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HIPAA

Instructions:

Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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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. What information do patients NOT have access to?
Verification
generally only patient can auth release of own medical record - there are a few exceptions
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Tort

2. The limited amount of patient information to be disclosed - depending on circumstances.
Minimum necessary
treatment - payment - & healthcare operations
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
testimony under oath

3. Disabilities act

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4. 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.
located in a secured and private space
the philosophical study of moral values and rules - conducts
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Examples of PHI

5. OIG - Office of the Inspector General
Portability
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Standard
A written set of questions requiring written answers from a plaintiff or defendant under oath

6. Statue of limitations
state laws setting time limit for bringing a lawsuit
security rule
located in a secured and private space
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

7. Ethics
need to know
the philosophical study of moral values and rules - conducts
Tort
Regulations

8. Patient records are _____________ so not all staff will have access.
must be reported to authorities by law
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Ethical
need to know

9. Includes records maintained by or for a covered entity.
malpractice
Privacy
Designated record set
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

10. Uniform anotomical gift act
the philosophical study of moral values and rules - conducts
law that permits a person w/ a legal age and sound mind to give their body to donation
A written set of questions requiring written answers from a plaintiff or defendant under oath
same legal standards apply to all patient records whether on paper or computer

11. 5P's of ethical power
purpose - pride - patience - persistence - perspective
treatment - payment - & healthcare operations
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Privacy

12. Coded information that can't be read until is decoded.
Rule
a contract that comes about from the actions of the parties rather than words
Encryption
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

13. Any set of codes use to encode health care data elements.
Code sets
state laws setting time limit for bringing a lawsuit
What types of disclosures do not require patient permission?
Rule

14. Under some circumstances ...
a minor - rather than the parent - must sign the release of patient information
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
comes on after a few idle seconds and the use of a privacy screen should be mandatory
malpractice

15. The person recieving treatment
Patient
Transaction
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

16. PII
Patient Identifiable Information
the philosophical study of moral values and rules - conducts
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.
Portability

17. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
although medical records are confidential - there are times when they can be released w/o a patient consent.
Ethical
State preemption
Regulations

18. Libel
substance abuse treatment
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Ethical
false and malicious writing about another

19. Battery
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
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
illegal touching of another person

20. 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
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Transaction
Patient rights under HIPAA
false charges and malicious oral statements about someone

21. Transmission of information between two parties fro financial or administrative activities.
same legal standards apply to all patient records whether on paper or computer
substance abuse treatment
Transaction
a contract that comes about from the actions of the parties rather than words

22. Civil law
Minimum necessary
Patient rights under HIPAA
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
concerns noncriminal disputes between private parties

23. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
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
treatment - payment - & healthcare operations
Portability
Notice of Privacy Practices (NPP)

24. Protected health information from which certain patient identifiers have been removed
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Firewalls
Limited data set
law concerned with public wrongs against society

25. Any wrongdoing for which an action for damages may be brought
Tort
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Examples of PHI
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

26. NPP
Malfeasance
the philosophical study of moral values and rules - conducts
Notice of Privacy Practices
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

27. Implied consent
Ethical
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.
false charges and malicious oral statements about someone
although medical records are confidential - there are times when they can be released w/o a patient consent.

28. Unlawful act done without permission.
Malfeasance
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
The body of laws made by states is their own statutory laws

29. Computes and HIPAA
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
same legal standards apply to all patient records whether on paper or computer
Electronic Protected Health Information
false and malicious writing about another

30. Medical records can be released w/o consent to...
Firewalls
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
Insurance portability - administrative simplification - privacy and security
Rule

31. Subpoenas
should only be used when no other - more secure mode of transmission is available
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Tort
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

32. Titile II of HIPAA
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Portability
Malfeasance
Permission

33. HI
purpose - pride - patience - persistence - perspective
substance abuse treatment
Electronic data interchange
Health Information

34. IIHI
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
Limited data set
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

35. What are the 3 purposes of HIPAA?
Insurance portability - administrative simplification - privacy and security
A written set of questions requiring written answers from a plaintiff or defendant under oath
Security
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

36. Fax machines
Treatment - payment and health care operations (TPO)
Electronic transmission
Security
should only be used when no other - more secure mode of transmission is available

37. A written document detailing a health care provider's privacy practices.
Health Information
A written set of questions requiring written answers from a plaintiff or defendant under oath
De-Identified Information
Notice of Privacy Practices (NPP)

38. The computer screen should have a screensaver that...
generally only patient can auth release of own medical record - there are a few exceptions
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
Regulations

39. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
should only be used when no other - more secure mode of transmission is available
Covered transactions
What types of disclosures do not require patient permission?
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

40. The use of uniform electronic network protocols to transfer business information between organizations.
same legal standards apply to all patient records whether on paper or computer
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
concerns noncriminal disputes between private parties
Electronic data interchange

41. Releasing patient information
generally only patient can auth release of own medical record - there are a few exceptions
Regulations
only those who meed to know should have access to patient information
The body of laws made by states is their own statutory laws

42. 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)
De-Identified Information
Invasion of Privacy Publishing
a minor - rather than the parent - must sign the release of patient information

43. Key entities
Malfeasance
Standard
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

44. making known - or using information relating to the private life or affairs of a person without their approval or permission
security rule
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Privacy
Invasion of Privacy Publishing

45. Professional Negligence
Health Information
U.S. goverment
Notice of Privacy Practices
malpractice

46. Clearinghouse
Covered entities
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
should never be released w/o a patient's signed consent or court order
Electronic data interchange

47. Freedom from unauthorized intrusion
Privacy
generally only patient can auth release of own medical record - there are a few exceptions
Encryption
false charges and malicious oral statements about someone

48. Good samaritan law
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Insurance portability - administrative simplification - privacy and security
Electronic Protected Health Information
addresses portability of insurance coverage when employees change or lose their jobs

49. Verify the identification of anyone requesting patient information.
although medical records are confidential - there are times when they can be released w/o a patient consent.
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Verification
Patient Identifiable Information

50. Medical records used for health care research

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HIPAA

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