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HIPAA

Instructions:

Answer 50 questions in 15 minutes.
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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
should never be released w/o a patient's signed consent or court order
Patient
Covered entities
need to know

2. Emancipated minors

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3. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
a minor - rather than the parent - must sign the release of patient information
Treatment - payment and health care operations (TPO)
What types of disclosures do not require patient permission?

4. A written document detailing a health care provider's privacy practices.
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
Examples of PHI
Notice of Privacy Practices (NPP)
Minimum necessary

5. EPHI
Patient Identifiable Information
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Electronic Protected Health Information
Encryption

6. Includes records maintained by or for a covered entity.
should only be used when no other - more secure mode of transmission is available
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.
same legal standards apply to all patient records whether on paper or computer
Designated record set

7. The computer screen should have a screensaver that...
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
must be reported to authorities by law
Examples of PHI
comes on after a few idle seconds and the use of a privacy screen should be mandatory

8. Implied contract
purpose - pride - patience - persistence - perspective
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.
a contract that comes about from the actions of the parties rather than words
Permission

9. Transmission of information between two parties fro financial or administrative activities.
Covered entities
Transaction
Verification
malpractice

10. Disclosure without Consent
Notice of Privacy Practices
Minimum necessary
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

11. The use of uniform electronic network protocols to transfer business information between organizations.
Electronic data interchange
located in a secured and private space
Health Information
only those who meed to know should have access to patient information

12. Fax machines
Invasion of Privacy Publishing
should only be used when no other - more secure mode of transmission is available
Examples of PHI
Tort

13. IIHI
Health Information
should only be used when no other - more secure mode of transmission is available
Individually Identifiable Health Information
Insurance portability - administrative simplification - privacy and security

14. Negligence
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Transaction
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

15. Patient records are _____________ so not all staff will have access.
need to know
although medical records are confidential - there are times when they can be released w/o a patient consent.
Code sets
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

16. Medical records can be released w/o consent to...
Transaction
have a unique password and it should be changed frequently
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
Invasion of Privacy Publishing

17. 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.
The body of laws made by states is their own statutory laws
Treatment - payment and health care operations (TPO)
Code sets
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

18. Titile II of HIPAA
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
What types of disclosures do not require patient permission?
Encryption
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

19. Clearinghouse
Security
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
improper performance of an otherwise lawful act. civil
the philosophical study of moral values and rules - conducts

20. Uniform anotomical gift act
Examples of PHI
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
De-Identified Information
law that permits a person w/ a legal age and sound mind to give their body to donation

21. Ethics
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Firewalls
Transaction
the philosophical study of moral values and rules - conducts

22. Statue of limitations
malpractice
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
state laws setting time limit for bringing a lawsuit
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

23. Battery
generally only patient can auth release of own medical record - there are a few exceptions
State preemption
Limited data set
illegal touching of another person

24. Key entities
concerns noncriminal disputes between private parties
illegal touching of another person
purpose - pride - patience - persistence - perspective
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

25. Libel
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Patient
false and malicious writing about another
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

26. HIPAA states...
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Minimum necessary
need to know
only those who meed to know should have access to patient information

27. Freedom from unauthorized intrusion
Transaction
the philosophical study of moral values and rules - conducts
improper performance of an otherwise lawful act. civil
Privacy

28. Coded information that can't be read until is decoded.
Encryption
Treatment - payment and health care operations (TPO)
treatment - payment - & healthcare operations
generally only patient can auth release of own medical record - there are a few exceptions

29. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Individually Identifiable Health Information
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Portability

30. Document that includes the standards
a minor - rather than the parent - must sign the release of patient information
Minimum necessary
Rule
Tort

31. HIPAA
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Regulations
Code sets
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

32. Sending information over electronic networks.
Patient Identifiable Information
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
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
Electronic transmission

33. Good samaritan law
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
concerns noncriminal disputes between private parties

34. 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
Patient rights under HIPAA
false and malicious writing about another
Encryption
regular - in a secure location

35. 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.
Examples of PHI
comes on after a few idle seconds and the use of a privacy screen should be mandatory
false charges and malicious oral statements about someone
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

36. Implied consent
a contract that comes about from the actions of the parties rather than words
comes on after a few idle seconds and the use of a privacy screen should be mandatory
false charges and malicious oral statements about someone
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.

37. Data must be backed up at ___________ and those back-up files should be stored ________.
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
regular - in a secure location

38. 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
De-Identified Information
a minor - rather than the parent - must sign the release of patient information
Covered entities
the philosophical study of moral values and rules - conducts

39. Privacy Officer
Code sets
a minor - rather than the parent - must sign the release of patient 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
security rule

40. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Regulations
law concerned with public wrongs against society
Examples of PHI
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

41. DII
purpose - pride - patience - persistence - perspective
De-Identified Information
Limited data set
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

42. Disabilities act

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43. 5P's of ethical power
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
Minimum necessary
purpose - pride - patience - persistence - perspective
illegal touching of another person

44. Computes and HIPAA
Malfeasance
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
same legal standards apply to all patient records whether on paper or computer
state laws setting time limit for bringing a lawsuit

45. Statutory
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
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
The body of laws made by states is their own statutory laws
Patient rights under HIPAA

46. Medical records used for health care research

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47. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
comes on after a few idle seconds and the use of a privacy screen should be mandatory
U.S. goverment
Covered transactions
Minimum necessary

48. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
State preemption
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Transaction

49. Some state laws specifically protect __________. A patient would need to sign a specific request.
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Electronic Protected Health Information
a minor - rather than the parent - must sign the release of patient information
Minimum necessary

50. Hardware or software designed to prevent unauthorized access to electronic information.
Ethical
Firewalls
a minor - rather than the parent - must sign the release of patient information
concerns noncriminal disputes between private parties

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HIPAA

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