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. The person recieving treatment
Patient
Treatment - payment and health care operations (TPO)
Covered transactions
comes on after a few idle seconds and the use of a privacy screen should be mandatory

2. Civil law
concerns noncriminal disputes between private parties
comes on after a few idle seconds and the use of a privacy screen should be mandatory
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.
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

3. HIPAA compliance mandates that computer systems must be...
located in a secured and private space
need to know
Invasion of Privacy Publishing
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.

4. De-Identified Information
Standard
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
A written set of questions requiring written answers from a plaintiff or defendant under oath
Verification

5. PII
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
De-Identified Information
Patient Identifiable Information
regular - in a secure location

6. Who regulates HIPAA?
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Treatment - payment and health care operations (TPO)
U.S. goverment
Verification

7. 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.
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)
Electronic data interchange
Treatment - payment and health care operations (TPO)

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

9. NPP
Notice of Privacy Practices
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
a minor - rather than the parent - must sign the release of patient information

10. Data must be backed up at ___________ and those back-up files should be stored ________.
Covered transactions
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
security rule
regular - in a secure location

11. Hardware or software designed to prevent unauthorized access to electronic information.
What types of disclosures do not require patient permission?
Insurance portability - administrative simplification - privacy and security
Patient Identifiable Information
Firewalls

12. Under some circumstances ...
improper performance of an otherwise lawful act. civil
a minor - rather than the parent - must sign the release of patient information
concerns noncriminal disputes between private parties
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

13. Common law
Code sets
The body of laws made by states is their own statutory laws
Designated record set
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

14. Bioethics
Invasion of Privacy Publishing
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
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
concerns noncriminal disputes between private parties

15. Protected health information from which certain patient identifiers have been removed
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
Limited data set
a minor - rather than the parent - must sign the release of patient information

16. What are the 3 purposes of HIPAA?
Insurance portability - administrative simplification - privacy and security
Transaction
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

17. Implied contract
a minor - rather than the parent - must sign the release of patient information
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
a contract that comes about from the actions of the parties rather than words
What types of disclosures do not require patient permission?

18. HI
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
located in a secured and private space
Health Information
a contract that comes about from the actions of the parties rather than words

19. IIHI
Individually Identifiable Health Information
should only be used when no other - more secure mode of transmission is available
illegal touching of another person
Regulations

20. Doctor release of patient
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
concerns noncriminal disputes between private parties
false and malicious writing about another

21. Key entities
must be reported to authorities by law
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
Minimum necessary

22. Medical records used for health care research

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23. Protected Health Information (PHI)
concerns noncriminal disputes between private parties
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Covered transactions

24. Titile II of HIPAA
Individually Identifiable Health Information
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
regular - in a secure location
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

25. Ethics
Electronic data interchange
the philosophical study of moral values and rules - conducts
purpose - pride - patience - persistence - perspective
should only be used when no other - more secure mode of transmission is available

26. Misfeasance
What types of disclosures do not require patient permission?
the philosophical study of moral values and rules - conducts
Notice of Privacy Practices (NPP)
improper performance of an otherwise lawful act. civil

27. The computer screen should have a screensaver that...
comes on after a few idle seconds and the use of a privacy screen should be mandatory
a contract that comes about from the actions of the parties rather than words
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.
State preemption

28. interrogatory
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.
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
a minor - rather than the parent - must sign the release of patient information
A written set of questions requiring written answers from a plaintiff or defendant under oath

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.
Individually Identifiable Health Information
false charges and malicious oral statements about someone
Examples of PHI
Code sets

30. A written document detailing a health care provider's privacy practices.
Notice of Privacy Practices (NPP)
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Patient Identifiable Information
Firewalls

31. All persons who will have access are required to...
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.
have a unique password and it should be changed frequently
a minor - rather than the parent - must sign the release of patient information

32. Subpoenas
Examples of PHI
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
De-Identified Information
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

33. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
improper performance of an otherwise lawful act. civil
a minor - rather than the parent - must sign the release of patient information
Portability
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

34. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
purpose - pride - patience - persistence - perspective
security rule
Electronic data interchange
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

35. Libel
false and malicious writing about another
De-Identified Information
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Insurance portability - administrative simplification - privacy and security

36. Statutory
Malfeasance
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
The body of laws made by states is their own statutory laws
regular - in a secure location

37. Medical records can be released w/o consent to...
substance abuse treatment
should only be used when no other - more secure mode of transmission is available
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
Electronic transmission

38. Uniform anotomical gift act
have a unique password and it should be changed frequently
same legal standards apply to all patient records whether on paper or computer
law that permits a person w/ a legal age and sound mind to give their body to donation
Rule

39. Any set of codes use to encode health care data elements.
Portability
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
The body of laws made by states is their own statutory laws
Code sets

40. Fax machines
a minor - rather than the parent - must sign the release of patient information
should only be used when no other - more secure mode of transmission is available
Regulations
Designated record set

41. Battery
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.
illegal touching of another person
purpose - pride - patience - persistence - perspective
Encryption

42. TPO
regular - in a secure location
treatment - payment - & healthcare operations
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
concerns noncriminal disputes between private parties

43. The use of uniform electronic network protocols to transfer business information between organizations.
Electronic data interchange
security rule
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
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

44. 5P's of ethical power
The body of laws made by states is their own statutory laws
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Verification
purpose - pride - patience - persistence - perspective

45. Federal law protects patient records dealing with...
Firewalls
substance abuse treatment
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
addresses portability of insurance coverage when employees change or lose their jobs

46. OIG - Office of the Inspector General
Malfeasance
Designated record set
false charges and malicious oral statements about someone
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

47. 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
have a unique password and it should be changed frequently
Designated record set
Portability
Covered entities

48. Any wrongdoing for which an action for damages may be brought
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
The body of laws made by states is their own statutory laws
Tort
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

49. Unlawful act done without permission.
Malfeasance
A written set of questions requiring written answers from a plaintiff or defendant under oath
Invasion of Privacy Publishing
comes on after a few idle seconds and the use of a privacy screen should be mandatory

50. Verify the identification of anyone requesting patient information.
a minor - rather than the parent - must sign the release of patient information
Patient
Verification
testimony under oath