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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. Title I of HIPAA
addresses portability of insurance coverage when employees change or lose their jobs
must be reported to authorities by law
law concerned with public wrongs against society
Code sets

2. Battery
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
illegal touching of another person
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

3. HIPAA states...
only those who meed to know should have access to patient information
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
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.
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

4. Federal law protects patient records dealing with...
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Treatment - payment and health care operations (TPO)
substance abuse treatment
concerns noncriminal disputes between private parties

5. 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
Security
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

6. OIG - Office of the Inspector General
Privacy
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
same legal standards apply to all patient records whether on paper or computer
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

7. Statutory
The body of laws made by states is their own statutory laws
law concerned with public wrongs against society
security rule
concerns noncriminal disputes between private parties

8. Misfeasance
Electronic Protected Health Information
improper performance of an otherwise lawful act. civil
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Electronic transmission

9. Any set of codes use to encode health care data elements.
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Code sets
Electronic transmission
law that permits a person w/ a legal age and sound mind to give their body to donation

10. Negligence
Covered entities
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Code sets
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

11. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Permission
Portability
State preemption

12. Computes and HIPAA
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
concerns noncriminal disputes between private parties
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
same legal standards apply to all patient records whether on paper or computer

13. General exceptions for releasing patient information
Notice of Privacy Practices (NPP)
Treatment - payment and health care operations (TPO)
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

14. Sending information over electronic networks.
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
What types of disclosures do not require patient permission?
Electronic transmission

15. Coded information that can't be read until is decoded.
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Encryption
Examples of PHI
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

16. Releasing patient information
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
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
generally only patient can auth release of own medical record - there are a few exceptions
addresses portability of insurance coverage when employees change or lose their jobs

17. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
State preemption
Ethical
the philosophical study of moral values and rules - conducts
Privacy

18. The person recieving treatment
false and malicious writing about another
Permission
Patient
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

19. Under some circumstances ...
only those who meed to know should have access to patient information
State preemption
Minimum necessary
a minor - rather than the parent - must sign the release of patient information

20. Verify the identification of anyone requesting patient information.
Verification
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.
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

21. EPHI
Patient Identifiable Information
Rule
Electronic Protected Health Information
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

22. 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.
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
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
Treatment - payment and health care operations (TPO)

23. Libel
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Regulations
false and malicious writing about another
Security

24. Titile II of HIPAA
Permission
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Examples of PHI
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

25. Document that includes the standards
must be reported to authorities by law
Code sets
Rule
Patient Identifiable Information

26. Hardware or software designed to prevent unauthorized access to electronic information.
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Firewalls
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.
generally only patient can auth release of own medical record - there are a few exceptions

27. Deposition
Verification
testimony under oath
Malfeasance
Code sets

28. Subpoenas
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
although medical records are confidential - there are times when they can be released w/o a patient consent.
false charges and malicious oral statements about someone

29. A general HIPAA requirement
Electronic data interchange
Standard
treatment - payment - & healthcare operations
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

30. 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
A written set of questions requiring written answers from a plaintiff or defendant under oath
Patient rights under HIPAA
Limited data set
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

31. Data must be backed up at ___________ and those back-up files should be stored ________.
Verification
regular - in a secure location
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

32. Slander
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Permission
De-Identified Information
false charges and malicious oral statements about someone

33. Statue of limitations
state laws setting time limit for bringing a lawsuit
Privacy
illegal touching of another person
regular - in a secure location

34. Includes records maintained by or for a covered entity.
Designated record set
Ethical
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
located in a secured and private space

35. Clearinghouse
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
false and malicious writing about another
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

36. Implied contract
a contract that comes about from the actions of the parties rather than words
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
State preemption
a minor - rather than the parent - must sign the release of patient information

37. 5P's of ethical power
treatment - payment - & healthcare operations
purpose - pride - patience - persistence - perspective
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Notice of Privacy Practices (NPP)

38. De-Identified Information
Standard
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
malpractice

39. Policies and procedures use to protect electronic information from unauthorized access
false charges and malicious oral statements about someone
Security
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Minimum necessary

40. Ethics
the philosophical study of moral values and rules - conducts
improper performance of an otherwise lawful act. civil
Health Information
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.

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 Identifiable Information
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
addresses portability of insurance coverage when employees change or lose their jobs
Examples of PHI

42. 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
De-Identified Information
Ethical
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

43. The limited amount of patient information to be disclosed - depending on circumstances.
illegal touching of another person
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Minimum necessary
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

44. Disclosure without Consent
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
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)
addresses portability of insurance coverage when employees change or lose their jobs

45. Reportable diseases...
must be reported to authorities by law
Limited data set
regular - in a secure location
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

46. Implied consent
Designated record set
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.
should only be used when no other - more secure mode of transmission is available
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

47. Business Associate Agreements applies to...
purpose - pride - patience - persistence - perspective
Notice of Privacy Practices (NPP)
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
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

48. What information do patients NOT have access to?
addresses portability of insurance coverage when employees change or lose their jobs
U.S. goverment
Portability
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

49. Conforming to proper professional behavior
Ethical
Portability
Designated record set
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

50. Disabilities act

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