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. A written document detailing a health care provider's privacy practices.
Notice of Privacy Practices (NPP)
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Tort

2. HIPAA states...
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Rule
only those who meed to know should have access to patient information

3. Disabilities act

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4. Releasing patient information
same legal standards apply to all patient records whether on paper or computer
Standard
generally only patient can auth release of own medical record - there are a few exceptions
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

5. Bioethics
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Individually Identifiable Health Information
purpose - pride - patience - persistence - perspective
Examples of PHI

6. making known - or using information relating to the private life or affairs of a person without their approval or permission
Invasion of Privacy Publishing
improper performance of an otherwise lawful act. civil
Examples of PHI
generally only patient can auth release of own medical record - there are a few exceptions

7. Business Associate Agreements applies to...
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
Electronic Protected Health Information
Firewalls
Insurance portability - administrative simplification - privacy and security

8. Transmission of information between two parties fro financial or administrative activities.
Transaction
treatment - payment - & healthcare operations
addresses portability of insurance coverage when employees change or lose their jobs
Security

9. Common law
malpractice
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Verification
should only be used when no other - more secure mode of transmission is available

10. DII
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
De-Identified Information
Covered entities
Permission

11. The limited amount of patient information to be disclosed - depending on circumstances.
Minimum necessary
only those who meed to know should have access to patient information
security rule
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

12. 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.
U.S. goverment
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Examples of PHI
should only be used when no other - more secure mode of transmission is available

13. Conforming to proper professional behavior
Electronic transmission
Ethical
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

14. TPO
testimony under oath
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.
treatment - payment - & healthcare operations
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

15. Statue of limitations
state laws setting time limit for bringing a lawsuit
Privacy
addresses portability of insurance coverage when employees change or lose their jobs
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

16. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
Covered transactions
should never be released w/o a patient's signed consent or court order
What types of disclosures do not require patient permission?
Rule

17. Who regulates HIPAA?
Regulations
U.S. goverment
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
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.

18. Civil law
concerns noncriminal disputes between private parties
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
Permission
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

19. 5P's of ethical power
the philosophical study of moral values and rules - conducts
U.S. goverment
purpose - pride - patience - persistence - perspective
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

20. Negligence
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.
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
regular - in a secure location
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

21. IIHI
Privacy
Individually Identifiable Health Information
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
although medical records are confidential - there are times when they can be released w/o a patient consent.

22. HIPAA compliance mandates that computer systems must be...
located in a secured and private space
Portability
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
U.S. goverment

23. Emancipated minors

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24. Implied contract
a contract that comes about from the actions of the parties rather than words
state laws setting time limit for bringing a lawsuit
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Regulations

25. Slander
Malfeasance
treatment - payment - & healthcare operations
false charges and malicious oral statements about someone
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

26. 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
should never be released w/o a patient's signed consent or court order
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Patient rights under HIPAA
Electronic data interchange

27. Reportable diseases...
must be reported to authorities by law
the philosophical study of moral values and rules - conducts
have a unique password and it should be changed frequently
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

28. In order for a fax document to be HIPAA compliant...

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29. 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.
What types of disclosures do not require patient permission?
Treatment - payment and health care operations (TPO)
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
regular - in a secure location

30. Deposition
Limited data set
testimony under oath
Encryption
law concerned with public wrongs against society

31. Titile II of HIPAA
located in a secured and private space
illegal touching of another person
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

32. Criminal law
need to know
Firewalls
the philosophical study of moral values and rules - conducts
law concerned with public wrongs against society

33. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
should only be used when no other - more secure mode of transmission is available
malpractice
Covered transactions

34. Freedom from unauthorized intrusion
Privacy
Covered transactions
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

35. Professional Negligence
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
Covered transactions
Individually Identifiable Health Information
malpractice

36. 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
Limited data set
Electronic transmission
Covered entities

37. The use of uniform electronic network protocols to transfer business information between organizations.
Electronic data interchange
the philosophical study of moral values and rules - conducts
Limited data set
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

38. Statutory
illegal touching of another person
law concerned with public wrongs against society
The body of laws made by states is their own statutory laws
Insurance portability - administrative simplification - privacy and security

39. 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
illegal touching of another person
have a unique password and it should be changed frequently
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

40. HIPAA
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
need to know
Standard

41. Protected Health Information (PHI)
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
improper performance of an otherwise lawful act. civil
purpose - pride - patience - persistence - perspective

42. What information do patients NOT have access to?
Patient
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
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Privacy

43. Verify the identification of anyone requesting 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
Permission
Notice of Privacy Practices
Verification

44. Coded information that can't be read until is decoded.
addresses portability of insurance coverage when employees change or lose their jobs
Treatment - payment and health care operations (TPO)
state laws setting time limit for bringing a lawsuit
Encryption

45. Advanced directives
Rule
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
Covered entities
malpractice

46. Fax Machines and HIPAA
Individually Identifiable Health Information
state laws setting time limit for bringing a lawsuit
Examples of PHI
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

47. Good samaritan law
illegal touching of another person
law concerned with public wrongs against society
generally only patient can auth release of own medical record - there are a few exceptions
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

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

49. What are the 3 purposes of HIPAA?
Insurance portability - administrative simplification - privacy and security
law concerned with public wrongs against society
Notice of Privacy Practices
U.S. goverment

50. NPP
Notice of Privacy Practices
addresses portability of insurance coverage when employees change or lose their jobs
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
security rule