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. Any set of codes use to encode health care data elements.
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
The body of laws made by states is their own statutory laws
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
Code sets

2. General exceptions for releasing patient information
illegal touching of another person
Invasion of Privacy Publishing
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

3. Doctor release of patient
The body of laws made by states is their own statutory laws
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
Tort
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

4. HIPAA compliance mandates that computer systems must be...
located in a secured and private space
concerns noncriminal disputes between private parties
must be reported to authorities by law
Tort

5. Fax Machines and HIPAA
illegal touching of another person
false and malicious writing about another
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

6. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Patient Identifiable Information
Portability
Covered entities
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

7. Fax machines
Notice of Privacy Practices (NPP)
A written set of questions requiring written answers from a plaintiff or defendant under oath
should only be used when no other - more secure mode of transmission is available
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

8. 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
Patient
Covered entities
Designated record set
improper performance of an otherwise lawful act. civil

9. Implied contract
a contract that comes about from the actions of the parties rather than words
U.S. goverment
Privacy
Designated record set

10. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Patient
Regulations
U.S. goverment
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

11. Policies and procedures use to protect electronic information from unauthorized access
Transaction
false charges and malicious oral statements about someone
Patient
Security

12. Data must be backed up at ___________ and those back-up files should be stored ________.
State preemption
regular - in a secure location
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Electronic Protected Health Information

13. The person recieving treatment
What types of disclosures do not require patient permission?
Covered transactions
Patient
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

14. Patient records are _____________ so not all staff will have access.
Treatment - payment and health care operations (TPO)
improper performance of an otherwise lawful act. civil
need to know
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.

15. EPHI
Health Information
Electronic Protected Health Information
substance abuse treatment
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

16. Deposition
Limited data set
Health Information
testimony under oath
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

17. Good samaritan law
Electronic transmission
Transaction
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

18. Protected Health Information (PHI)
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)
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Individually Identifiable Health Information

19. interrogatory
A written set of questions requiring written answers from a plaintiff or defendant under oath
Patient Identifiable Information
Invasion of Privacy Publishing
Encryption

20. What information do patients NOT have access to?
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Rule
Security
Insurance portability - administrative simplification - privacy and security

21. Freedom from unauthorized intrusion
Electronic data interchange
A written set of questions requiring written answers from a plaintiff or defendant under oath
Privacy
Electronic transmission

22. All persons who will have access are required to...
Covered entities
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
have a unique password and it should be changed frequently
Individually Identifiable Health Information

23. TPO
treatment - payment - & healthcare operations
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.
improper performance of an otherwise lawful act. civil
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

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

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25. Ethics
Verification
purpose - pride - patience - persistence - perspective
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
the philosophical study of moral values and rules - conducts

26. Conforming to proper professional behavior
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
Ethical
addresses portability of insurance coverage when employees change or lose their jobs
U.S. goverment

27. 5P's of ethical power
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
De-Identified Information
purpose - pride - patience - persistence - perspective
State preemption

28. Disclosure without Consent
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
security rule
Regulations
although medical records are confidential - there are times when they can be released w/o a patient consent.

29. 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.
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Examples of PHI
Individually Identifiable Health Information
substance abuse treatment

30. Statutory
U.S. goverment
generally only patient can auth release of own medical record - there are a few exceptions
The body of laws made by states is their own statutory laws
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

31. The use of uniform electronic network protocols to transfer business information between organizations.
Encryption
Electronic data interchange
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.
De-Identified Information

32. Subpoenas
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Transaction
testimony under oath
false charges and malicious oral statements about someone

33. Common law
Patient
Transaction
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
malpractice

34. DII
De-Identified Information
malpractice
Health Information
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

35. 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)
a minor - rather than the parent - must sign the release of patient 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
purpose - pride - patience - persistence - perspective

36. Implied consent
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
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.
treatment - payment - & healthcare operations
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

37. making known - or using information relating to the private life or affairs of a person without their approval or permission
Invasion of Privacy Publishing
Covered transactions
same legal standards apply to all patient records whether on paper or computer
must be reported to authorities by law

38. Computes and HIPAA
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
Notice of Privacy Practices (NPP)
Verification
same legal standards apply to all patient records whether on paper or computer

39. Civil law
concerns noncriminal disputes between private parties
although medical records are confidential - there are times when they can be released w/o a patient consent.
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Limited data set

40. 4d's of negligence
although medical records are confidential - there are times when they can be released w/o a patient consent.
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
Notice of Privacy Practices (NPP)
security rule

41. NPP
A written set of questions requiring written answers from a plaintiff or defendant under oath
Notice of Privacy Practices
Patient Identifiable Information
should never be released w/o a patient's signed consent or court order

42. A general HIPAA requirement
Verification
U.S. goverment
Standard
malpractice

43. What are the 3 purposes of HIPAA?
Insurance portability - administrative simplification - privacy and security
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.
U.S. goverment
Ethical

44. HIPAA
Malfeasance
although medical records are confidential - there are times when they can be released w/o a patient consent.
The body of laws made by states is their own statutory laws
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

45. IIHI
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Treatment - payment and health care operations (TPO)
Limited data set
Individually Identifiable Health Information

46. 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
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Patient rights under HIPAA
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Insurance portability - administrative simplification - privacy and security

47. Unlawful act done without permission.
Malfeasance
Health Information
Transaction
Regulations

48. Coded information that can't be read until is decoded.
Encryption
concerns noncriminal disputes between private parties
The body of laws made by states is their own statutory laws
located in a secured and private space

49. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
Health 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
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
State preemption

50. Clearinghouse
Electronic Protected Health Information
Permission
although medical records are confidential - there are times when they can be released w/o a patient consent.
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