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. Data must be backed up at ___________ and those back-up files should be stored ________.
regular - in a secure location
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Minimum necessary

2. A reason for each use and disclosure of patient information.
Permission
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Patient
Transaction

3. Implied contract
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 contract that comes about from the actions of the parties rather than words
Patient rights under HIPAA
The body of laws made by states is their own statutory laws

4. Professional Negligence
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Individually Identifiable Health Information
malpractice
Patient Identifiable Information

5. De-Identified Information
Designated record set
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
security rule
The body of laws made by states is their own statutory laws

6. Verify the identification of anyone requesting patient information.
Verification
Minimum necessary
Designated record set
Standard

7. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
only those who meed to know should have access to patient information
Covered transactions
Notice of Privacy Practices (NPP)
a contract that comes about from the actions of the parties rather than words

8. Key entities
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
Electronic Protected Health Information
Notice of Privacy Practices (NPP)
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

9. 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
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.
Rule
improper performance of an otherwise lawful act. civil

10. Computes and HIPAA
same legal standards apply to all patient records whether on paper or computer
although medical records are confidential - there are times when they can be released w/o a patient consent.
Examples of PHI
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

11. Battery
illegal touching of another person
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 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

12. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
malpractice
Verification
security rule

13. Ethics
law that permits a person w/ a legal age and sound mind to give their body to donation
regular - in a secure location
Verification
the philosophical study of moral values and rules - conducts

14. Uniform anotomical gift act
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
law that permits a person w/ a legal age and sound mind to give their body to donation
substance abuse treatment
Permission

15. Misfeasance
Electronic transmission
Permission
improper performance of an otherwise lawful act. civil
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.

16. Releasing 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
Tort
generally only patient can auth release of own medical record - there are a few exceptions
treatment - payment - & healthcare operations

17. Any set of codes use to encode health care data elements.
Insurance portability - administrative simplification - privacy and security
improper performance of an otherwise lawful act. civil
have a unique password and it should be changed frequently
Code sets

18. Sending information over electronic networks.
Electronic transmission
treatment - payment - & healthcare operations
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
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

19. Title I of HIPAA
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
a contract that comes about from the actions of the parties rather than words
Notice of Privacy Practices
addresses portability of insurance coverage when employees change or lose their jobs

20. Statue of limitations
Electronic data interchange
state laws setting time limit for bringing a lawsuit
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 discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

21. NPP
Notice of Privacy Practices
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.
regular - in a secure location

22. 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
false charges and malicious oral statements about someone
need to know
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Patient rights under HIPAA

23. Civil law
concerns noncriminal disputes between private parties
Electronic data interchange
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
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

24. Document that includes the standards
Rule
purpose - pride - patience - persistence - perspective
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

25. 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
false and malicious writing about another
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
treatment - payment - & healthcare operations

26. A written document detailing a health care provider's privacy practices.
the philosophical study of moral values and rules - conducts
Ethical
Firewalls
Notice of Privacy Practices (NPP)

27. Disclosure without Consent
although medical records are confidential - there are times when they can be released w/o a patient consent.
The body of laws made by states is their own statutory laws
Health Information
Standard

28. Doctor release of patient
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
located in a secured and private space
Invasion of Privacy Publishing

29. The person recieving treatment
Patient
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Covered transactions
substance abuse treatment

30. Confidentiality

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31. EPHI
Electronic Protected Health Information
must be reported to authorities by law
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Portability

32. OIG - Office of the Inspector General
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
located in a secured and private space
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
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

33. PII
Patient Identifiable Information
Designated record set
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
Individually Identifiable Health Information

34. 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.
false and malicious writing about another
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
substance abuse treatment
Treatment - payment and health care operations (TPO)

35. DII
Notice of Privacy Practices (NPP)
regular - in a secure location
De-Identified Information
The body of laws made by states is their own statutory laws

36. Business Associate Agreements applies to...
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
Rule
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
Designated record set

37. Unlawful act done without permission.
addresses portability of insurance coverage when employees change or lose their jobs
Minimum necessary
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Malfeasance

38. Common law
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Security
Portability

39. Libel
treatment - payment - & healthcare operations
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
false and malicious writing about another
regular - in a secure location

40. 5P's of ethical power
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Electronic Protected Health Information
testimony under oath
purpose - pride - patience - persistence - perspective

41. What information do patients NOT have access to?
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
law that permits a person w/ a legal age and sound mind to give their body to donation
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
testimony under oath

42. Protected Health Information (PHI)
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
illegal touching of another person
A written set of questions requiring written answers from a plaintiff or defendant under oath

43. IIHI
Examples of PHI
Portability
Individually Identifiable Health Information
addresses portability of insurance coverage when employees change or lose their jobs

44. Freedom from unauthorized intrusion
Treatment - payment and health care operations (TPO)
generally only patient can auth release of own medical record - there are a few exceptions
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
Privacy

45. Emancipated minors

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46. Advanced directives
false charges and malicious oral statements about someone
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
addresses portability of insurance coverage when employees change or lose their jobs
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

47. Titile II of HIPAA
Tort
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
law that permits a person w/ a legal age and sound mind to give their body to donation
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

48. 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
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
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
Covered entities
Security

49. A general HIPAA requirement
Standard
comes on after a few idle seconds and the use of a privacy screen should be mandatory
state laws setting time limit for bringing a lawsuit
Insurance portability - administrative simplification - privacy and security

50. Good samaritan law
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
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
only those who meed to know should have access to patient information
although medical records are confidential - there are times when they can be released w/o a patient consent.