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HIPAA

Instructions:

Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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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. Patient records are _____________ so not all staff will have access.
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
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.
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
need to know

2. What are the 3 purposes of HIPAA?
Verification
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
Malfeasance
Insurance portability - administrative simplification - privacy and security

3. Fax Machines and HIPAA
Regulations
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
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 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. Professional Negligence
Individually Identifiable Health Information
only those who meed to know should have access to patient information
malpractice
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

5. Clearinghouse
illegal touching of another person
should only be used when no other - more secure mode of transmission is available
Covered entities
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. Protected Health Information (PHI)
Privacy
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Notice of Privacy Practices

7. 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.
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
substance abuse treatment
Treatment - payment and health care operations (TPO)
should never be released w/o a patient's signed consent or court order

8. A general HIPAA requirement
Standard
state laws setting time limit for bringing a lawsuit
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.
treatment - payment - & healthcare operations

9. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
De-Identified Information
Code sets
Designated record set
Portability

10. General exceptions for releasing patient information
regular - in a secure location
Electronic transmission
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
need to know

11. HIPAA compliance mandates that computer systems must be...
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
false charges and malicious oral statements about someone
located in a secured and private space
Tort

12. Subpoenas
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
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.
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

13. Computes and HIPAA
same legal standards apply to all patient records whether on paper or computer
U.S. goverment
Security
State preemption

14. Includes records maintained by or for a covered entity.
law that permits a person w/ a legal age and sound mind to give their body to donation
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Designated record set
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

15. Any wrongdoing for which an action for damages may be brought
Privacy
Tort
Rule
Covered entities

16. Fax machines
should only be used when no other - more secure mode of transmission is available
Covered entities
Rule
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

17. 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
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Limited data set
Individually Identifiable Health Information
Covered entities

18. A reason for each use and disclosure of patient information.
should only be used when no other - more secure mode of transmission is available
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Permission

19. Advanced directives
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
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

20. A written document detailing a health care provider's privacy practices.
only those who meed to know should have access to patient information
purpose - pride - patience - persistence - perspective
Notice of Privacy Practices (NPP)
Designated record set

21. Doctor release of patient
Firewalls
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
What types of disclosures do not require patient permission?
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

22. Confidentiality

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23. De-Identified Information
Privacy
Health Information
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
although medical records are confidential - there are times when they can be released w/o a patient consent.

24. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Regulations
A written set of questions requiring written answers from a plaintiff or defendant under oath
Firewalls
Transaction

25. Common law
malpractice
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

26. Freedom from unauthorized intrusion
Malfeasance
Portability
Notice of Privacy Practices (NPP)
Privacy

27. Deposition
Regulations
testimony under oath
Electronic data interchange
Minimum necessary

28. Slander
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Limited data set
should only be used when no other - more secure mode of transmission is available
false charges and malicious oral statements about someone

29. Criminal law
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
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Rule
law concerned with public wrongs against society

30. All persons who will have access are required to...
have a unique password and it should be changed frequently
Tort
testimony under oath
comes on after a few idle seconds and the use of a privacy screen should be mandatory

31. DII
Electronic Protected Health Information
only those who meed to know should have access to patient information
De-Identified Information
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

32. HIPAA states...
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
need to know
only those who meed to know should have access to patient information
Invasion of Privacy Publishing

33. Coded information that can't be read until is decoded.
Transaction
Encryption
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
malpractice

34. Policies and procedures use to protect electronic information from unauthorized access
U.S. goverment
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Security
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

35. Protected health information from which certain patient identifiers have been removed
Limited data set
Covered entities
Security
should only be used when no other - more secure mode of transmission is available

36. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
Firewalls
What types of disclosures do not require patient permission?
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
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

37. Data must be backed up at ___________ and those back-up files should be stored ________.
Examples of PHI
Malfeasance
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
regular - in a secure location

38. Transmission of information between two parties fro financial or administrative activities.
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
Transaction
illegal touching of another person

39. Statue of limitations
Notice of Privacy Practices (NPP)
illegal touching of another person
Designated record set
state laws setting time limit for bringing a lawsuit

40. Battery
illegal touching of another person
Covered transactions
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
malpractice

41. What information do patients NOT have access to?
a minor - rather than the parent - must sign the release of patient information
What types of disclosures do not require patient permission?
Notice of Privacy Practices
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

42. Reportable diseases...
What types of disclosures do not require patient permission?
regular - in a secure location
have a unique password and it should be changed frequently
must be reported to authorities by law

43. Title I of HIPAA
located in a secured and private space
testimony under oath
Permission
addresses portability of insurance coverage when employees change or lose their jobs

44. Verify the identification of anyone requesting patient information.
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
Verification
Tort
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

45. Any set of codes use to encode health care data elements.
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Code sets
Notice of Privacy Practices
Covered transactions

46. Ethics
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Health Information
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
the philosophical study of moral values and rules - conducts

47. Some state laws specifically protect __________. A patient would need to sign a specific request.
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
located in a secured and private space
A written set of questions requiring written answers from a plaintiff or defendant under oath

48. Statutory
The body of laws made by states is their own statutory laws
Code sets
What types of disclosures do not require patient permission?
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

49. interrogatory
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
A written set of questions requiring written answers from a plaintiff or defendant under oath
Insurance portability - administrative simplification - privacy and security
Treatment - payment and health care operations (TPO)

50. Misfeasance
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Standard
improper performance of an otherwise lawful act. civil

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HIPAA

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