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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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1. 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
Security
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Covered entities
same legal standards apply to all patient records whether on paper or computer

2. IIHI
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.
Individually Identifiable Health Information
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

3. 4d's of negligence
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
Notice of Privacy Practices (NPP)

4. Some state laws specifically protect __________. A patient would need to sign a specific request.
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
need to know
purpose - pride - patience - persistence - perspective
Rule

5. All persons who will have access are required to...
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
have a unique password and it should be changed frequently
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

6. Protected health information from which certain patient identifiers have been removed
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.
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Covered entities

7. Libel
Patient rights under HIPAA
false and malicious writing about another
must be reported to authorities by law
Electronic Protected Health Information

8. Slander
false charges and malicious oral statements about someone
security rule
Electronic data interchange
Health Information

9. Implied contract
should never be released w/o a patient's signed consent or court order
Ethical
Code sets
a contract that comes about from the actions of the parties rather than words

10. The person recieving 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
Patient
Patient rights under HIPAA
law concerned with public wrongs against society

11. Computes and HIPAA
Treatment - payment and health care operations (TPO)
same legal standards apply to all patient records whether on paper or computer
Health 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

12. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Portability
state laws setting time limit for bringing a lawsuit
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

13. Releasing patient information
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
false and malicious writing about another
Ethical
generally only patient can auth release of own medical record - there are a few exceptions

14. Key entities
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Tort
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
Transaction

15. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
State preemption
law that permits a person w/ a legal age and sound mind to give their body to donation
Health Information
Rule

16. Bioethics
treatment - payment - & healthcare operations
Electronic Protected Health Information
have a unique password and it should be changed frequently
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

17. Statue of limitations
state laws setting time limit for bringing a lawsuit
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
Treatment - payment and health care operations (TPO)
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

18. De-Identified Information
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
regular - in a secure location
State preemption
testimony under oath

19. Misfeasance
improper performance of an otherwise lawful act. civil
Verification
What types of disclosures do not require patient permission?
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

20. Title I of HIPAA
illegal touching of another person
addresses portability of insurance coverage when employees change or lose their jobs
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Invasion of Privacy Publishing

21. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Regulations
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

22. Document that includes the standards
concerns noncriminal disputes between private parties
Encryption
Rule
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

23. Good samaritan law
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Invasion of Privacy Publishing
same legal standards apply to all patient records whether on paper or computer
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

24. Any wrongdoing for which an action for damages may be brought
Encryption
Tort
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Permission

25. NPP
Regulations
treatment - payment - & healthcare operations
Firewalls
Notice of Privacy Practices

26. Emancipated minors

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27. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
Code sets
security rule
should never be released w/o a patient's signed consent or court order
testimony under oath

28. Reportable diseases...
Tort
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Electronic transmission
must be reported to authorities by law

29. Any set of codes use to encode health care data elements.
Code sets
Invasion of Privacy Publishing
the philosophical study of moral values and rules - conducts
Rule

30. Privacy Officer
only those who meed to know should have access to patient information
testimony under oath
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
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

31. Ethics
the philosophical study of moral values and rules - conducts
Regulations
Malfeasance
testimony under oath

32. Federal law protects patient records dealing with...
Ethical
Patient Identifiable Information
substance abuse treatment
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

33. Doctor release of patient
Individually Identifiable Health Information
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
only those who meed to know should have access to patient information
Electronic transmission

34. DII
Electronic data interchange
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
De-Identified Information
substance abuse treatment

35. Civil law
concerns noncriminal disputes between private parties
Transaction
a contract that comes about from the actions of the parties rather than words
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

36. Criminal law
law concerned with public wrongs against society
De-Identified Information
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
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

37. Subpoenas
Insurance portability - administrative simplification - privacy and security
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

38. making known - or using information relating to the private life or affairs of a person without their approval or permission
only those who meed to know should have access to patient information
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Invasion of Privacy Publishing
false and malicious writing about another

39. PII
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.
Limited data set
Patient Identifiable Information
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

40. Unlawful act done without permission.
Notice of Privacy Practices
Malfeasance
substance abuse treatment
generally only patient can auth release of own medical record - there are a few exceptions

41. HIPAA compliance mandates that computer systems must be...
Patient Identifiable Information
Portability
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
located in a secured and private space

42. Professional Negligence
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
testimony under oath
malpractice
De-Identified Information

43. Transmission of information between two parties fro financial or administrative activities.
Rule
addresses portability of insurance coverage when employees change or lose their jobs
Privacy
Transaction

44. Advanced directives
Portability
Rule
generally only patient can auth release of own medical record - there are a few exceptions
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

45. Disabilities act

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46. Conforming to proper professional behavior
Ethical
Code sets
Individually Identifiable Health Information
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

47. Hardware or software designed to prevent unauthorized access to electronic information.
substance abuse treatment
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Firewalls
the philosophical study of moral values and rules - conducts

48. Coded information that can't be read until is decoded.
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Encryption
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Standard

49. Medical records can be released w/o consent to...
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
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Invasion of Privacy Publishing
should only be used when no other - more secure mode of transmission is available

50. Fax Machines and HIPAA
Electronic data interchange
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
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

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HIPAA

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