment
Patient
must be reported to authorities by law
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.
regular - in a secure location

50. The use of uniform electronic network protocols to transfer business information between organizations.
Electronic data interchange
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
malpractice