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HIPAA

Instructions:

Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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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. Civil law
Treatment - payment and health care operations (TPO)
concerns noncriminal disputes between private parties
Electronic transmission
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

2. PII
De-Identified Information
Limited data set
Minimum necessary
Patient Identifiable Information

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

4. Fax machines
should only be used when no other - more secure mode of transmission is available
U.S. goverment
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Tort

5. Medical records can be released w/o consent to...
Security
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
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
generally only patient can auth release of own medical record - there are a few exceptions

6. OIG - Office of the Inspector General
generally only patient can auth release of own medical record - there are a few exceptions
Privacy
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

7. The use of uniform electronic network protocols to transfer business information between organizations.
Electronic data interchange
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Malfeasance
Privacy

8. HI
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
Health Information
security rule
Covered transactions

9. HIPAA states...
only those who meed to know should have access to patient information
De-Identified Information
treatment - payment - & healthcare operations
Invasion of Privacy Publishing

10. IIHI
Individually Identifiable Health Information
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
law concerned with public wrongs against society

11. Verify the identification of anyone requesting patient information.
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Verification
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
treatment - payment - & healthcare operations

12. 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
Tort
Verification
regular - in a secure location
Covered entities

13. Privacy Officer
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.
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)
Electronic transmission

14. Confidentiality

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15. Subpoenas
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
false charges and malicious oral statements about someone
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

16. TPO
improper performance of an otherwise lawful act. civil
treatment - payment - & healthcare operations
Individually Identifiable Health 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.

17. Protected health information from which certain patient identifiers have been removed
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
Limited data set
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

18. 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.
a contract that comes about from the actions of the parties rather than words
Standard
Electronic Protected Health Information
Examples of PHI

19. interrogatory
malpractice
A written set of questions requiring written answers from a plaintiff or defendant under oath
although medical records are confidential - there are times when they can be released w/o a patient consent.
addresses portability of insurance coverage when employees change or lose their jobs

20. EPHI
Electronic transmission
Examples of PHI
Electronic Protected Health Information
a contract that comes about from the actions of the parties rather than words

21. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
false charges and malicious oral statements about someone
Covered transactions
Verification
have a unique password and it should be changed frequently

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
generally only patient can auth release of own medical record - there are a few exceptions
Patient rights under HIPAA
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
U.S. goverment

23. Business Associate Agreements applies to...
Verification
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
a minor - rather than the parent - must sign the release of patient information
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

24. Reportable diseases...
state laws setting time limit for bringing a lawsuit
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
State preemption
must be reported to authorities by law

25. 5P's of ethical power
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
purpose - pride - patience - persistence - perspective
state laws setting time limit for bringing a lawsuit
only those who meed to know should have access to patient information

26. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
Electronic data interchange
security rule
state laws setting time limit for bringing a lawsuit
although medical records are confidential - there are times when they can be released w/o a patient consent.

27. Statue of limitations
state laws setting time limit for bringing a lawsuit
Notice of Privacy Practices
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
treatment - payment - & healthcare operations

28. Doctor release of patient
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
addresses portability of insurance coverage when employees change or lose their jobs
Patient
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

29. Document that includes the standards
Rule
What types of disclosures do not require patient permission?
same legal standards apply to all patient records whether on paper or computer
Designated record set

30. Slander
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
false charges and malicious oral statements about someone
Electronic transmission
false and malicious writing about another

31. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
although medical records are confidential - there are times when they can be released w/o a patient consent.
treatment - payment - & healthcare operations
State preemption
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

32. General exceptions for releasing patient information
malpractice
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

33. A general HIPAA requirement
Standard
Health Information
Notice of Privacy Practices
addresses portability of insurance coverage when employees change or lose their jobs

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

35. NPP
Security
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
Standard
Notice of Privacy Practices

36. Medical records used for health care research

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37. Hardware or software designed to prevent unauthorized access to electronic information.
addresses portability of insurance coverage when employees change or lose their jobs
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Encryption
Firewalls

38. 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.
State preemption
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Treatment - payment and health care operations (TPO)
although medical records are confidential - there are times when they can be released w/o a patient consent.

39. Title I of HIPAA
addresses portability of insurance coverage when employees change or lose their jobs
false and malicious writing about another
Ethical
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

40. Fax Machines and HIPAA
Insurance portability - administrative simplification - privacy and security
De-Identified Information
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

41. Releasing patient information
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
a minor - rather than the parent - must sign the release of patient information
What types of disclosures do not require patient permission?
generally only patient can auth release of own medical record - there are a few exceptions

42. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
should never be released w/o a patient's signed consent or court order
Covered entities
Portability
Security

43. 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
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Standard
law concerned with public wrongs against society

44. All persons who will have access are required to...
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Firewalls
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
have a unique password and it should be changed frequently

45. Professional Negligence
malpractice
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Covered entities
Patient

46. Common law
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
regular - in a secure location
Notice of Privacy Practices
Minimum necessary

47. Any set of codes use to encode health care data elements.
law that permits a person w/ a legal age and sound mind to give their body to donation
Code sets
Patient
State preemption

48. Statutory
substance abuse treatment
Insurance portability - administrative simplification - privacy and security
Transaction
The body of laws made by states is their own statutory laws

49. 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
Limited data set
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.
need to know

50. Under some circumstances ...
security rule
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
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
a minor - rather than the parent - must sign the release of patient information

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HIPAA

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