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. making known - or using information relating to the private life or affairs of a person without their approval or permission
Invasion of Privacy Publishing
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Permission

2. Federal law protects patient records dealing with...
substance abuse treatment
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
should only be used when no other - more secure mode of transmission is available
Electronic Protected Health Information

3. Includes records maintained by or for a covered entity.
Designated record set
Transaction
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Regulations

4. Disabilities act

5. What information do patients NOT have access to?
illegal touching of another person
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Treatment - payment and health care operations (TPO)
Firewalls

6. A reason for each use and disclosure of patient information.
Transaction
Permission
improper performance of an otherwise lawful act. civil
Minimum necessary

7. TPO
State preemption
treatment - payment - & healthcare operations
Limited data set
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

8. A written document detailing a health care provider's privacy practices.
Electronic data interchange
Notice of Privacy Practices (NPP)
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
generally only patient can auth release of own medical record - there are a few exceptions

9. De-Identified Information
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Covered transactions
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
substance abuse treatment

10. Uniform anotomical gift act
law that permits a person w/ a legal age and sound mind to give their body to donation
malpractice
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Privacy

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

12. The limited amount of patient information to be disclosed - depending on circumstances.
What types of disclosures do not require patient permission?
Minimum necessary
U.S. goverment
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

13. General exceptions for releasing patient information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
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 written set of questions requiring written answers from a plaintiff or defendant under oath
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

14. HIPAA
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect 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
Patient Identifiable Information
state laws setting time limit for bringing a lawsuit

15. Hardware or software designed to prevent unauthorized access to electronic information.
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Firewalls
Transaction

16. Under some circumstances ...
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
a minor - rather than the parent - must sign the release of patient information
substance abuse treatment
same legal standards apply to all patient records whether on paper or computer

17. Fax machines
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
should only be used when no other - more secure mode of transmission is available
should never be released w/o a patient's signed consent or court order

18. Battery
Electronic data interchange
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
illegal touching of another person
Electronic transmission

19. Medical records can be released w/o consent to...
Invasion of Privacy Publishing
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Individually Identifiable Health Information
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

20. Releasing patient information
Permission
generally only patient can auth release of own medical record - there are a few exceptions
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Electronic data interchange

21. Doctor release of patient
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
concerns noncriminal disputes between private parties
only those who meed to know should have access to patient information

22. Implied consent
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
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.
Rule
substance abuse treatment

23. Protected Health Information (PHI)
Encryption
Limited data set
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

24. interrogatory
illegal touching of another person
Insurance portability - administrative simplification - privacy and security
security rule
A written set of questions requiring written answers from a plaintiff or defendant under oath

25. Criminal law
concerns noncriminal disputes between private parties
substance abuse treatment
law concerned with public wrongs against society
false and malicious writing about another

26. Some state laws specifically protect __________. A patient would need to sign a specific request.
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
A written set of questions requiring written answers from a plaintiff or defendant under oath
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
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

27. The person recieving treatment
Transaction
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
Firewalls
Patient

28. Subpoenas
security rule
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
improper performance of an otherwise lawful act. civil
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

29. Sending information over electronic networks.
Covered entities
Privacy
Malfeasance
Electronic transmission

30. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
substance abuse treatment
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
State preemption
security rule

31. HIPAA states...
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.
Verification
Invasion of Privacy Publishing
only those who meed to know should have access to patient information

32. Disclosure without Consent
Transaction
the philosophical study of moral values and rules - conducts
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
although medical records are confidential - there are times when they can be released w/o a patient consent.

33. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Patient rights under HIPAA
Code sets
A written set of questions requiring written answers from a plaintiff or defendant under oath
Portability

34. 5P's of ethical power
only those who meed to know should have access to patient 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
law that permits a person w/ a legal age and sound mind to give their body to donation
purpose - pride - patience - persistence - perspective

35. Clearinghouse
Covered entities
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
the philosophical study of moral values and rules - conducts
Standard

36. Unlawful act done without permission.
Malfeasance
malpractice
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
have a unique password and it should be changed frequently

37. Coded information that can't be read until is decoded.
Security
Firewalls
Encryption
What types of disclosures do not require patient permission?

38. 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
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
state laws setting time limit for bringing a lawsuit
Notice of Privacy Practices (NPP)
Patient rights under HIPAA

39. Slander
state laws setting time limit for bringing a lawsuit
false charges and malicious oral statements about someone
Verification
Permission

40. Civil law
concerns noncriminal disputes between private parties
Ethical
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
law that permits a person w/ a legal age and sound mind to give their body to donation

41. 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
De-Identified Information
Examples of PHI
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

42. Transmission of information between two parties fro financial or administrative activities.
located in a secured and private space
Transaction
law that permits a person w/ a legal age and sound mind to give their body to donation
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

43. Key entities
Verification
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
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

44. Business Associate Agreements applies to...
Insurance portability - administrative simplification - privacy and security
Malfeasance
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
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

45. Protected health information from which certain patient identifiers have been removed
false and malicious writing about another
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Encryption
Limited data set

46. 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
false charges and malicious oral statements about someone
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
A written set of questions requiring written answers from a plaintiff or defendant under oath

47. What are the 3 purposes of HIPAA?
false charges and malicious oral statements about someone
Insurance portability - administrative simplification - privacy and security
should only be used when no other - more secure mode of transmission is available
Minimum necessary

48. Who regulates HIPAA?
Tort
U.S. goverment
Patient rights under HIPAA
Notice of Privacy Practices (NPP)

49. Confidentiality

50. A general HIPAA requirement
Standard
Security
Privacy
Invasion of Privacy Publishing