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. 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.
should never be released w/o a patient's signed consent or court order
Rule
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
Treatment - payment and health care operations (TPO)

2. 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
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
generally only patient can auth release of own medical record - there are a few exceptions

3. 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
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
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

4. Federal law protects patient records dealing with...
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
substance abuse treatment
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Minimum necessary

5. HIPAA
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
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.
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

6. Disabilities act

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7. Some state laws specifically protect __________. A patient would need to sign a specific request.
law concerned with public wrongs against society
Individually Identifiable Health Information
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

8. Clearinghouse
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Firewalls
Ethical
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

9. Implied contract
Verification
a contract that comes about from the actions of the parties rather than words
only those who meed to know should have access to patient information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

10. Ethics
the philosophical study of moral values and rules - conducts
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
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.
Designated record set

11. Coded information that can't be read until is decoded.
Encryption
Regulations
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
malpractice

12. All persons who will have access are required to...
Permission
have a unique password and it should be changed frequently
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
malpractice

13. HIPAA states...
Designated record set
only those who meed to know should have access to patient information
Patient rights under HIPAA
Individually Identifiable Health Information

14. Releasing patient information
Portability
should only be used when no other - more secure mode of transmission is available
generally only patient can auth release of own medical record - there are a few exceptions
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

15. EPHI
need to know
Patient
Electronic data interchange
Electronic Protected Health Information

16. Advanced directives
Privacy
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
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

17. Reportable diseases...
must be reported to authorities by law
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
should never be released w/o a patient's signed consent or court order

18. Computes and HIPAA
purpose - pride - patience - persistence - perspective
Security
same legal standards apply to all patient records whether on paper or computer
Health Information

19. Statutory
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Patient
The body of laws made by states is their own statutory laws
purpose - pride - patience - persistence - perspective

20. Sending information over electronic networks.
security rule
Health Information
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Electronic transmission

21. Disclosure without Consent
although medical records are confidential - there are times when they can be released w/o a patient consent.
Treatment - payment and health care operations (TPO)
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
have a unique password and it should be changed frequently

22. Any set of codes use to encode health care data elements.
Encryption
Code sets
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

23. TPO
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
treatment - payment - & healthcare operations
Notice of Privacy Practices
A written set of questions requiring written answers from a plaintiff or defendant under oath

24. 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
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
Rule
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

25. Fax machines
addresses portability of insurance coverage when employees change or lose their jobs
Minimum necessary
Patient rights under HIPAA
should only be used when no other - more secure mode of transmission is available

26. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
What types of disclosures do not require patient permission?
have a unique password and it should be changed frequently
Individually Identifiable Health Information

27. Statue of limitations
state laws setting time limit for bringing a lawsuit
located in a secured and private space
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
law concerned with public wrongs against society

28. 5P's of ethical power
Electronic data interchange
must be reported to authorities by law
A written set of questions requiring written answers from a plaintiff or defendant under oath
purpose - pride - patience - persistence - perspective

29. Common law
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
substance abuse treatment
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

30. Freedom from unauthorized intrusion
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
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.
Privacy

31. Data must be backed up at ___________ and those back-up files should be stored ________.
Transaction
Examples of PHI
Patient
regular - in a secure location

32. The computer screen should have a screensaver that...
comes on after a few idle seconds and the use of a privacy screen should be mandatory
testimony under oath
De-Identified Information
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

33. Subpoenas
only those who meed to know should have access to patient information
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
malpractice
should never be released w/o a patient's signed consent or court order

34. Transmission of information between two parties fro financial or administrative activities.
must be reported to authorities by law
Encryption
Transaction
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

35. Good samaritan law
Covered entities
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
have a unique password and it should be changed frequently
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

36. IIHI
Minimum necessary
Designated record set
Individually Identifiable Health Information
law concerned with public wrongs against society

37. Document that includes the standards
Rule
Examples of PHI
same legal standards apply to all patient records whether on paper or computer
State preemption

38. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Covered transactions
same legal standards apply to all patient records whether on paper or computer
false charges and malicious oral statements about someone
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

39. The limited amount of patient information to be disclosed - depending on circumstances.
Covered transactions
Minimum necessary
addresses portability of insurance coverage when employees change or lose their jobs
Patient rights under HIPAA

40. HIPAA compliance mandates that computer systems must be...
Patient Identifiable Information
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
should only be used when no other - more secure mode of transmission is available
located in a secured and private space

41. Criminal law
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)
law concerned with public wrongs against society
Treatment - payment and health care operations (TPO)

42. 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
should only be used when no other - more secure mode of transmission is available
Patient Identifiable Information
Covered entities
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

43. Misfeasance
Privacy
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
improper performance of an otherwise lawful act. civil
same legal standards apply to all patient records whether on paper or computer

44. making known - or using information relating to the private life or affairs of a person without their approval or permission
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Invasion of Privacy Publishing
state laws setting time limit for bringing a lawsuit
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

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

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46. Business Associate Agreements applies to...
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
a minor - rather than the parent - must sign the release of patient information
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

47. Deposition
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
testimony under oath
Individually Identifiable Health Information
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

48. Slander
false charges and malicious oral statements about someone
malpractice
same legal standards apply to all patient records whether on paper or computer
Minimum necessary

49. Titile II of HIPAA
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.
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
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
Rule

50. What are the 3 purposes of HIPAA?
Insurance portability - administrative simplification - privacy and security
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
the philosophical study of moral values and rules - conducts
malpractice