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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. Conforming to proper professional behavior
Invasion of Privacy Publishing
Notice of Privacy Practices
state laws setting time limit for bringing a lawsuit
Ethical

2. Key entities
Malfeasance
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
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
located in a secured and private space

3. interrogatory
A written set of questions requiring written answers from a plaintiff or defendant under oath
Notice of Privacy Practices (NPP)
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Covered transactions

4. Libel
false and malicious writing about another
located in a secured and private space
purpose - pride - patience - persistence - perspective
Insurance portability - administrative simplification - privacy and security

5. Statutory
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
false charges and malicious oral statements about someone
Notice of Privacy Practices (NPP)
The body of laws made by states is their own statutory laws

6. A written document detailing a health care provider's privacy practices.
Notice of Privacy Practices (NPP)
Notice of Privacy Practices
State preemption
What types of disclosures do not require patient permission?

7. What information do patients NOT have access to?
Ethical
must be reported to authorities by law
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

8. Privacy Officer
the philosophical study of moral values and rules - conducts
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Code sets
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

9. Any set of codes use to encode health care data elements.
Code sets
security rule
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 law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

10. 5P's of ethical power
law concerned with public wrongs against society
Regulations
Standard
purpose - pride - patience - persistence - perspective

11. Deposition
Notice of Privacy Practices
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
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
testimony under oath

12. PII
although medical records are confidential - there are times when they can be released w/o a patient consent.
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Patient Identifiable Information
Malfeasance

13. De-Identified Information
should never be released w/o a patient's signed consent or court order
Code sets
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

14. Protected Health Information (PHI)
Designated record set
comes on after a few idle seconds and the use of a privacy screen should be mandatory
generally only patient can auth release of own medical record - there are a few exceptions
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

15. 4d's of negligence
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.
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
Privacy
should only be used when no other - more secure mode of transmission is available

16. HIPAA
Transaction
although medical records are confidential - there are times when they can be released w/o a patient consent.
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Firewalls

17. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Regulations
Security
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
false and malicious writing about another

18. Subpoenas
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.
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
regular - in a secure location
Notice of Privacy Practices (NPP)

19. General exceptions for releasing patient information
concerns noncriminal disputes between private parties
have a unique password and it should be changed frequently
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

20. Title I of HIPAA
should never be released w/o a patient's signed consent or court order
addresses portability of insurance coverage when employees change or lose their jobs
although medical records are confidential - there are times when they can be released w/o a patient consent.
Designated record set

21. Medical records can be released w/o consent to...
must be reported to authorities by law
same legal standards apply to all patient records whether on paper or computer
testimony under oath
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

22. Policies and procedures use to protect electronic information from unauthorized access
testimony under oath
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Security

23. Emancipated minors

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24. DII
Covered entities
De-Identified Information
comes on after a few idle seconds and the use of a privacy screen should be mandatory
should never be released w/o a patient's signed consent or court order

25. 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)
Encryption
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?

26. Unlawful act done without permission.
Patient Identifiable Information
Malfeasance
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
State preemption

27. Negligence
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
State preemption
concerns noncriminal disputes between private parties
Permission

28. Computes and HIPAA
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
same legal standards apply to all patient records whether on paper or computer
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Examples of PHI

29. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Portability
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Electronic transmission
Examples of PHI

30. Uniform anotomical gift act
a minor - rather than the parent - must sign the release of patient information
law that permits a person w/ a legal age and sound mind to give their body to donation
Verification
improper performance of an otherwise lawful act. civil

31. Reportable diseases...
A written set of questions requiring written answers from a plaintiff or defendant under oath
must be reported to authorities by law
a minor - rather than the parent - must sign the release of patient information
Verification

32. Common law
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Covered transactions
regular - in a secure location
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

33. A reason for each use and disclosure of patient information.
De-Identified Information
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Standard
Permission

34. Implied 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
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.
have a unique password and it should be changed frequently

35. 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
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
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
malpractice
Covered entities

36. OIG - Office of the Inspector General
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Examples of PHI
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

37. Includes records maintained by or for a covered entity.
law concerned with public wrongs against society
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
Examples of PHI
Designated record set

38. Disabilities act

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39. Bioethics
Portability
must be reported to authorities by law
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
security rule

40. Medical records used for health care research

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41. Slander
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
should never be released w/o a patient's signed consent or court order
Patient rights under HIPAA
false charges and malicious oral statements about someone

42. Some state laws specifically protect __________. A patient would need to sign a specific request.
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Privacy
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 contract that comes about from the actions of the parties rather than words

43. A general HIPAA requirement
state laws setting time limit for bringing a lawsuit
Standard
Portability
Malfeasance

44. 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
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
substance abuse treatment
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

45. Sending information over electronic networks.
Tort
Electronic transmission
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Code sets

46. Statue of limitations
law concerned with public wrongs against society
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
state laws setting time limit for bringing a lawsuit

47. Advanced directives
Limited data set
Health Information
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
Rule

48. HIPAA compliance mandates that computer systems must be...
located in a secured and private space
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
only those who meed to know should have access to patient information
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

49. What are the 3 purposes of HIPAA?
purpose - pride - patience - persistence - perspective
U.S. goverment
Insurance portability - administrative simplification - privacy and security
generally only patient can auth release of own medical record - there are a few exceptions

50. Releasing patient information
generally only patient can auth release of own medical record - there are a few exceptions
Invasion of Privacy Publishing
concerns noncriminal disputes between private parties
Limited data set

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HIPAA

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