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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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1. HIPAA compliance mandates that computer systems must be...
need to know
regular - in a secure location
located in a secured and private space
comes on after a few idle seconds and the use of a privacy screen should be mandatory

2. Professional Negligence
malpractice
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Standard
Firewalls

3. PII
Patient Identifiable Information
should only be used when no other - more secure mode of transmission is available
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
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

4. Policies and procedures use to protect electronic information from unauthorized access
Treatment - payment and health care operations (TPO)
Transaction
Security
Verification

5. Negligence
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.
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Code sets
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

6. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
generally only patient can auth release of own medical record - there are a few exceptions
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
What types of disclosures do not require patient permission?
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

7. IIHI
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
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
Individually Identifiable Health Information

8. Doctor release of patient
Transaction
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Regulations
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. Verify the identification of anyone requesting patient information.
Standard
Verification
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
false and malicious writing about another

10. EPHI
Patient Identifiable Information
Electronic Protected Health Information
although medical records are confidential - there are times when they can be released w/o a patient consent.
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

11. Who regulates HIPAA?
U.S. goverment
Health Information
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
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

12. Protected health information from which certain patient identifiers have been removed
same legal standards apply to all patient records whether on paper or computer
Limited data set
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Security

13. Emancipated minors

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14. Fax machines
purpose - pride - patience - persistence - perspective
should only be used when no other - more secure mode of transmission is available
regular - in a secure location
Tort

15. Slander
must be reported to authorities by law
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
false charges and malicious oral statements about someone
Ethical

16. General exceptions for releasing patient information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
located in a secured and private space
substance abuse treatment

17. making known - or using information relating to the private life or affairs of a person without their approval or permission
Invasion of Privacy Publishing
Ethical
Covered entities
A written set of questions requiring written answers from a plaintiff or defendant under oath

18. Coded information that can't be read until is decoded.
Encryption
Notice of Privacy Practices (NPP)
need to know
De-Identified Information

19. Ethics
have a unique password and it should be changed frequently
Patient rights under HIPAA
the philosophical study of moral values and rules - conducts
Patient Identifiable Information

20. Computes and HIPAA
Tort
the philosophical study of moral values and rules - conducts
testimony under oath
same legal standards apply to all patient records whether on paper or computer

21. Under some circumstances ...
a minor - rather than the parent - must sign the release of patient information
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
State preemption
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

22. Misfeasance
law that permits a person w/ a legal age and sound mind to give their body to donation
improper performance of an otherwise lawful act. civil
Notice of Privacy Practices (NPP)
Transaction

23. 5P's of ethical power
regular - in a secure location
purpose - pride - patience - persistence - perspective
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Electronic Protected Health Information

24. Libel
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
false and malicious writing about another
Security

25. 4d's of negligence
De-Identified Information
U.S. goverment
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

26. Confidentiality

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27. Bioethics
security rule
Portability
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

28. Statue of limitations
security rule
state laws setting time limit for bringing a lawsuit
Verification
Notice of Privacy Practices

29. 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.
Regulations
Examples of PHI
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
Notice of Privacy Practices

30. A reason for each use and disclosure of patient information.
Individually Identifiable Health Information
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
Permission
concerns noncriminal disputes between private parties

31. Hardware or software designed to prevent unauthorized access to electronic information.
Electronic transmission
Transaction
need to know
Firewalls

32. Includes records maintained by or for a covered entity.
same legal standards apply to all patient records whether on paper or computer
although medical records are confidential - there are times when they can be released w/o a patient consent.
Designated record set
Ethical

33. Subpoenas
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Treatment - payment and health care operations (TPO)
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

34. What information do patients NOT have access to?
Verification
What types of disclosures do not require patient permission?
substance abuse treatment
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

35. NPP
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
Rule
should only be used when no other - more secure mode of transmission is available
Notice of Privacy Practices

36. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
State preemption
malpractice
Invasion of Privacy Publishing
Examples of PHI

37. A written document detailing a health care provider's privacy practices.
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Limited data set
state laws setting time limit for bringing a lawsuit
Notice of Privacy Practices (NPP)

38. Fax Machines and HIPAA
Ethical
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
The body of laws made by states is their own statutory laws
Portability

39. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
state laws setting time limit for bringing a lawsuit
What types of disclosures do not require patient permission?
Malfeasance
Portability

40. TPO
false and malicious writing about another
treatment - payment - & healthcare operations
generally only patient can auth release of own medical record - there are a few exceptions
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

41. Disclosure without Consent
Notice of Privacy Practices
purpose - pride - patience - persistence - perspective
Insurance portability - administrative simplification - privacy and security
although medical records are confidential - there are times when they can be released w/o a patient consent.

42. Some state laws specifically protect __________. A patient would need to sign a specific request.
Minimum necessary
U.S. goverment
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

43. The person recieving treatment
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
should only be used when no other - more secure mode of transmission is available
Patient
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

44. Good samaritan law
should only be used when no other - more secure mode of transmission is available
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
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

45. Disabilities act

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46. Freedom from unauthorized intrusion
false charges and malicious oral statements about someone
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Privacy
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.

47. Criminal law
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
law concerned with public wrongs against society
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Patient Identifiable Information

48. Document that includes the standards
Code sets
Rule
false charges and malicious oral statements about someone
Security

49. Battery
Insurance portability - administrative simplification - privacy and security
illegal touching of another person
Notice of Privacy Practices (NPP)
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

50. Titile II of HIPAA
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
Invasion of Privacy Publishing
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
A written set of questions requiring written answers from a plaintiff or defendant under oath

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HIPAA

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