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. Slander
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
although medical records are confidential - there are times when they can be released w/o a patient consent.
a contract that comes about from the actions of the parties rather than words
false charges and malicious oral statements about someone

2. Some state laws specifically protect __________. A patient would need to sign a specific request.
U.S. goverment
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
illegal touching of another person
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

3. Business Associate Agreements applies to...
purpose - pride - patience - persistence - perspective
What types of disclosures do not require patient permission?
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

4. Who regulates HIPAA?
purpose - pride - patience - persistence - perspective
Security
U.S. goverment
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

5. Statutory
law concerned with public wrongs against society
improper performance of an otherwise lawful act. civil
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
The body of laws made by states is their own statutory laws

6. Confidentiality

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7. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Covered transactions
security rule
illegal touching of another person
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

8. Good samaritan law
Patient rights under HIPAA
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
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
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

9. 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
Covered entities
testimony under oath
regular - in a secure location
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

10. 5P's of ethical power
purpose - pride - patience - persistence - perspective
generally only patient can auth release of own medical record - there are a few exceptions
Covered entities
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

11. NPP
Notice of Privacy Practices
Individually Identifiable Health Information
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

12. Releasing patient information
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
generally only patient can auth release of own medical record - there are a few exceptions
Encryption
Permission

13. What are the 3 purposes of HIPAA?
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
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
Individually Identifiable Health Information

14. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
should never be released w/o a patient's signed consent or court order
U.S. goverment
Regulations
Electronic data interchange

15. Includes records maintained by or for a covered entity.
Designated record set
Electronic transmission
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Notice of Privacy Practices

16. Under some circumstances ...
a minor - rather than the parent - must sign the release of patient information
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
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
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

17. 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.
Insurance portability - administrative simplification - privacy and security
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Treatment - payment and health care operations (TPO)
Privacy

18. Misfeasance
improper performance of an otherwise lawful act. civil
Standard
Regulations
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

19. Transmission of information between two parties fro financial or administrative activities.
Firewalls
law that permits a person w/ a legal age and sound mind to give their body to donation
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

20. Verify the identification of anyone requesting patient information.
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
concerns noncriminal disputes between private parties
false charges and malicious oral statements about someone
Verification

21. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
substance abuse treatment
Code sets
What types of disclosures do not require patient permission?
false charges and malicious oral statements about someone

22. Patient records are _____________ so not all staff will have access.
illegal touching of another person
Regulations
located in a secured and private space
need to know

23. Privacy Officer
regular - in a secure location
State preemption
addresses portability of insurance coverage when employees change or lose their jobs
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

24. TPO
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
addresses portability of insurance coverage when employees change or lose their jobs
treatment - payment - & healthcare operations
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

25. Disclosure without Consent
although medical records are confidential - there are times when they can be released w/o a patient consent.
comes on after a few idle seconds and the use of a privacy screen should be mandatory
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

26. Deposition
a minor - rather than the parent - must sign the release of patient information
testimony under oath
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

27. HIPAA compliance mandates that computer systems must be...
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
located in a secured and private space
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

28. Negligence
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
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
Notice of Privacy Practices (NPP)

29. Implied contract
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
De-Identified Information
Electronic Protected Health Information
a contract that comes about from the actions of the parties rather than words

30. IIHI
treatment - payment - & healthcare operations
Notice of Privacy Practices (NPP)
Individually Identifiable Health Information
Malfeasance

31. Advanced directives
purpose - pride - patience - persistence - perspective
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
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
Minimum necessary

32. The use of uniform electronic network protocols to transfer business information between organizations.
Individually Identifiable Health Information
should never be released w/o a patient's signed consent or court order
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 data interchange

33. Statue of limitations
state laws setting time limit for bringing a lawsuit
should never be released w/o a patient's signed consent or court order
false and malicious writing about another
De-Identified Information

34. Reportable diseases...
must be reported to authorities by law
The body of laws made by states is their own statutory laws
Ethical
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

35. 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.
state laws setting time limit for bringing a lawsuit
Examples of PHI
Electronic data interchange
Security

36. HIPAA
Security
What types of disclosures do not require patient permission?
a contract that comes about from the actions of the parties rather than words
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

37. Sending information over electronic networks.
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
Electronic Protected Health Information
Electronic transmission
false and malicious writing about another

38. Fax machines
illegal touching of another person
U.S. goverment
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
should only be used when no other - more secure mode of transmission is available

39. Freedom from unauthorized intrusion
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
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
Encryption
Privacy

40. Libel
Minimum necessary
false and malicious writing about another
Patient rights under HIPAA
treatment - payment - & healthcare operations

41. De-Identified Information
generally only patient can auth release of own medical record - there are a few exceptions
Covered entities
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Limited data set

42. Unlawful act done without permission.
Security
Privacy
Malfeasance
Portability

43. DII
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
concerns noncriminal disputes between private parties
State preemption
De-Identified Information

44. Civil law
Tort
comes on after a few idle seconds and the use of a privacy screen should be mandatory
concerns noncriminal disputes between private parties
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

45. Clearinghouse
law concerned with public wrongs against society
Examples of PHI
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
substance abuse treatment

46. Implied consent
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.
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
substance abuse treatment

47. Hardware or software designed to prevent unauthorized access to electronic information.
false and malicious writing about another
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Firewalls
Portability

48. The person recieving treatment
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Invasion of Privacy Publishing
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Patient

49. PII
law that permits a person w/ a legal age and sound mind to give their body to donation
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.
Patient rights under HIPAA
Patient Identifiable Information

50. General exceptions for releasing patient information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
a contract that comes about from the actions of the parties rather than words
should never be released w/o a patient's signed consent or court order