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Test your basic knowledge |
HIPAA
Start Test
Study First
Subjects
:
certifications
,
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. Emancipated minors
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2. Professional Negligence
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
De-Identified 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
malpractice
3. A general HIPAA requirement
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Designated record set
Standard
should only be used when no other - more secure mode of transmission is available
4. Releasing patient information
should only be used when no other - more secure mode of transmission is available
generally only patient can auth release of own medical record - there are a few exceptions
Tort
although medical records are confidential - there are times when they can be released w/o a patient consent.
5. Key entities
Patient Identifiable Information
Patient
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
law concerned with public wrongs against society
6. The use of uniform electronic network protocols to transfer business information between organizations.
Designated record set
Electronic data interchange
although medical records are confidential - there are times when they can be released w/o a patient consent.
Verification
7. 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
Examples of PHI
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
8. 4d's of negligence
Covered entities
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
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
9. Conforming to proper professional behavior
Ethical
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Security
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.
10. A reason for each use and disclosure of patient information.
Firewalls
concerns noncriminal disputes between private parties
Treatment - payment and health care operations (TPO)
Permission
11. Implied consent
U.S. goverment
security rule
a contract that comes about from the actions of the parties rather than words
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.
12. Medical records used for health care research
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13. Verify the identification of anyone requesting patient information.
Health Information
Rule
Ethical
Verification
14. Business Associate Agreements applies to...
Notice of Privacy Practices
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
a minor - rather than the parent - must sign the release of patient information
have a unique password and it should be changed frequently
15. 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.
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
Examples of PHI
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Insurance portability - administrative simplification - privacy and security
16. Common law
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
addresses portability of insurance coverage when employees change or lose their jobs
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
17. Battery
Transaction
illegal touching of another person
addresses portability of insurance coverage when employees change or lose their jobs
Insurance portability - administrative simplification - privacy and security
18. Protected Health Information (PHI)
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Standard
What types of disclosures do not require patient permission?
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
19. Confidentiality
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20. Federal law protects patient records dealing with...
Malfeasance
same legal standards apply to all patient records whether on paper or computer
substance abuse treatment
Ethical
21. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Invasion of Privacy Publishing
law concerned with public wrongs against society
Portability
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
22. IIHI
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Insurance portability - administrative simplification - privacy and security
law that permits a person w/ a legal age and sound mind to give their body to donation
Individually Identifiable Health Information
23. Ethics
the philosophical study of moral values and rules - conducts
State preemption
generally only patient can auth release of own medical record - there are a few exceptions
Patient Identifiable Information
24. Doctor release of patient
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
illegal touching of another person
only those who meed to know should have access to patient information
25. 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
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.
Patient rights under HIPAA
26. HIPAA compliance mandates that computer systems must be...
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
Portability
generally only patient can auth release of own medical record - there are a few exceptions
located in a secured and private space
27. Subpoenas
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Patient
malpractice
must be reported to authorities by law
28. 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)
Tort
The body of laws made by states is their own statutory laws
29. Implied contract
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
need to know
a contract that comes about from the actions of the parties rather than words
30. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Notice of Privacy Practices
Designated record set
Regulations
improper performance of an otherwise lawful act. civil
31. Coded information that can't be read until is decoded.
Encryption
addresses portability of insurance coverage when employees change or lose their jobs
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
U.S. goverment
32. Document that includes the standards
What types of disclosures do not require patient permission?
Rule
treatment - payment - & healthcare operations
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
33. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
security rule
Privacy
improper performance of an otherwise lawful act. civil
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
34. OIG - Office of the Inspector General
comes on after a few idle seconds and the use of a privacy screen should be mandatory
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.
Verification
35. Statue of limitations
Firewalls
State preemption
Individually Identifiable Health Information
state laws setting time limit for bringing a lawsuit
36. EPHI
false and malicious writing about another
Rule
should only be used when no other - more secure mode of transmission is available
Electronic Protected Health Information
37. Transmission of information between two parties fro financial or administrative activities.
Transaction
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
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Notice of Privacy Practices
38. Protected health information from which certain patient identifiers have been removed
Electronic Protected Health Information
addresses portability of insurance coverage when employees change or lose their jobs
Limited data set
regular - in a secure location
39. In order for a fax document to be HIPAA compliant...
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40. The person recieving treatment
Patient
should only be used when no other - more secure mode of transmission is available
security rule
have a unique password and it should be changed frequently
41. Good samaritan law
Notice of Privacy Practices (NPP)
Code sets
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
42. Any set of codes use to encode health care data elements.
Code sets
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
Covered transactions
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
43. Fax Machines and HIPAA
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
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.
Minimum necessary
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
44. Negligence
Covered entities
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Tort
45. De-Identified Information
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Electronic Protected Health Information
a contract that comes about from the actions of the parties rather than words
Designated record set
46. PII
What types of disclosures do not require patient permission?
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
must be reported to authorities by law
Patient Identifiable Information
47. Who regulates HIPAA?
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
concerns noncriminal disputes between private parties
U.S. goverment
improper performance of an otherwise lawful act. civil
48. Hardware or software designed to prevent unauthorized access to electronic information.
generally only patient can auth release of own medical record - there are a few exceptions
Firewalls
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
substance abuse treatment
49. What information do patients NOT have access to?
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.
Rule
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
should only be used when no other - more secure mode of transmission is available
50. Criminal law
law concerned with public wrongs against society
Treatment - payment and health care operations (TPO)
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
the philosophical study of moral values and rules - conducts