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. Fax machines
treatment - payment - & healthcare operations
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
improper performance of an otherwise lawful act. civil
should only be used when no other - more secure mode of transmission is available

2. Policies and procedures use to protect electronic information from unauthorized access
Transaction
Notice of Privacy Practices
Security
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

3. Deposition
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Standard
testimony under oath
Tort

4. Common law
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Notice of Privacy Practices (NPP)
Treatment - payment and health care operations (TPO)
should never be released w/o a patient's signed consent or court order

5. PII
Portability
Patient Identifiable Information
Invasion of Privacy Publishing
should only be used when no other - more secure mode of transmission is available

6. OIG - Office of the Inspector General
Code sets
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
law that permits a person w/ a legal age and sound mind to give their body to donation
illegal touching of another person

7. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
regular - in a secure location
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.
Regulations
Permission

8. Any wrongdoing for which an action for damages may be brought
generally only patient can auth release of own medical record - there are a few exceptions
Electronic Protected Health Information
have a unique password and it should be changed frequently
Tort

9. Confidentiality

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10. Protected health information from which certain patient identifiers have been removed
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Privacy
Limited data set
purpose - pride - patience - persistence - perspective

11. Medical records used for health care research

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12. Verify the identification of anyone requesting patient information.
Firewalls
Verification
malpractice
a minor - rather than the parent - must sign the release of patient information

13. Unlawful act done without permission.
treatment - payment - & healthcare operations
Tort
Malfeasance
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

14. The person recieving treatment
the philosophical study of moral values and rules - conducts
Individually Identifiable Health Information
Patient
false and malicious writing about another

15. Professional Negligence
malpractice
generally only patient can auth release of own medical record - there are a few exceptions
Examples of PHI
U.S. goverment

16. Key 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
Patient Identifiable Information
security rule
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

17. Sending information over electronic networks.
What types of disclosures do not require patient permission?
Electronic transmission
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
Covered entities

18. Reportable diseases...
Examples of PHI
Covered entities
must be reported to authorities by law
Regulations

19. Advanced directives
Regulations
only those who meed to know should have access to patient information
Electronic Protected Health Information
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

20. EPHI
have a unique password and it should be changed frequently
Electronic Protected Health Information
Invasion of Privacy Publishing
The body of laws made by states is their own statutory laws

21. Who regulates HIPAA?
U.S. goverment
regular - in a secure location
Health Information
Malfeasance

22. Any set of codes use to encode health care data elements.
Privacy
Code sets
the philosophical study of moral values and rules - conducts
security rule

23. HI
Health Information
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
a contract that comes about from the actions of the parties rather than words

24. Disclosure without Consent
Code sets
U.S. goverment
Permission
although medical records are confidential - there are times when they can be released w/o a patient consent.

25. 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.
Treatment - payment and health care operations (TPO)
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Insurance portability - administrative simplification - privacy and security
treatment - payment - & healthcare operations

26. Under some circumstances ...
Insurance portability - administrative simplification - privacy and security
a minor - rather than the parent - must sign the release of patient information
What types of disclosures do not require patient 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.

27. Title I of HIPAA
Electronic Protected Health Information
Electronic data interchange
addresses portability of insurance coverage when employees change or lose their jobs
Malfeasance

28. Libel
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
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
false and malicious writing about another
the philosophical study of moral values and rules - conducts

29. 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
should only be used when no other - more secure mode of transmission is available
testimony under oath
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Covered entities

30. Clearinghouse
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 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
located in a secured and private space
need to know

31. TPO
treatment - payment - & healthcare operations
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
located in a secured and private space
only those who meed to know should have access to patient information

32. The limited amount of patient information to be disclosed - depending on circumstances.
a minor - rather than the parent - must sign the release of patient information
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Minimum necessary
testimony under oath

33. A reason for each use and disclosure of patient information.
generally only patient can auth release of own medical record - there are a few exceptions
Permission
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
U.S. goverment

34. Civil law
Treatment - payment and health care operations (TPO)
concerns noncriminal disputes between private parties
malpractice
a minor - rather than the parent - must sign the release of patient information

35. Freedom from unauthorized intrusion
improper performance of an otherwise lawful act. civil
located in a secured and private space
should never be released w/o a patient's signed consent or court order
Privacy

36. Federal law protects patient records dealing with...
State preemption
substance abuse treatment
Tort
should only be used when no other - more secure mode of transmission is available

37. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
Invasion of Privacy Publishing
What types of disclosures do not require patient permission?
Designated record set
Permission

38. making known - or using information relating to the private life or affairs of a person without their approval or permission
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Tort
Invasion of Privacy Publishing
law that permits a person w/ a legal age and sound mind to give their body to donation

39. General exceptions for releasing patient information
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
state laws setting time limit for bringing a lawsuit
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

40. Ethics
Patient
the philosophical study of moral values and rules - conducts
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
Firewalls

41. Implied consent
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Individually Identifiable Health Information
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
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.

42. 4d's of negligence
Electronic data interchange
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
should never be released w/o a patient's signed consent or court order
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

43. Implied contract
Designated record set
a contract that comes about from the actions of the parties rather than words
false charges and malicious oral statements about someone
Malfeasance

44. Emancipated minors

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45. Includes records maintained by or for a covered entity.
Designated record set
a contract that comes about from the actions of the parties rather than words
What types of disclosures do not require patient permission?
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

46. A written document detailing a health care provider's privacy practices.
testimony under oath
Invasion of Privacy Publishing
Notice of Privacy Practices (NPP)
Verification

47. HIPAA
Privacy
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
state laws setting time limit for bringing a lawsuit

48. Statutory
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
The body of laws made by states is their own statutory laws
Treatment - payment and health care operations (TPO)
the philosophical study of moral values and rules - conducts

49. De-Identified Information
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
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
state laws setting time limit for bringing a lawsuit

50. IIHI
Individually Identifiable Health Information
Patient Identifiable Information
false and malicious writing about another
improper performance of an otherwise lawful act. civil