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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. Any wrongdoing for which an action for damages may be brought
Tort
Individually Identifiable Health Information
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
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

2. Disabilities act

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3. Criminal law
Treatment - payment and health care operations (TPO)
Security
law concerned with public wrongs against society
law that permits a person w/ a legal age and sound mind to give their body to donation

4. Common law
Limited data set
concerns noncriminal disputes between private parties
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

5. Civil law
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Tort
concerns noncriminal disputes between private parties

6. Protected Health Information (PHI)
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.
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
U.S. goverment

7. HIPAA states...
only those who meed to know should have access to patient information
Minimum necessary
Limited data set
Firewalls

8. Deposition
Covered transactions
Treatment - payment and health care operations (TPO)
located in a secured and private space
testimony under oath

9. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
substance abuse treatment
Treatment - payment and health care operations (TPO)
What types of disclosures do not require patient permission?
Notice of Privacy Practices

10. Transmission of information between two parties fro financial or administrative activities.
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Limited data set
Covered entities
Transaction

11. Implied consent
Encryption
Treatment - payment and health care operations (TPO)
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.
The body of laws made by states is their own statutory laws

12. Patient records are _____________ so not all staff will have access.
although medical records are confidential - there are times when they can be released w/o a patient consent.
need to know
Notice of Privacy Practices (NPP)
Health Information

13. DII
De-Identified Information
only those who meed to know should have access to patient information
Patient
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.

14. Disclosure without Consent
although medical records are confidential - there are times when they can be released w/o a patient consent.
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Individually Identifiable Health Information
state laws setting time limit for bringing a lawsuit

15. IIHI
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
Electronic data interchange
testimony under oath
Individually Identifiable Health Information

16. All persons who will have access are required to...
Treatment - payment and health care operations (TPO)
Firewalls
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
have a unique password and it should be changed frequently

17. Any set of codes use to encode health care data elements.
Code sets
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
security rule
although medical records are confidential - there are times when they can be released w/o a patient consent.

18. 4d's of negligence
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
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
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Verification

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

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20. Professional Negligence
A written set of questions requiring written answers from a plaintiff or defendant under oath
malpractice
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
law concerned with public wrongs against society

21. Subpoenas
Permission
Encryption
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Electronic data interchange

22. HIPAA compliance mandates that computer systems must be...
located in a secured and private space
treatment - payment - & healthcare operations
Verification
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

23. interrogatory
A written set of questions requiring written answers from a plaintiff or defendant under oath
Security
Firewalls
Transaction

24. Data must be backed up at ___________ and those back-up files should be stored ________.
addresses portability of insurance coverage when employees change or lose their jobs
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
Notice of Privacy Practices

25. Reportable diseases...
Individually Identifiable Health Information
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
must be reported to authorities by law
Patient Identifiable Information

26. Uniform anotomical gift act
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
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
law that permits a person w/ a legal age and sound mind to give their body to donation
Electronic data interchange

27. Ethics
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.
testimony under oath
the philosophical study of moral values and rules - conducts

28. EPHI
Electronic Protected Health Information
law concerned with public wrongs against society
the philosophical study of moral values and rules - conducts
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

29. Unlawful act done without permission.
Invasion of Privacy Publishing
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
Malfeasance
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

30. Medical records used for health care research

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31. Federal law protects patient records dealing with...
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Malfeasance
substance abuse treatment
Minimum necessary

32. PII
Code sets
testimony under oath
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Patient Identifiable Information

33. HIPAA
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
Transaction
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

34. The limited amount of patient information to be disclosed - depending on circumstances.
Encryption
located in a secured and private space
Minimum necessary
malpractice

35. General exceptions for releasing patient information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
regular - in a secure location
state laws setting time limit for bringing a lawsuit
Electronic Protected Health Information

36. Title I of HIPAA
A written set of questions requiring written answers from a plaintiff or defendant under oath
addresses portability of insurance coverage when employees change or lose their jobs
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Verification

37. Key entities
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
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
Permission

38. Coded information that can't be read until is decoded.
regular - in a secure location
only those who meed to know should have access to patient information
Electronic data interchange
Encryption

39. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Code sets
Covered transactions
need to know
Permission

40. Slander
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
false charges and malicious oral statements about someone
Malfeasance
The body of laws made by states is their own statutory laws

41. Advanced directives
Portability
Covered transactions
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 court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

42. Protected health information from which certain patient identifiers have been removed
Electronic data interchange
Limited data set
Covered transactions
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.

43. Libel
same legal standards apply to all patient records whether on paper or computer
A written set of questions requiring written answers from a plaintiff or defendant under oath
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
false and malicious writing about another

44. What are the 3 purposes of HIPAA?
purpose - pride - patience - persistence - perspective
Electronic transmission
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Insurance portability - administrative simplification - privacy and security

45. Misfeasance
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
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
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

46. Under some circumstances ...
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
although medical records are confidential - there are times when they can be released w/o a patient consent.
law concerned with public wrongs against society
a minor - rather than the parent - must sign the release of patient information

47. Statue of limitations
Minimum necessary
state laws setting time limit for bringing a lawsuit
Regulations
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

48. Privacy Officer
Limited data set
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
Patient rights under HIPAA

49. Statutory
A written set of questions requiring written answers from a plaintiff or defendant under oath
purpose - pride - patience - persistence - perspective
The body of laws made by states is their own statutory laws
treatment - payment - & healthcare operations

50. Medical records can be released w/o consent to...
Privacy
De-Identified 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
must be reported to authorities by law

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HIPAA

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