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. Libel
false and malicious writing about another
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
security rule
concerns noncriminal disputes between private parties

2. Misfeasance
Regulations
improper performance of an otherwise lawful act. civil
Patient
security rule

3. Good samaritan law
Electronic data interchange
treatment - payment - & healthcare operations
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
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

4. Implied consent
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
What types of disclosures do not require patient permission?
Insurance portability - administrative simplification - privacy and security
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.

5. Coded information that can't be read until is decoded.
generally only patient can auth release of own medical record - there are a few exceptions
concerns noncriminal disputes between private parties
Encryption
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

6. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
security rule
the philosophical study of moral values and rules - conducts
Regulations
substance abuse treatment

7. Subpoenas
Ethical
security rule
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

8. Any wrongdoing for which an action for damages may be brought
substance abuse treatment
same legal standards apply to all patient records whether on paper or computer
Tort
Rule

9. interrogatory
Minimum necessary
Code sets
A written set of questions requiring written answers from a plaintiff or defendant under oath
law concerned with public wrongs against society

10. The limited amount of patient information to be disclosed - depending on circumstances.
need to know
Privacy
De-Identified Information
Minimum necessary

11. HI
Health Information
a minor - rather than the parent - must sign the release of patient information
Notice of Privacy Practices (NPP)
regular - in a secure location

12. Deposition
Electronic transmission
testimony under oath
located in a secured and private space
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

13. 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
Security
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
What types of disclosures do not require patient permission?

14. Battery
Patient
illegal touching of another person
Covered transactions
Covered entities

15. Title I of HIPAA
addresses portability of insurance coverage when employees change or lose their jobs
Privacy
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
should never be released w/o a patient's signed consent or court order

16. OIG - Office of the Inspector General
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
treatment - payment - & healthcare operations
should only be used when no other - more secure mode of transmission is available

17. Doctor release of patient
purpose - pride - patience - persistence - perspective
addresses portability of insurance coverage when employees change or lose their jobs
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Covered entities

18. Verify the identification of anyone requesting patient information.
Health Information
Verification
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
located in a secured and private space

19. HIPAA compliance mandates that computer systems must be...
must be reported to authorities by law
Verification
located in a secured and private space
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

20. The person recieving treatment
Patient
Designated record set
located in a secured and private space
regular - in a secure location

21. Reportable diseases...
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Security
Minimum necessary
must be reported to authorities by law

22. General exceptions for releasing patient information
substance abuse treatment
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
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.
only those who meed to know should have access to patient information

23. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
What types of disclosures do not require patient permission?
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
concerns noncriminal disputes between private parties
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. Fax machines
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
need to know
Patient rights under HIPAA
should only be used when no other - more secure mode of transmission is available

25. Bioethics
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Notice of Privacy Practices (NPP)
Patient rights under HIPAA
a contract that comes about from the actions of the parties rather than words

26. Data must be backed up at ___________ and those back-up files should be stored ________.
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
Verification
testimony under oath
regular - in a secure location

27. What information do patients NOT have access to?
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Electronic transmission
only those who meed to know should have access to patient information
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

28. Ethics
Patient Identifiable Information
Security
Notice of Privacy Practices (NPP)
the philosophical study of moral values and rules - conducts

29. Freedom from unauthorized intrusion
Ethical
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
located in a secured and private space
Privacy

30. Implied contract
Firewalls
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
false charges and malicious oral statements about someone
a contract that comes about from the actions of the parties rather than words

31. Any set of codes use to encode health care data elements.
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Firewalls
Limited data set
Code sets

32. Includes records maintained by or for a covered entity.
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Designated record set

33. Under some circumstances ...
Notice of Privacy Practices
a minor - rather than the parent - must sign the release of patient information
Invasion of Privacy Publishing
Patient rights under HIPAA

34. Business Associate Agreements applies to...
must be reported to authorities by law
concerns noncriminal disputes between private parties
improper performance of an otherwise lawful act. civil
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. PII
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
security rule
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Patient Identifiable Information

36. 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
Patient
generally only patient can auth release of own medical record - there are a few exceptions
Covered entities
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

37. IIHI
Individually Identifiable Health Information
Security
Verification
treatment - payment - & healthcare operations

38. Titile II of HIPAA
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
addresses portability of insurance coverage when employees change or lose their jobs

39. NPP
treatment - payment - & healthcare operations
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
Notice of Privacy Practices
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.

40. In order for a fax document to be HIPAA compliant...

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41. Advanced directives
Examples of PHI
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 laws setting time limit for bringing a lawsuit
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

42. All persons who will have access are required to...
have a unique password and it should be changed frequently
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.
Patient

43. Medical records can be released w/o consent to...
Insurance portability - administrative simplification - privacy and 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
a contract that comes about from the actions of the parties rather than words
addresses portability of insurance coverage when employees change or lose their jobs

44. Criminal law
law concerned with public wrongs against society
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.
the philosophical study of moral values and rules - conducts

45. Who regulates HIPAA?
A written set of questions requiring written answers from a plaintiff or defendant under oath
Malfeasance
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
U.S. goverment

46. Patient records are _____________ so not all staff will have access.
State preemption
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
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

47. HIPAA states...
Tort
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
only those who meed to know should have access to patient information

48. Civil law
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
concerns noncriminal disputes between private parties
Health Information
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

49. 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
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
Minimum necessary
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

50. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Treatment - payment and health care operations (TPO)
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Portability
improper performance of an otherwise lawful act. civil