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. Freedom from unauthorized intrusion
Privacy
Ethical
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
law that permits a person w/ a legal age and sound mind to give their body to donation

2. Implied contract
Treatment - payment and health care operations (TPO)
located in a secured and private space
a contract that comes about from the actions of the parties rather than words
Patient rights under HIPAA

3. Criminal law
Limited data set
false charges and malicious oral statements about someone
law concerned with public wrongs against society
Individually Identifiable Health Information

4. Hardware or software designed to prevent unauthorized access to electronic information.
Treatment - payment and health care operations (TPO)
Standard
state laws setting time limit for bringing a lawsuit
Firewalls

5. Fax machines
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
should only be used when no other - more secure mode of transmission is available
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
State preemption

6. Includes records maintained by or for a covered entity.
Designated record set
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Minimum necessary
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

7. 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
Rule
have a unique password and it should be changed frequently
Covered entities

8. A written document detailing a health care provider's privacy practices.
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
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.
Notice of Privacy Practices (NPP)

9. General exceptions for releasing patient information
Tort
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Electronic Protected Health Information
concerns noncriminal disputes between private parties

10. A general HIPAA requirement
Transaction
Standard
addresses portability of insurance coverage when employees change or lose their jobs
Minimum necessary

11. EPHI
only those who meed to know should have access to patient information
Electronic Protected Health Information
Patient Identifiable Information
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

12. 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
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
regular - in a secure location
Covered entities
only those who meed to know should have access to patient information

13. Business Associate Agreements applies to...
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
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
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
regular - in a secure location

14. Who regulates HIPAA?
Electronic Protected Health Information
U.S. goverment
state laws setting time limit for bringing a lawsuit
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

15. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
Limited data set
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
State preemption
only those who meed to know should have access to patient information

16. PII
Patient Identifiable Information
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
need to know
Tort

17. Negligence
Regulations
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
located in a secured and private space
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

18. 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
Transaction
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 Identifiable Information

19. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Tort
illegal touching of another person
Transaction
Regulations

20. Disclosure without Consent
same legal standards apply to all patient records whether on paper or computer
Minimum necessary
Notice of Privacy Practices (NPP)
although medical records are confidential - there are times when they can be released w/o a patient consent.

21. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Covered transactions
state laws setting time limit for bringing a lawsuit
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Firewalls

22. making known - or using information relating to the private life or affairs of a person without their approval or permission
Invasion of Privacy Publishing
should never be released w/o a patient's signed consent or court order
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
De-Identified Information

23. Protected health information from which certain patient identifiers have been removed
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
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
Limited data set
law concerned with public wrongs against society

24. Doctor release of patient
malpractice
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Verification

25. 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
Patient
Notice of Privacy Practices
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

26. Common law
Regulations
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
only those who meed to know should have access to patient information
Treatment - payment and health care operations (TPO)

27. Title I of HIPAA
addresses portability of insurance coverage when employees change or lose their jobs
Patient
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
The body of laws made by states is their own statutory laws

28. What information do patients NOT have access to?
improper performance of an otherwise lawful act. civil
Regulations
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

29. The computer screen should have a screensaver that...
comes on after a few idle seconds and the use of a privacy screen should be mandatory
located in a secured and private space
the philosophical study of moral values and rules - conducts
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

30. Titile II of HIPAA
Insurance portability - administrative simplification - privacy and security
Firewalls
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
substance abuse treatment

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

32. What are the 3 purposes of HIPAA?
security rule
Health Information
Electronic Protected Health Information
Insurance portability - administrative simplification - privacy and security

33. Ethics
should only be used when no other - more secure mode of transmission is available
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
the philosophical study of moral values and rules - conducts
only those who meed to know should have access to patient information

34. The limited amount of patient information to be disclosed - depending on circumstances.
Minimum necessary
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Transaction

35. Disabilities act

36. 4d's of negligence
false and malicious writing about another
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
Insurance portability - administrative simplification - privacy and security

37. Patient records are _____________ so not all staff will have access.
testimony under oath
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.
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
need to know

38. De-Identified Information
Electronic data interchange
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
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

39. Libel
false and malicious writing about another
same legal standards apply to all patient records whether on paper or computer
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Regulations

40. Any wrongdoing for which an action for damages may be brought
A written set of questions requiring written answers from a plaintiff or defendant under oath
the philosophical study of moral values and rules - conducts
Tort
Encryption

41. Sending information over electronic networks.
Patient
Examples of PHI
malpractice
Electronic transmission

42. A reason for each use and disclosure of patient information.
Permission
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.
malpractice
Notice of Privacy Practices

43. Document that includes the standards
testimony under oath
generally only patient can auth release of own medical record - there are a few exceptions
Rule
Permission

44. Subpoenas
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
regular - in a secure location
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
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

45. Protected Health Information (PHI)
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
Insurance portability - administrative simplification - privacy and security
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
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

46. Policies and procedures use to protect electronic information from unauthorized access
should only be used when no other - more secure mode of transmission is available
Security
illegal touching of another person
Rule

47. Misfeasance
improper performance of an otherwise lawful act. civil
Limited data set
false charges and malicious oral statements about someone
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

48. Reportable diseases...
must be reported to authorities by law
Insurance portability - administrative simplification - privacy and security
same legal standards apply to all patient records whether on paper or computer
have a unique password and it should be changed frequently

49. The use of uniform electronic network protocols to transfer business information between organizations.
Electronic data interchange
comes on after a few idle seconds and the use of a privacy screen should be mandatory
illegal touching of another person
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

50. Verify the identification of anyone requesting patient information.
Covered entities
same legal standards apply to all patient records whether on paper or computer
Verification
state laws setting time limit for bringing a lawsuit