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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. Disabilities act

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2. Conforming to proper professional behavior
Examples of PHI
Malfeasance
Ethical
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

3. 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
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
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
A written set of questions requiring written answers from a plaintiff or defendant under oath

4. NPP
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Verification
Notice of Privacy Practices
must be reported to authorities by law

5. The limited amount of patient information to be disclosed - depending on circumstances.
Minimum necessary
Electronic data interchange
generally only patient can auth release of own medical record - there are a few exceptions
Ethical

6. Document that includes the standards
Rule
A written set of questions requiring written answers from a plaintiff or defendant under oath
Verification
Standard

7. Business Associate Agreements applies to...
the philosophical study of moral values and rules - conducts
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Limited data set
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

8. Subpoenas
the philosophical study of moral values and rules - conducts
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
law concerned with public wrongs against society
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

9. DII
Rule
De-Identified Information
law that permits a person w/ a legal age and sound mind to give their body to donation
improper performance of an otherwise lawful act. civil

10. Some state laws specifically protect __________. A patient would need to sign a specific request.
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Patient
Notice of Privacy Practices (NPP)
Patient rights under HIPAA

11. Fax machines
Tort
should only be used when no other - more secure mode of transmission is available
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
false and malicious writing about another

12. Statue of limitations
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
Notice of Privacy Practices
concerns noncriminal disputes between private parties

13. Common law
have a unique password and it should be changed frequently
Covered transactions
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
A written set of questions requiring written answers from a plaintiff or defendant under oath

14. 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
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
treatment - payment - & healthcare operations
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.

15. Unlawful act done without permission.
Standard
Patient Identifiable Information
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Malfeasance

16. Civil law
improper performance of an otherwise lawful act. civil
concerns noncriminal disputes between private parties
testimony under oath
Security

17. Disclosure without Consent
Permission
a contract that comes about from the actions of the parties rather than words
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

18. Protected health information from which certain patient identifiers have been removed
Limited data set
a contract that comes about from the actions of the parties rather than words
Malfeasance
comes on after a few idle seconds and the use of a privacy screen should be mandatory

19. The person recieving treatment
Patient
Covered transactions
Ethical
security rule

20. OIG - Office of the Inspector General
Security
located in a secured and private space
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
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

21. A general HIPAA requirement
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Standard
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

22. Verify the identification of anyone requesting patient information.
Standard
Verification
must be reported to authorities by law
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

23. 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.
Treatment - payment and health care operations (TPO)
Invasion of Privacy Publishing
Privacy
Malfeasance

24. Includes records maintained by or for a covered entity.
should never be released w/o a patient's signed consent or court order
Limited data set
testimony under oath
Designated record set

25. 4d's of negligence
Permission
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
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Notice of Privacy Practices

26. The use of uniform electronic network protocols to transfer business information between organizations.
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Standard
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Electronic data interchange

27. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Portability
a contract that comes about from the actions of the parties rather than words
Regulations
Patient Identifiable Information

28. Emancipated minors

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29. Fax Machines and HIPAA
comes on after a few idle seconds and the use of a privacy screen should be mandatory
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Limited data set

30. IIHI
Insurance portability - administrative simplification - privacy and security
Individually Identifiable Health Information
What types of disclosures do not require patient permission?
Transaction

31. Medical records used for health care research

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32. Statutory
The body of laws made by states is their own statutory laws
Firewalls
State preemption
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

33. Title I of HIPAA
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
need to know
generally only patient can auth release of own medical record - there are a few exceptions

34. A reason for each use and disclosure of patient information.
Permission
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
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Patient rights under HIPAA

35. All persons who will have access are required to...
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
have a unique password and it should be changed frequently
Covered transactions
Permission

36. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
Insurance portability - administrative simplification - privacy and security
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Permission
security rule

37. Implied consent
a minor - rather than the parent - must sign the release of patient 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.
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
security rule

38. Misfeasance
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
Examples of PHI
What types of disclosures do not require patient permission?
improper performance of an otherwise lawful act. civil

39. Data must be backed up at ___________ and those back-up files should be stored ________.
regular - in a secure location
Encryption
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
Examples of PHI

40. HI
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
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Health Information

41. 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
Patient rights under HIPAA
same legal standards apply to all patient records whether on paper or computer
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.
Notice of Privacy Practices (NPP)

42. Medical records can be released w/o consent to...
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
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
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Notice of Privacy Practices

43. Policies and procedures use to protect electronic information from unauthorized access
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.
Security
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

44. Any set of codes use to encode health care data elements.
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
malpractice
Code sets
state laws setting time limit for bringing a lawsuit

45. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Minimum necessary
Portability
Standard
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

46. Titile II of HIPAA
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
comes on after a few idle seconds and the use of a privacy screen should be mandatory
U.S. goverment
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

47. HIPAA states...
concerns noncriminal disputes between private parties
The body of laws made by states is their own statutory laws
only those who meed to know should have access to patient 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.

48. interrogatory
Health Information
Designated record set
A written set of questions requiring written answers from a plaintiff or defendant under oath
state laws setting time limit for bringing a lawsuit

49. Negligence
Limited data set
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
comes on after a few idle seconds and the use of a privacy screen should be mandatory

50. 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.
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Examples of PHI
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

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HIPAA

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