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. Clearinghouse
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
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
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Transaction

2. Ethics
What types of disclosures do not require patient permission?
the philosophical study of moral values and rules - conducts
although medical records are confidential - there are times when they can be released w/o a patient consent.
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

3. Battery
false and malicious writing about another
Examples of PHI
illegal touching of another person
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

4. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Malfeasance
Regulations
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
a contract that comes about from the actions of the parties rather than words

5. DII
Designated record set
Permission
De-Identified Information
Patient rights under HIPAA

6. Patient records are _____________ so not all staff will have access.
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Health Information
improper performance of an otherwise lawful act. civil
need to know

7. Any wrongdoing for which an action for damages may be brought
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
Designated record set
should only be used when no other - more secure mode of transmission is available
Tort

8. NPP
law that permits a person w/ a legal age and sound mind to give their body to donation
Notice of Privacy Practices
Patient rights under HIPAA
Electronic data interchange

9. The use of uniform electronic network protocols to transfer business information between organizations.
Individually Identifiable Health Information
Electronic data interchange
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
U.S. goverment

10. HI
Insurance portability - administrative simplification - privacy and security
security rule
Health Information
purpose - pride - patience - persistence - perspective

11. All persons who will have access are required to...
Ethical
have a unique password and it should be changed frequently
What types of disclosures do not require patient permission?
Patient Identifiable Information

12. Releasing patient 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
law that permits a person w/ a legal age and sound mind to give their body to donation
A written set of questions requiring written answers from a plaintiff or defendant under oath
generally only patient can auth release of own medical record - there are a few exceptions

13. What information do patients NOT have access to?
Rule
Limited data set
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
State preemption

14. Civil law
Electronic Protected Health Information
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
concerns noncriminal disputes between private parties
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

15. 5P's of ethical power
Patient Identifiable Information
a contract that comes about from the actions of the parties rather than words
purpose - pride - patience - persistence - perspective
generally only patient can auth release of own medical record - there are a few exceptions

16. Bioethics
Covered transactions
Notice of Privacy Practices
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
addresses portability of insurance coverage when employees change or lose their jobs

17. Misfeasance
improper performance of an otherwise lawful act. civil
U.S. goverment
malpractice
Malfeasance

18. Federal law protects patient records dealing with...
although medical records are confidential - there are times when they can be released w/o a patient consent.
Verification
substance abuse treatment
Individually Identifiable Health Information

19. Implied consent
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
a contract that comes about from the actions of the parties rather than words
Electronic transmission

20. Protected health information from which certain patient identifiers have been removed
the philosophical study of moral values and rules - conducts
Limited data set
a contract that comes about from the actions of the parties rather than words
Ethical

21. 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
purpose - pride - patience - persistence - perspective
Regulations
The body of laws made by states is their own statutory laws

22. Libel
Limited data set
Patient
A written set of questions requiring written answers from a plaintiff or defendant under oath
false and malicious writing about another

23. Emancipated minors

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24. The limited amount of patient information to be disclosed - depending on circumstances.
Patient
illegal touching of another person
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Minimum necessary

25. Criminal law
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
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.
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
law concerned with public wrongs against society

26. Who regulates HIPAA?
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
U.S. goverment
comes on after a few idle seconds and the use of a privacy screen should be mandatory
have a unique password and it should be changed frequently

27. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
improper performance of an otherwise lawful act. civil
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
security rule
Standard

28. 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.
Invasion of Privacy Publishing
What types of disclosures do not require patient permission?
Examples of PHI
State preemption

29. Includes records maintained by or for a covered entity.
false and malicious writing about another
The body of laws made by states is their own statutory laws
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Designated record set

30. Verify the identification of anyone requesting patient information.
Firewalls
What types of disclosures do not require patient permission?
Verification
substance abuse treatment

31. 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)
Standard
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
located in a secured and private space

32. De-Identified Information
false charges and malicious oral statements about someone
State preemption
Examples of PHI
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

33. Disclosure without Consent
U.S. goverment
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
although medical records are confidential - there are times when they can be released w/o a patient consent.
Code sets

34. What are the 3 purposes of HIPAA?
Treatment - payment and health care operations (TPO)
Privacy
Code sets
Insurance portability - administrative simplification - privacy and security

35. Conforming to proper professional behavior
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Portability
Ethical
Privacy

36. Freedom from unauthorized intrusion
a minor - rather than the parent - must sign the release of patient information
De-Identified 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
Privacy

37. Document that includes the standards
Rule
Notice of Privacy Practices
must be reported to authorities by law
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

38. Disabilities act

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39. Statutory
located in a secured and private space
Privacy
The body of laws made by states is their own statutory laws
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

40. Reportable diseases...
Electronic Protected Health Information
have a unique password and it should be changed frequently
must be reported to authorities by law
Covered transactions

41. A general HIPAA requirement
Standard
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
have a unique password and it should be changed frequently
Limited data set

42. Implied contract
although medical records are confidential - there are times when they can be released w/o a patient consent.
Encryption
a contract that comes about from the actions of the parties rather than words
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

43. PII
Invasion of Privacy Publishing
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
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 Identifiable Information

44. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Patient
Electronic data interchange
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Covered transactions

45. making known - or using information relating to the private life or affairs of a person without their approval or permission
Invasion of Privacy Publishing
Examples of PHI
law concerned with public wrongs against society
Permission

46. Statue of limitations
state laws setting time limit for bringing a lawsuit
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Patient Identifiable Information
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

47. Coded information that can't be read until is decoded.
Encryption
substance abuse treatment
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
A written set of questions requiring written answers from a plaintiff or defendant under oath

48. Advanced directives
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.
treatment - payment - & healthcare operations
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

49. A written document detailing a health care provider's privacy practices.
Notice of Privacy Practices (NPP)
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
Limited data set
regular - in a secure location

50. Medical records can be released w/o consent to...
Designated record set
Treatment - payment and health care operations (TPO)
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 court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.