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. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
law that permits a person w/ a legal age and sound mind to give their body to donation
Portability
Designated record set
have a unique password and it should be changed frequently

2. 5P's of ethical power
purpose - pride - patience - persistence - perspective
the philosophical study of moral values and rules - conducts
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

3. De-Identified Information
Minimum necessary
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
A written set of questions requiring written answers from a plaintiff or defendant under oath

4. Advanced directives
Insurance portability - administrative simplification - privacy and security
Permission
Regulations
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

5. 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
Patient
Health Information
Limited data set

6. A written document detailing a health care provider's privacy practices.
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Notice of Privacy Practices (NPP)
a contract that comes about from the actions of the parties rather than words
Electronic data interchange

7. Some state laws specifically protect __________. A patient would need to sign a specific request.
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
law that permits a person w/ a legal age and sound mind to give their body to donation
Patient rights under HIPAA
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

8. Under some circumstances ...
a minor - rather than the parent - must sign the release of patient information
Individually Identifiable Health Information
Examples of PHI
comes on after a few idle seconds and the use of a privacy screen should be mandatory

9. Patient records are _____________ so not all staff will have access.
need to know
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Designated record set
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. Clearinghouse
the philosophical study of moral values and rules - conducts
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
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
treatment - payment - & healthcare operations

11. OIG - Office of the Inspector General
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
generally only patient can auth release of own medical record - there are a few exceptions
located in a secured and private space

12. Data must be backed up at ___________ and those back-up files should be stored ________.
Individually Identifiable Health Information
same legal standards apply to all patient records whether on paper or computer
regular - in a secure location
testimony under oath

13. Doctor release of patient
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

14. Medical records used for health care research

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15. 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
illegal touching of another person
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
Verification
Covered entities

16. Implied contract
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
a contract that comes about from the actions of the parties rather than words
What types of disclosures do not require patient permission?

17. Good samaritan law
Permission
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
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

18. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
State preemption
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
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

19. IIHI
substance abuse treatment
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
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
Individually Identifiable Health Information

20. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
Encryption
What types of disclosures do not require patient permission?
Health Information
located in a secured and private space

21. Slander
A written set of questions requiring written answers from a plaintiff or defendant under oath
Standard
false charges and malicious oral statements about someone
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

22. 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.
Verification
Permission
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Treatment - payment and health care operations (TPO)

23. Battery
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
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
comes on after a few idle seconds and the use of a privacy screen should be mandatory
illegal touching of another person

24. HIPAA states...
Security
Health Information
only those who meed to know should have access to patient information
Invasion of Privacy Publishing

25. 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
Covered transactions
Patient rights under HIPAA
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
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. Uniform anotomical gift act
Electronic transmission
generally only patient can auth release of own medical record - there are a few exceptions
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.
law that permits a person w/ a legal age and sound mind to give their body to donation

27. Reportable diseases...
Portability
Limited data set
Encryption
must be reported to authorities by law

28. Coded information that can't be read until is decoded.
a minor - rather than the parent - must sign the release of patient information
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Encryption
false charges and malicious oral statements about someone

29. The limited amount of patient information to be disclosed - depending on circumstances.
Minimum necessary
the philosophical study of moral values and rules - conducts
located in a secured and private space
Code sets

30. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
Designated record set
security 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
State preemption

31. 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.
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
Examples of PHI
Insurance portability - administrative simplification - privacy and security
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

32. The person recieving treatment
Verification
The body of laws made by states is their own statutory laws
Encryption
Patient

33. Disabilities act

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34. NPP
U.S. goverment
Notice of Privacy Practices
Minimum necessary
law concerned with public wrongs against society

35. Civil law
regular - in a secure location
a minor - rather than the parent - must sign the release of patient information
Health Information
concerns noncriminal disputes between private parties

36. Negligence
security rule
Patient rights under HIPAA
comes on after a few idle seconds and the use of a privacy screen should be mandatory
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

37. Disclosure without Consent
Patient rights under HIPAA
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
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
although medical records are confidential - there are times when they can be released w/o a patient consent.

38. Misfeasance
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
false and malicious writing about another
Covered transactions
improper performance of an otherwise lawful act. civil

39. Transmission of information between two parties fro financial or administrative activities.
Code sets
Ethical
Designated record set
Transaction

40. All persons who will have access are required to...
have a unique password and it should be changed frequently
only those who meed to know should have access to patient information
State preemption
Insurance portability - administrative simplification - privacy and security

41. Hardware or software designed to prevent unauthorized access to electronic information.
state laws setting time limit for bringing a lawsuit
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Firewalls
Electronic data interchange

42. General exceptions for releasing patient information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Patient
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Health Information

43. Medical records can be released w/o consent to...
need to know
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
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
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

44. HIPAA compliance mandates that computer systems must be...
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
located in a secured and private space
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Verification

45. making known - or using information relating to the private life or affairs of a person without their approval or permission
Invasion of Privacy Publishing
regular - in a secure location
treatment - payment - & healthcare operations
malpractice

46. Who regulates HIPAA?
U.S. goverment
improper performance of an otherwise lawful act. civil
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
Regulations

47. Libel
Patient
need to know
only those who meed to know should have access to patient information
false and malicious writing about another

48. Unlawful act done without permission.
Notice of Privacy Practices
Malfeasance
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
addresses portability of insurance coverage when employees change or lose their jobs

49. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Regulations
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Health Information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

50. Includes records maintained by or for a covered entity.
Designated record set
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
should never be released w/o a patient's signed consent or court order
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.