Test your basic knowledge |

HIPAA

Instructions:

Answer 50 questions in 15 minutes.
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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. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
What types of disclosures do not require patient permission?
Minimum necessary
Covered transactions
Portability

2. Slander
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Electronic transmission
false charges and malicious oral statements about someone
security rule

3. Emancipated minors

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4. Misfeasance
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
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
improper performance of an otherwise lawful act. civil
Individually Identifiable Health Information

5. Civil law
concerns noncriminal disputes between private parties
substance abuse treatment
Firewalls
Limited data set

6. Disclosure without Consent
although medical records are confidential - there are times when they can be released w/o a patient consent.
Covered entities
Patient
testimony under oath

7. Medical records used for health care research

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8. Battery
illegal touching of another person
Malfeasance
substance abuse treatment
A written set of questions requiring written answers from a plaintiff or defendant under oath

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

10. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
security rule
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
State preemption
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

11. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
security rule
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

12. Deposition
false charges and malicious oral statements about someone
concerns noncriminal disputes between private parties
testimony under oath
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

13. NPP
Permission
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
Notice of Privacy Practices
Covered entities

14. Doctor release of patient
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

15. EPHI
Health Information
false and malicious writing about another
Electronic Protected Health Information
Patient rights under HIPAA

16. Confidentiality

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17. Criminal law
Encryption
Covered entities
law concerned with public wrongs against society
generally only patient can auth release of own medical record - there are a few exceptions

18. Unlawful act done without permission.
Malfeasance
concerns noncriminal disputes between private parties
Limited data set
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

19. HIPAA
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
need to know
Portability
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

20. Some state laws specifically protect __________. A patient would need to sign a specific request.
false and malicious writing about another
state laws setting time limit for bringing a lawsuit
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

21. Implied contract
Examples of PHI
a contract that comes about from the actions of the parties rather than words
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
Firewalls

22. Protected health information from which certain patient identifiers have been removed
Limited data set
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Insurance portability - administrative simplification - privacy and security
Rule

23. Fax Machines and HIPAA
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Patient rights under HIPAA
Invasion of Privacy Publishing
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

24. Clearinghouse
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
law concerned with public wrongs against society
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
testimony under oath

25. Privacy Officer
addresses portability of insurance coverage when employees change or lose their jobs
law that permits a person w/ a legal age and sound mind to give their body to donation
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
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

26. Any set of codes use to encode health care data elements.
Code sets
law concerned with public wrongs against society
a minor - rather than the parent - must sign the release of patient information
must be reported to authorities by law

27. 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.
same legal standards apply to all patient records whether on paper or computer
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
located in a secured and private space

28. Document that includes the standards
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
concerns noncriminal disputes between private parties
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

29. Releasing patient information
generally only patient can auth release of own medical record - there are a few exceptions
state laws setting time limit for bringing a lawsuit
Patient rights under HIPAA
law that permits a person w/ a legal age and sound mind to give their body to donation

30. The use of uniform electronic network protocols to transfer business information between organizations.
illegal touching of another person
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Electronic data interchange
Designated record set

31. Statue of limitations
state laws setting time limit for bringing a lawsuit
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
improper performance of an otherwise lawful act. civil
Individually Identifiable Health Information

32. 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
although medical records are confidential - there are times when they can be released w/o a patient consent.
What types of disclosures do not require patient permission?
Notice of Privacy Practices
Patient rights under HIPAA

33. Business Associate Agreements applies to...
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
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
comes on after a few idle seconds and the use of a privacy screen should be mandatory
false and malicious writing about another

34. Coded information that can't be read until is decoded.
Encryption
regular - in a secure location
Portability
the philosophical study of moral values and rules - conducts

35. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
state laws setting time limit for bringing a lawsuit
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Regulations
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

36. Advanced directives
Malfeasance
Designated record set
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
De-Identified Information

37. Patient records are _____________ so not all staff will have access.
need to know
false charges and malicious oral statements about someone
Limited data set
Examples of PHI

38. HIPAA compliance mandates that computer systems must be...
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
located in a secured and private space
substance abuse treatment
De-Identified Information

39. Libel
What types of disclosures do not require patient permission?
false and malicious writing about another
A written set of questions requiring written answers from a plaintiff or defendant under oath
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

40. Good samaritan law
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Covered transactions
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

41. 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
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Encryption
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.

42. HIPAA states...
need to know
Notice of Privacy Practices
Encryption
only those who meed to know should have access to patient information

43. The person recieving treatment
concerns noncriminal disputes between private parties
A written set of questions requiring written answers from a plaintiff or defendant under oath
Patient
malpractice

44. Hardware or software designed to prevent unauthorized access to electronic information.
Privacy
Firewalls
have a unique password and it should be changed frequently
What types of disclosures do not require patient permission?

45. DII
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
security rule
A written set of questions requiring written answers from a plaintiff or defendant under oath
De-Identified Information

46. De-Identified Information
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Privacy
Limited data set
Firewalls

47. Implied consent
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
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.
Ethical

48. What are the 3 purposes of HIPAA?
concerns noncriminal disputes between private parties
Insurance portability - administrative simplification - privacy and security
Minimum necessary
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

49. Title I of HIPAA
A written set of questions requiring written answers from a plaintiff or defendant under oath
addresses portability of insurance coverage when employees change or lose their jobs
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Permission

50. 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
De-Identified Information
Covered entities
Invasion of Privacy Publishing
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

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HIPAA

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