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. Battery
have a unique password and it should be changed frequently
illegal touching of another person
Designated record set
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

2. What information do patients NOT have access to?
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Firewalls
Electronic data interchange
although medical records are confidential - there are times when they can be released w/o a patient consent.

3. 5P's of ethical power
must be reported to authorities by law
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
purpose - pride - patience - persistence - perspective
same legal standards apply to all patient records whether on paper or computer

4. Slander
false charges and malicious oral statements about someone
Notice of Privacy Practices
What types of disclosures do not require patient permission?
malpractice

5. The person recieving treatment
Patient
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Patient rights under HIPAA
purpose - pride - patience - persistence - perspective

6. NPP
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
Ethical
Code sets
Notice of Privacy Practices

7. Titile II of HIPAA
improper performance of an otherwise lawful act. civil
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
must be reported to authorities by law
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

8. Key entities
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
addresses portability of insurance coverage when employees change or lose their jobs
Ethical
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

9. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Regulations
law concerned with public wrongs against society
Covered transactions
Health Information

10. Includes records maintained by or for a covered entity.
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
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
Designated record set

11. Implied contract
a contract that comes about from the actions of the parties rather than words
addresses portability of insurance coverage when employees change or lose their jobs
should only be used when no other - more secure mode of transmission is available
Regulations

12. 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
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
concerns noncriminal disputes between private parties
Notice of Privacy Practices (NPP)

13. Computes and HIPAA
same legal standards apply to all patient records whether on paper or computer
Examples of PHI
Portability
Patient rights under HIPAA

14. Ethics
Patient rights under HIPAA
Electronic Protected Health Information
the philosophical study of moral values and rules - conducts
Verification

15. Any wrongdoing for which an action for damages may be brought
Regulations
Covered entities
Tort
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

16. Hardware or software designed to prevent unauthorized access to electronic information.
Firewalls
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Health Information
law that permits a person w/ a legal age and sound mind to give their body to donation

17. Data must be backed up at ___________ and those back-up files should be stored ________.
Health Information
Security
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
regular - in a secure location

18. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Portability
Firewalls
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

19. 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)
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 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
Insurance portability - administrative simplification - privacy and security

20. Sending information over electronic networks.
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Electronic Protected Health Information
Electronic transmission
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

21. A general HIPAA requirement
Regulations
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Standard
Treatment - payment and health care operations (TPO)

22. Who regulates HIPAA?
Examples of PHI
improper performance of an otherwise lawful act. civil
U.S. goverment
Rule

23. making known - or using information relating to the private life or affairs of a person without their approval or permission
need to know
Invasion of Privacy Publishing
Patient rights under HIPAA
regular - in a secure location

24. Some state laws specifically protect __________. A patient would need to sign a specific request.
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
Patient rights under HIPAA
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Verification

25. Doctor release of patient
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
Electronic transmission
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Encryption

26. 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
Patient rights under HIPAA
Covered entities
only those who meed to know should have access to patient information
Individually Identifiable Health Information

27. Professional Negligence
only those who meed to know should have access to patient information
malpractice
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.
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

28. Title I of HIPAA
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Privacy
addresses portability of insurance coverage when employees change or lose their jobs
Examples of PHI

29. Deposition
testimony under oath
Electronic data interchange
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
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

30. Emancipated minors

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31. HIPAA states...
false charges and malicious oral statements about someone
only those who meed to know should have access to patient information
located in a secured and private space
treatment - payment - & healthcare operations

32. Subpoenas
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
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
have a unique password and it should be changed frequently
Patient rights under HIPAA

33. TPO
located in a secured and private space
Notice of Privacy Practices (NPP)
treatment - payment - & healthcare operations
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. HIPAA
generally only patient can auth release of own medical record - there are a few exceptions
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
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
addresses portability of insurance coverage when employees change or lose their jobs

35. Coded information that can't be read until is decoded.
Encryption
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Patient rights under HIPAA
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

36. Medical records used for health care research

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37. interrogatory
A written set of questions requiring written answers from a plaintiff or defendant under oath
Patient
Notice of Privacy Practices
Designated record set

38. Confidentiality

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39. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
security rule
a minor - rather than the parent - must sign the release of patient information
Invasion of Privacy Publishing
Covered transactions

40. OIG - Office of the Inspector General
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Health Information
Examples of PHI
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

41. Federal law protects patient records dealing with...
State preemption
Standard
substance abuse treatment
comes on after a few idle seconds and the use of a privacy screen should be mandatory

42. Protected Health Information (PHI)
should only be used when no other - more secure mode of transmission is available
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Regulations
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

43. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
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
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
What types of disclosures do not require patient permission?

44. General exceptions for releasing patient information
Permission
purpose - pride - patience - persistence - perspective
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Minimum necessary

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

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46. Fax machines
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.
Health Information
should only be used when no other - more secure mode of transmission is available
Code sets

47. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
U.S. goverment
need to know
Covered transactions
Limited data set

48. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Covered transactions
a contract that comes about from the actions of the parties rather than words
State preemption

49. Business Associate Agreements applies to...
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
testimony under oath
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
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

50. Misfeasance
Malfeasance
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
improper performance of an otherwise lawful act. civil
failure to act with the standard of care that a reasonable person would exercise under the same circumstances