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. What information do patients NOT have access to?
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
although medical records are confidential - there are times when they can be released w/o a patient consent.
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
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

2. HIPAA states...
Portability
State preemption
Ethical
only those who meed to know should have access to patient information

3. making known - or using information relating to the private life or affairs of a person without their approval or permission
Security
although medical records are confidential - there are times when they can be released w/o a patient consent.
Invasion of Privacy Publishing
U.S. goverment

4. Uniform anotomical gift act
Transaction
Electronic data interchange
law that permits a person w/ a legal age and sound mind to give their body to donation
Portability

5. Conforming to proper professional behavior
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Treatment - payment and health care operations (TPO)
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
Ethical

6. Under some circumstances ...
a minor - rather than the parent - must sign the release of patient information
Individually Identifiable Health Information
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
need to know

7. A written document detailing a health care provider's privacy practices.
Rule
De-Identified Information
Notice of Privacy Practices (NPP)
Patient Identifiable Information

8. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
A written set of questions requiring written answers from a plaintiff or defendant under oath
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
State preemption
law that permits a person w/ a legal age and sound mind to give their body to donation

9. PII
A written set of questions requiring written answers from a plaintiff or defendant under oath
Patient Identifiable Information
need to know
a minor - rather than the parent - must sign the release of patient information

10. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Regulations
Limited data set
regular - in a secure location
A written set of questions requiring written answers from a plaintiff or defendant under oath

11. 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
Verification
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

12. Who regulates HIPAA?
Portability
Treatment - payment and health care operations (TPO)
Permission
U.S. goverment

13. The person recieving treatment
Patient
What types of disclosures do not require patient permission?
Limited data set
State preemption

14. Implied consent
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Designated record set
What types of disclosures do not require patient permission?
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.

15. Medical records can be released w/o consent to...
should never be released w/o a patient's signed consent or court order
should only be used when no other - more secure mode of transmission is available
treatment - payment - & healthcare operations
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

16. The computer screen should have a screensaver that...
Patient Identifiable Information
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Code sets
Security

17. Patient records are _____________ so not all staff will have access.
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
substance abuse treatment
need to know

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
Rule
Patient rights under HIPAA
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Encryption

19. All persons who will have access are required to...
testimony under oath
have a unique password and it should be changed frequently
comes on after a few idle seconds and the use of a privacy screen should be mandatory
regular - in a secure location

20. IIHI
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.
Designated record set
Patient
Individually Identifiable Health Information

21. Civil law
State preemption
Designated record set
concerns noncriminal disputes between private parties
Patient Identifiable Information

22. OIG - Office of the Inspector General
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Ethical
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
although medical records are confidential - there are times when they can be released w/o a patient consent.

23. Document that includes the standards
Patient
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.
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Rule

24. Disclosure without Consent
Rule
although medical records are confidential - there are times when they can be released w/o a patient consent.
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.
Patient rights under HIPAA

25. Includes records maintained by or for a covered entity.
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
state laws setting time limit for bringing a lawsuit
Designated record set
Security

26. Coded information that can't be read until is decoded.
Encryption
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
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
Permission

27. Disabilities act

28. Statutory
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
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
have a unique password and it should be changed frequently

29. Protected health information from which certain patient identifiers have been removed
Limited data set
should only be used when no other - more secure mode of transmission is available
Security
Electronic data interchange

30. De-Identified Information
must be reported to authorities by law
Electronic data interchange
Privacy
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

31. Libel
false and malicious writing about another
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Code sets
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

32. Criminal law
a contract that comes about from the actions of the parties rather than words
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Notice of Privacy Practices (NPP)
law concerned with public wrongs against society

33. HIPAA compliance mandates that computer systems must be...
A written set of questions requiring written answers from a plaintiff or defendant under oath
improper performance of an otherwise lawful act. civil
located in a secured and private space
illegal touching of another person

34. HIPAA
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.
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Firewalls

35. NPP
a minor - rather than the parent - must sign the release of patient information
Privacy
law concerned with public wrongs against society
Notice of Privacy Practices

36. Transmission of information between two parties fro financial or administrative activities.
Invasion of Privacy Publishing
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
Transaction
State preemption

37. Releasing patient 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
generally only patient can auth release of own medical record - there are a few exceptions
security rule
Notice of Privacy Practices (NPP)

38. A reason for each use and disclosure of patient information.
Permission
Code sets
improper performance of an otherwise lawful act. civil
false and malicious writing about another

39. Some state laws specifically protect __________. A patient would need to sign a specific request.
Permission
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.
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

40. 5P's of ethical power
purpose - pride - patience - persistence - perspective
Encryption
security rule
Patient

41. What are the 3 purposes of HIPAA?
Tort
Insurance portability - administrative simplification - privacy and security
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
Regulations

42. Confidentiality

43. Verify the identification of anyone requesting patient information.
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
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Verification
Patient

44. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
security rule
should never be released w/o a patient's signed consent or court order
Examples of PHI
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

45. 4d's of negligence
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
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
security rule
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

46. Reportable diseases...
must be reported to authorities by law
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
U.S. goverment
regular - in a secure location

47. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
addresses portability of insurance coverage when employees change or lose their jobs
A written set of questions requiring written answers from a plaintiff or defendant under oath
What types of disclosures do not require patient permission?
false charges and malicious oral statements about someone

48. Policies and procedures use to protect electronic information from unauthorized access
Security
Insurance portability - administrative simplification - privacy and security
Limited data set
substance abuse treatment

49. interrogatory
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
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
A written set of questions requiring written answers from a plaintiff or defendant under oath
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

50. Professional Negligence
Individually Identifiable Health Information
generally only patient can auth release of own medical record - there are a few exceptions
Patient
malpractice