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. 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.
Insurance portability - administrative simplification - privacy and security
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.
U.S. goverment

2. Disabilities act

3. Slander
Designated record set
must be reported to authorities by law
Portability
false charges and malicious oral statements about someone

4. Key entities
Invasion of Privacy Publishing
Patient Identifiable 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
Notice of Privacy Practices (NPP)

5. Statutory
Encryption
Standard
regular - in a secure location
The body of laws made by states is their own statutory laws

6. Good samaritan law
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Health Information
illegal touching of another person
Regulations

7. Protected Health Information (PHI)
law concerned with public wrongs against society
Individually Identifiable Health Information
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

8. Releasing patient information
Electronic data interchange
generally only patient can auth release of own medical record - there are a few exceptions
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Limited data set

9. Conforming to proper professional behavior
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Verification
Ethical
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

10. Any set of codes use to encode health care data elements.
A written set of questions requiring written answers from a plaintiff or defendant under oath
Privacy
same legal standards apply to all patient records whether on paper or computer
Code sets

11. TPO
treatment - payment - & healthcare operations
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
Transaction
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

12. Common law
treatment - payment - & healthcare operations
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
false charges and malicious oral statements about someone
Minimum necessary

13. IIHI
Invasion of Privacy Publishing
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
the philosophical study of moral values and rules - conducts
Individually Identifiable Health Information

14. Titile II of HIPAA
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Invasion of Privacy Publishing
State preemption
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

15. Subpoenas
Privacy
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
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.
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

16. Deposition
testimony under oath
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
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
Encryption

17. Freedom from unauthorized intrusion
false and malicious writing about another
Privacy
Individually Identifiable Health Information
Electronic Protected Health Information

18. DII
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
De-Identified Information
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Designated record set

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
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
Covered entities
law that permits a person w/ a legal age and sound mind to give their body to donation
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

20. EPHI
Health Information
Electronic Protected Health Information
Standard
Covered entities

21. Negligence
addresses portability of insurance coverage when employees change or lose their jobs
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
malpractice
concerns noncriminal disputes between private parties

22. interrogatory
A written set of questions requiring written answers from a plaintiff or defendant under oath
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
need to know
concerns noncriminal disputes between private parties

23. 4d's of negligence
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
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Transaction
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

24. Hardware or software designed to prevent unauthorized access to electronic information.
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
although medical records are confidential - there are times when they can be released w/o a patient consent.
Firewalls
What types of disclosures do not require patient permission?

25. Privacy Officer
Electronic Protected Health Information
Transaction
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
Electronic data interchange

26. Misfeasance
purpose - pride - patience - persistence - perspective
State preemption
need to know
improper performance of an otherwise lawful act. civil

27. What information do patients NOT have access to?
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
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
Privacy
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

28. Under some circumstances ...
a minor - rather than the parent - must sign the release of patient information
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
should only be used when no other - more secure mode of transmission is available
only those who meed to know should have access to patient information

29. OIG - Office of the Inspector General
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
De-Identified Information
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.
have a unique password and it should be changed frequently

30. Protected health information from which certain patient identifiers have been removed
must be reported to authorities by law
Limited data set
A written set of questions requiring written answers from a plaintiff or defendant under oath
Individually Identifiable Health Information

31. 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
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
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

32. Coded information that can't be read until is decoded.
Encryption
Covered transactions
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

33. Civil law
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
Electronic Protected Health Information
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

34. Disclosure without Consent
Transaction
testimony under oath
although medical records are confidential - there are times when they can be released w/o a patient consent.
Limited data set

35. What are the 3 purposes of HIPAA?
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Insurance portability - administrative simplification - privacy and security
Encryption
state laws setting time limit for bringing a lawsuit

36. Fax Machines and HIPAA
Rule
Code sets
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
regular - in a secure location

37. Confidentiality

38. Bioethics
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
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
concerns noncriminal disputes between private parties

39. Fax machines
A written set of questions requiring written answers from a plaintiff or defendant under oath
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
concerns noncriminal disputes between private parties
should only be used when no other - more secure mode of transmission is available

40. 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.
Rule
Invasion of Privacy Publishing
Examples of PHI
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

41. NPP
need to know
Electronic Protected Health Information
Notice of Privacy Practices
Rule

42. making known - or using information relating to the private life or affairs of a person without their approval or permission
Invasion of Privacy Publishing
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 in their mid- to late teens who legally live outside of parents' or guardians' control
Minimum necessary

43. Data must be backed up at ___________ and those back-up files should be stored ________.
regular - in a secure location
Invasion of Privacy Publishing
testimony under oath
Verification

44. Sending information over electronic networks.
should never be released w/o a patient's signed consent or court order
Health Information
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
Electronic transmission

45. Libel
Notice of Privacy Practices
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
false and malicious writing about another
although medical records are confidential - there are times when they can be released w/o a patient consent.

46. Ethics
the philosophical study of moral values and rules - conducts
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
De-Identified Information
regular - in a secure location

47. Implied consent
generally only patient can auth release of own medical record - there are a few exceptions
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.
Electronic Protected Health Information
Regulations

48. A general HIPAA requirement
Standard
Health Information
the philosophical study of moral values and rules - conducts
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

49. Advanced directives
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.
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
should never be released w/o a patient's signed consent or court order

50. De-Identified 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
Regulations
Invasion of Privacy Publishing
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.