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. Clearinghouse
U.S. goverment
Limited data set
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
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


3. making known - or using information relating to the private life or affairs of a person without their approval or permission
Permission
addresses portability of insurance coverage when employees change or lose their jobs
Invasion of Privacy Publishing
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA


4. Titile II of HIPAA
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
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Transaction


5. Doctor release of patient
should never be released w/o a patient's signed consent or court order
Limited data set
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Tort


6. Emancipated minors

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7. Misfeasance
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect 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
Transaction
improper performance of an otherwise lawful act. civil


8. Confidentiality

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9. A reason for each use and disclosure of patient information.
Security
testimony under oath
Permission
should never be released w/o a patient's signed consent or court order


10. Disclosure without Consent
De-Identified Information
State preemption
although medical records are confidential - there are times when they can be released w/o a patient consent.
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training


11. Reportable diseases...
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Regulations
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
must be reported to authorities by law


12. Any wrongdoing for which an action for damages may be brought
Malfeasance
comes on after a few idle seconds and the use of a privacy screen should be mandatory
The body of laws made by states is their own statutory laws
Tort


13. Privacy Officer
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
Regulations
concerns noncriminal disputes between private parties
have a unique password and it should be changed frequently


14. Disabilities act

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15. interrogatory
false charges and malicious oral statements about someone
Firewalls
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
A written set of questions requiring written answers from a plaintiff or defendant under oath


16. Title I of HIPAA
need to know
addresses portability of insurance coverage when employees change or lose their jobs
improper performance of an otherwise lawful act. civil
same legal standards apply to all patient records whether on paper or computer


17. Civil law
concerns noncriminal disputes between private parties
Rule
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Electronic data interchange


18. Computes and HIPAA
purpose - pride - patience - persistence - perspective
same legal standards apply to all patient records whether on paper or computer
Verification
Limited data set


19. 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.
Privacy
Electronic transmission
Examples of PHI
Insurance portability - administrative simplification - privacy and security


20. HI
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
Health Information
Security
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.


21. Business Associate Agreements applies to...
Limited data set
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
purpose - pride - patience - persistence - perspective


22. Protected Health Information (PHI)
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Security
should never be released w/o a patient's signed consent or court order
Rule


23. Verify the identification of anyone requesting patient information.
Verification
regular - in a secure location
security rule
Transaction


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

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25. 5P's of ethical power
Covered transactions
purpose - pride - patience - persistence - perspective
false charges and malicious oral statements about someone
What types of disclosures do not require patient permission?


26. Protected health information from which certain patient identifiers have been removed
concerns noncriminal disputes between private parties
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.
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Limited data set


27. Good samaritan law
The body of laws made by states is their own statutory laws
a minor - rather than the parent - must sign the release of patient information
Standard
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training


28. Fax Machines and HIPAA
law that permits a person w/ a legal age and sound mind to give their body to donation
testimony under oath
Firewalls
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.


29. Key entities
treatment - payment - & healthcare operations
The body of laws made by states is their own statutory laws
generally only patient can auth release of own medical record - there are a few exceptions
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. Data must be backed up at ___________ and those back-up files should be stored ________.
illegal touching of another person
should only be used when no other - more secure mode of transmission is available
regular - in a secure location
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.


31. Implied consent
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
although medical records are confidential - there are times when they can be released w/o a patient 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.
Code sets


32. Hardware or software designed to prevent unauthorized access to electronic information.
purpose - pride - patience - persistence - perspective
Firewalls
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Individually Identifiable Health Information


33. The use of uniform electronic network protocols to transfer business information between organizations.
Permission
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Rule
Electronic data interchange


34. A general HIPAA requirement
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
illegal touching of another person
Standard
Patient


35. The limited amount of patient information to be disclosed - depending on circumstances.
law that permits a person w/ a legal age and sound mind to give their body to donation
Limited data set
Minimum necessary
false and malicious writing about another


36. De-Identified Information
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
illegal touching of another person
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
need to know


37. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
purpose - pride - patience - persistence - perspective
What types of disclosures do not require patient permission?
treatment - payment - & healthcare operations
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)


38. Who regulates HIPAA?
U.S. goverment
Verification
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
Notice of Privacy Practices


39. Releasing patient information
a contract that comes about from the actions of the parties rather than words
generally only patient can auth release of own medical record - there are a few exceptions
concerns noncriminal disputes between private parties
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.


40. Libel
Notice of Privacy Practices
false and malicious writing about another
concerns noncriminal disputes between private parties
Transaction


41. NPP
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Notice of Privacy Practices
Firewalls
A written set of questions requiring written answers from a plaintiff or defendant under oath


42. General exceptions for releasing patient information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Rule
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)


43. Fax machines
should only be used when no other - more secure mode of transmission is available
located in a secured and private space
state laws setting time limit for bringing a lawsuit
should never be released w/o a patient's signed consent or court order


44. 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.
Minimum necessary
Treatment - payment and health care operations (TPO)
malpractice
law that permits a person w/ a legal age and sound mind to give their body to donation


45. Criminal law
law concerned with public wrongs against society
purpose - pride - patience - persistence - perspective
Firewalls
addresses portability of insurance coverage when employees change or lose their jobs


46. IIHI
Individually Identifiable Health Information
Health Information
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
testimony under oath


47. PII
Patient Identifiable Information
Health Information
the philosophical study of moral values and rules - conducts
substance abuse treatment


48. Professional Negligence
malpractice
Notice of Privacy Practices
Rule
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.


49. Some state laws specifically protect __________. A patient would need to sign a specific request.
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
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
same legal standards apply to all patient records whether on paper or computer


50. Slander
should only be used when no other - more secure mode of transmission is available
false charges and malicious oral statements about someone
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
a minor - rather than the parent - must sign the release of patient information