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. What information do patients NOT have access to?
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

2. OIG - Office of the Inspector General
addresses portability of insurance coverage when employees change or lose their jobs
Patient
Minimum necessary
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

3. De-Identified Information
improper performance of an otherwise lawful act. civil
need to know
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
The body of laws made by states is their own statutory laws

4. The limited amount of patient information to be disclosed - depending on circumstances.
state laws setting time limit for bringing a lawsuit
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Invasion of Privacy Publishing
Minimum necessary

5. Clearinghouse
Tort
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
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

6. The person recieving treatment
Minimum necessary
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Patient

7. HIPAA compliance mandates that computer systems must be...
located in a secured and private space
Standard
The body of laws made by states is their own statutory laws
although medical records are confidential - there are times when they can be released w/o a patient consent.

8. Disabilities act

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9. Who regulates HIPAA?
Malfeasance
Encryption
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
U.S. goverment

10. Medical records can be released w/o consent to...
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
should only be used when no other - more secure mode of transmission is available
Privacy
Health Information

11. TPO
treatment - payment - & healthcare operations
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
A written set of questions requiring written answers from a plaintiff or defendant under oath
regular - in a secure location

12. Ethics
the philosophical study of moral values and rules - conducts
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
Ethical

13. Disclosure without Consent
Notice of Privacy Practices
have a unique password and it should be changed frequently
although medical records are confidential - there are times when they can be released w/o a patient consent.
false charges and malicious oral statements about someone

14. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
false charges and malicious oral statements about someone
U.S. goverment
Portability
Patient

15. Under some circumstances ...
a minor - rather than the parent - must sign the release of patient information
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
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Covered entities

16. Patient records are _____________ so not all staff will have access.
need to know
Covered entities
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
Patient rights under HIPAA

17. Some state laws specifically protect __________. A patient would need to sign a specific request.
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Security
substance abuse treatment
a contract that comes about from the actions of the parties rather than words

18. Statutory
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
The body of laws made by states is their own statutory laws
Notice of Privacy Practices (NPP)

19. Misfeasance
improper performance of an otherwise lawful act. civil
Invasion of Privacy Publishing
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
state laws setting time limit for bringing a lawsuit

20. Advanced directives
malpractice
located in a secured and private space
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
Health Information

21. Verify the identification of anyone requesting patient information.
should only be used when no other - more secure mode of transmission is available
Standard
Verification
Electronic transmission

22. Conforming to proper professional behavior
generally only patient can auth release of own medical record - there are a few exceptions
Malfeasance
Ethical
although medical records are confidential - there are times when they can be released w/o a patient consent.

23. Fax machines
should only be used when no other - more secure mode of transmission is available
Firewalls
Code sets
have a unique password and it should be changed frequently

24. Professional Negligence
malpractice
testimony under oath
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Portability

25. Releasing patient information
purpose - pride - patience - persistence - perspective
generally only patient can auth release of own medical record - there are a few exceptions
have a unique password and it should be changed frequently
illegal touching of another person

26. Coded information that can't be read until is decoded.
Insurance portability - administrative simplification - privacy and security
Encryption
Verification
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

27. Policies and procedures use to protect electronic information from unauthorized access
Security
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Regulations
Examples of PHI

28. Libel
purpose - pride - patience - persistence - perspective
A written set of questions requiring written answers from a plaintiff or defendant under oath
false and malicious writing about another
Malfeasance

29. Statue of limitations
state laws setting time limit for bringing a lawsuit
false charges and malicious oral statements about someone
false and malicious writing about another
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

30. Doctor release of patient
Health Information
Patient rights under HIPAA
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
substance abuse treatment

31. A general HIPAA requirement
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
Security
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Standard

32. Unlawful act done without permission.
security rule
Patient Identifiable Information
same legal standards apply to all patient records whether on paper or computer
Malfeasance

33. Key entities
false charges and malicious oral statements about someone
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
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

34. Title I of HIPAA
treatment - payment - & healthcare operations
addresses portability of insurance coverage when employees change or lose their jobs
only those who meed to know should have access to patient information
Examples of PHI

35. IIHI
law that permits a person w/ a legal age and sound mind to give their body to donation
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Individually Identifiable Health Information
Limited data set

36. PII
Rule
Patient Identifiable Information
Electronic Protected Health Information
Regulations

37. EPHI
De-Identified Information
Electronic Protected Health Information
Examples of PHI
law concerned with public wrongs against society

38. Emancipated minors

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39. Transmission of information between two parties fro financial or administrative activities.
A written set of questions requiring written answers from a plaintiff or defendant under oath
Transaction
have a unique password and it should be changed frequently
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

40. making known - or using information relating to the private life or affairs of a person without their approval or permission
Invasion of Privacy Publishing
false charges and malicious oral statements about someone
treatment - payment - & healthcare operations
Portability

41. Negligence
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
law that permits a person w/ a legal age and sound mind to give their body to donation
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Notice of Privacy Practices (NPP)

42. Any set of codes use to encode health care data elements.
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
De-Identified Information
should never be released w/o a patient's signed consent or court order
Code sets

43. NPP
the philosophical study of moral values and rules - conducts
Examples of PHI
only those who meed to know should have access to patient information
Notice of Privacy Practices

44. Hardware or software designed to prevent unauthorized access to electronic information.
Electronic Protected Health Information
false charges and malicious oral statements about someone
Firewalls
substance abuse treatment

45. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Patient Identifiable Information
Regulations
Insurance portability - administrative simplification - privacy and security
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

46. 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
have a unique password and it should be changed frequently
need to know
Rule
Patient rights under HIPAA

47. 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)
Limited data set
only those who meed to know should have access to patient information
Portability

48. 4d's of negligence
Firewalls
need to know
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
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

49. Common law
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
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
malpractice
Rule

50. The use of uniform electronic network protocols to transfer business information between organizations.
Electronic data interchange
a contract that comes about from the actions of the parties rather than words
a minor - rather than the parent - must sign the release of patient information
comes on after a few idle seconds and the use of a privacy screen should be mandatory