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HIPAA

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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. Implied consent
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
false charges and malicious oral statements about someone
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.
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

2. Confidentiality

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3. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
Tort
Rule
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
What types of disclosures do not require patient permission?

4. Computes and HIPAA
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Covered entities
same legal standards apply to all patient records whether on paper or computer

5. Privacy Officer
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
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Permission
Patient Identifiable Information

6. Coded information that can't be read until is decoded.
although medical records are confidential - there are times when they can be released w/o a patient consent.
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Encryption
comes on after a few idle seconds and the use of a privacy screen should be mandatory

7. Libel
treatment - payment - & healthcare operations
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
false and malicious writing about another
comes on after a few idle seconds and the use of a privacy screen should be mandatory

8. Includes records maintained by or for a covered entity.
Electronic transmission
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
Designated record set
substance abuse treatment

9. 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
only those who meed to know should have access to patient information
Patient rights under HIPAA
State preemption
Notice of Privacy Practices

10. EPHI
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Regulations
malpractice
Electronic Protected Health Information

11. Protected Health Information (PHI)
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.
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
State preemption

12. Policies and procedures use to protect electronic information from unauthorized access
Designated record set
Regulations
Security
A written set of questions requiring written answers from a plaintiff or defendant under oath

13. Implied contract
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
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
a contract that comes about from the actions of the parties rather than words
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

14. Deposition
law that permits a person w/ a legal age and sound mind to give their body to donation
U.S. goverment
What types of disclosures do not require patient permission?
testimony under oath

15. What information do patients NOT have access to?
Electronic data interchange
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
false charges and malicious oral statements about someone
testimony under oath

16. Ethics
false and malicious writing about another
Portability
the philosophical study of moral values and rules - conducts
Electronic data interchange

17. IIHI
Electronic transmission
same legal standards apply to all patient records whether on paper or computer
purpose - pride - patience - persistence - perspective
Individually Identifiable Health Information

18. Good samaritan law
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Minimum necessary
What types of disclosures do not require patient permission?
Portability

19. 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
The body of laws made by states is their own statutory laws
Insurance portability - administrative simplification - privacy and security
Covered entities
Code sets

20. Document that includes the standards
substance abuse treatment
Rule
Encryption
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

21. Who regulates HIPAA?
U.S. goverment
Designated record set
law concerned with public wrongs against society
Firewalls

22. Titile II of HIPAA
illegal touching of another person
same legal standards apply to all patient records whether on paper or computer
Health Information
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

23. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
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
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
De-Identified Information
State preemption

24. DII
should only be used when no other - more secure mode of transmission is available
De-Identified Information
Electronic data interchange
Notice of Privacy Practices (NPP)

25. Patient records are _____________ so not all staff will have access.
a contract that comes about from the actions of the parties rather than words
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Examples of PHI
need to know

26. Slander
Covered entities
need to know
must be reported to authorities by law
false charges and malicious oral statements about someone

27. Misfeasance
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.
improper performance of an otherwise lawful act. civil
need to know
Firewalls

28. Civil law
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
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
Portability

29. HI
Examples of PHI
Health Information
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
law that permits a person w/ a legal age and sound mind to give their body to donation

30. Reportable diseases...
Minimum necessary
concerns noncriminal disputes between private parties
must be reported to authorities by law
Covered entities

31. NPP
Notice of Privacy Practices
Electronic Protected Health Information
Portability
Covered transactions

32. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
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
Covered transactions
Tort

33. The use of uniform electronic network protocols to transfer business information between organizations.
must be reported to authorities by law
Malfeasance
should only be used when no other - more secure mode of transmission is available
Electronic data interchange

34. interrogatory
A written set of questions requiring written answers from a plaintiff or defendant under oath
false charges and malicious oral statements about someone
located in a secured and private space
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

35. Battery
illegal touching of another person
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
have a unique password and it should be changed frequently

36. 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.
although medical records are confidential - there are times when they can be released w/o a patient consent.
Transaction
Treatment - payment and health care operations (TPO)
false and malicious writing about another

37. A written document detailing a health care provider's privacy practices.
malpractice
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Notice of Privacy Practices (NPP)
A written set of questions requiring written answers from a plaintiff or defendant under oath

38. Business Associate Agreements applies to...
testimony under oath
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
generally only patient can auth release of own medical record - there are a few exceptions
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

39. Clearinghouse
addresses portability of insurance coverage when employees change or lose their jobs
security rule
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
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.

40. Statue of limitations
state laws setting time limit for bringing a lawsuit
Treatment - payment and health care operations (TPO)
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.
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

41. Uniform anotomical gift act
What types of disclosures do not require patient permission?
law that permits a person w/ a legal age and sound mind to give their body to donation
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Portability

42. Sending information over electronic networks.
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Electronic transmission
State preemption
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

43. Transmission of information between two parties fro financial or administrative activities.
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
Transaction
malpractice
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

44. Data must be backed up at ___________ and those back-up files should be stored ________.
regular - in a secure location
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Security
Covered transactions

45. Verify the identification of anyone requesting patient information.
treatment - payment - & healthcare operations
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
Verification
Patient

46. Medical records can be released w/o consent to...
A written set of questions requiring written answers from a plaintiff or defendant under oath
Covered entities
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
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

47. Key entities
law that permits a person w/ a legal age and sound mind to give their body to donation
comes on after a few idle seconds and the use of a privacy screen should be mandatory
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
De-Identified Information

48. Criminal law
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
law concerned with public wrongs against society
Examples of PHI
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

49. Title I of HIPAA
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Tort
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
addresses portability of insurance coverage when employees change or lose their jobs

50. Some state laws specifically protect __________. A patient would need to sign a specific request.
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
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
regular - in a secure location
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

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HIPAA

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