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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. 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
Patient rights under HIPAA
Rule
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Covered entities

2. All persons who will have access are required to...
have a unique password and it should be changed frequently
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
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
Insurance portability - administrative simplification - privacy and security

3. Ethics
Regulations
the philosophical study of moral values and rules - conducts
must be reported to authorities by law
Covered entities

4. 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
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
malpractice
Limited data set

5. 5P's of ethical power
purpose - pride - patience - persistence - perspective
Permission
Patient rights under HIPAA
Covered transactions

6. TPO
concerns noncriminal disputes between private parties
treatment - payment - & healthcare operations
Ethical
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

7. A reason for each use and disclosure of patient information.
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Permission
although medical records are confidential - there are times when they can be released w/o a patient consent.
Health Information

8. Misfeasance
Tort
improper performance of an otherwise lawful act. civil
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
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

9. Protected Health Information (PHI)
law that permits a person w/ a legal age and sound mind to give their body to donation
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Covered entities

10. Medical records used for health care research

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11. Statutory
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Patient rights under HIPAA
The body of laws made by states is their own statutory laws

12. Confidentiality

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13. interrogatory
Verification
law that permits a person w/ a legal age and sound mind to give their body to donation
located in a secured and private space
A written set of questions requiring written answers from a plaintiff or defendant under oath

14. Transmission of information between two parties fro financial or administrative activities.
Electronic data interchange
Transaction
Malfeasance
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

15. Key entities
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
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
Tort
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

16. OIG - Office of the Inspector General
Covered transactions
must be reported to authorities by law
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
have a unique password and it should be changed frequently

17. HI
Health Information
Notice of Privacy Practices (NPP)
need to know
same legal standards apply to all patient records whether on paper or computer

18. Federal law protects patient records dealing with...
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
Regulations
illegal touching of another person
substance abuse treatment

19. PII
Ethical
The body of laws made by states is their own statutory laws
Limited data set
Patient Identifiable Information

20. Verify the identification of anyone requesting patient information.
Notice of Privacy Practices (NPP)
Verification
Tort
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

21. Libel
concerns noncriminal disputes between private parties
Portability
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
false and malicious writing about another

22. The limited amount of patient information to be disclosed - depending on circumstances.
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Designated record set
Individually Identifiable Health Information
Minimum necessary

23. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
Ethical
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
State preemption
Rule

24. Bioethics
Minimum necessary
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Permission
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

25. Under some circumstances ...
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.
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
a minor - rather than the parent - must sign the release of patient information
Portability

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
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Firewalls
Patient rights under HIPAA
Electronic data interchange

27. Implied contract
should only be used when no other - more secure mode of transmission is available
need to know
Electronic transmission
a contract that comes about from the actions of the parties rather than words

28. Criminal law
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
law concerned with public wrongs against society
Examples of PHI
comes on after a few idle seconds and the use of a privacy screen should be mandatory

29. Emancipated minors

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

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31. Battery
Examples of PHI
Firewalls
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
illegal touching of another person

32. Freedom from unauthorized intrusion
Examples of PHI
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Privacy

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
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
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.

34. Document that includes the standards
A written set of questions requiring written answers from a plaintiff or defendant under oath
Rule
Patient rights under HIPAA
concerns noncriminal disputes between private parties

35. Deposition
should never be released w/o a patient's signed consent or court order
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
testimony under oath
Regulations

36. A written document detailing a health care provider's privacy practices.
Notice of Privacy Practices (NPP)
malpractice
should never be released w/o a patient's signed consent or court order
located in a secured and private space

37. DII
De-Identified Information
illegal touching of another person
Invasion of Privacy Publishing
false and malicious writing about another

38. Title I of HIPAA
Minimum necessary
same legal standards apply to all patient records whether on paper or computer
addresses portability of insurance coverage when employees change or lose their jobs
Rule

39. HIPAA
law concerned with public wrongs against society
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect 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
illegal touching of another person

40. Sending information over electronic networks.
Electronic transmission
Firewalls
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Security

41. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Portability
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
Code sets

42. Fax machines
Firewalls
Transaction
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
should only be used when no other - more secure mode of transmission is available

43. Unlawful act done without permission.
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Malfeasance
the philosophical study of moral values and rules - conducts
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.

44. Subpoenas
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Covered transactions
Ethical

45. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Ethical
testimony under oath
Regulations
Electronic Protected Health Information

46. What information do patients NOT have access to?
Covered transactions
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
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

47. Civil law
Electronic Protected Health Information
What types of disclosures do not require patient permission?
concerns noncriminal disputes between private parties
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

48. Who regulates HIPAA?
Malfeasance
Designated record set
Standard
U.S. goverment

49. What are the 3 purposes of HIPAA?
Firewalls
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Electronic transmission
Insurance portability - administrative simplification - privacy and security

50. HIPAA compliance mandates that computer systems must be...
have a unique password and it should be changed frequently
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
located in a secured and private space