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. Coded information that can't be read until is decoded.
only those who meed to know should have access to patient information
Limited data set
Encryption
Portability

2. Protected health information from which certain patient identifiers have been removed
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
need to know
Electronic data interchange
Limited data set

3. OIG - Office of the Inspector General
Portability
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Notice of Privacy Practices
Malfeasance

4. Who regulates HIPAA?
Minimum necessary
U.S. goverment
a contract that comes about from the actions of the parties rather than words
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

5. Transmission of information between two parties fro financial or administrative activities.
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
U.S. goverment
Transaction
should never be released w/o a patient's signed consent or court order

6. making known - or using information relating to the private life or affairs of a person without their approval or permission
Regulations
located in a secured and private space
Invasion of Privacy Publishing
law concerned with public wrongs against society

7. interrogatory
A written set of questions requiring written answers from a plaintiff or defendant under oath
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
Patient Identifiable Information
should only be used when no other - more secure mode of transmission is available

8. Title I of HIPAA
addresses portability of insurance coverage when employees change or lose their jobs
Patient Identifiable Information
Individually Identifiable Health Information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

9. Misfeasance
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
improper performance of an otherwise lawful act. civil
have a unique password and it should be changed frequently
Rule

10. Reportable diseases...
must be reported to authorities by law
although medical records are confidential - there are times when they can be released w/o a patient consent.
false and malicious writing about another
testimony under oath

11. Criminal law
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 data interchange
Verification
law concerned with public wrongs against society

12. Fax machines
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
should only be used when no other - more secure mode of transmission is available
Malfeasance
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

13. Under some circumstances ...
Rule
a minor - rather than the parent - must sign the release of patient information
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
must be reported to authorities by law

14. Medical records used for health care research

15. A written document detailing a health care provider's privacy practices.
concerns noncriminal disputes between private parties
Notice of Privacy Practices (NPP)
have a unique password and it should be changed frequently
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

16. Confidentiality

17. Verify the identification of anyone requesting patient information.
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Verification
a contract that comes about from the actions of the parties rather than words
Ethical

18. 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
testimony under oath
Encryption
Patient rights under HIPAA
Electronic Protected Health Information

19. Privacy Officer
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 written set of questions requiring written answers from a plaintiff or defendant under oath
Ethical
law concerned with public wrongs against society

20. IIHI
located in a secured and private space
addresses portability of insurance coverage when employees change or lose their jobs
a minor - rather than the parent - must sign the release of patient information
Individually Identifiable Health Information

21. The use of uniform electronic network protocols to transfer business information between organizations.
Electronic data interchange
De-Identified Information
Insurance portability - administrative simplification - privacy and security
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

22. Doctor release of patient
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
false charges and malicious oral statements about someone
state laws setting time limit for bringing a lawsuit
should never be released w/o a patient's signed consent or court order

23. Advanced directives
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
Electronic transmission
Examples of PHI
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

24. 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.
should never be released w/o a patient's signed consent or court order
Treatment - payment and health care operations (TPO)
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Regulations

25. Civil law
security rule
Electronic Protected Health Information
concerns noncriminal disputes between private parties
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

26. A reason for each use and disclosure of patient information.
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Permission
Tort
Standard

27. Federal law protects patient records dealing with...
only those who meed to know should have access to 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
Firewalls
substance abuse treatment

28. Implied contract
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
a contract that comes about from the actions of the parties rather than words
Patient Identifiable Information
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.

29. What information do patients NOT have access to?
Electronic transmission
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
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

30. What are the 3 purposes of HIPAA?
Insurance portability - administrative simplification - privacy and security
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Firewalls
Patient

31. Battery
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
illegal touching of another person
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
although medical records are confidential - there are times when they can be released w/o a patient consent.

32. EPHI
law that permits a person w/ a legal age and sound mind to give their body to donation
Electronic Protected Health Information
false charges and malicious oral statements about someone
Electronic data interchange

33. Emancipated minors

34. DII
De-Identified Information
Verification
Notice of Privacy Practices
Patient rights under HIPAA

35. HIPAA compliance mandates that computer systems must be...
Malfeasance
Portability
located in a secured and private space
Health Information

36. A general HIPAA requirement
Standard
Code sets
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

37. Uniform anotomical gift act
law that permits a person w/ a legal age and sound mind to give their body to donation
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Malfeasance
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

38. Deposition
Health Information
testimony under oath
although medical records are confidential - there are times when they can be released w/o a patient consent.
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

39. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
Regulations
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
What types of disclosures do not require patient permission?

40. Hardware or software designed to prevent unauthorized access to electronic information.
concerns noncriminal disputes between private parties
Firewalls
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
located in a secured and private space

41. 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
Covered transactions
Electronic Protected Health Information

42. HI
treatment - payment - & healthcare operations
Health Information
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
What types of disclosures do not require patient permission?

43. Ethics
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
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
Encryption
the philosophical study of moral values and rules - conducts

44. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
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
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Transaction
Portability

45. Document that includes the standards
Limited data set
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
Electronic Protected Health Information
Rule

46. Any wrongdoing for which an action for damages may be brought
Firewalls
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Limited data set
Tort

47. Negligence
Individually Identifiable Health Information
Rule
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Patient Identifiable Information

48. 5P's of ethical power
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
purpose - pride - patience - persistence - perspective
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

49. De-Identified Information
false charges and malicious oral statements about someone
should only be used when no other - more secure mode of transmission is available
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

50. Good samaritan law
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Standard
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
A written set of questions requiring written answers from a plaintiff or defendant under oath