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. Common law
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Invasion of Privacy Publishing
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Designated record set

2. Disabilities act

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3. What information do patients NOT have access to?
should never be released w/o a patient's signed consent or court order
false and malicious writing about another
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Electronic Protected Health Information

4. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Security
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Portability
Electronic data interchange

5. Verify the identification of anyone requesting patient 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
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
Ethical
Verification

6. Clearinghouse
Patient rights under HIPAA
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
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

7. Disclosure without Consent
although medical records are confidential - there are times when they can be released w/o a patient consent.
law that permits a person w/ a legal age and sound mind to give their body to donation
Privacy
same legal standards apply to all patient records whether on paper or computer

8. Reportable diseases...
must be reported to authorities by law
false and malicious writing about another
have a unique password and it should be changed frequently
the philosophical study of moral values and rules - conducts

9. Doctor release of patient
Notice of Privacy Practices
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
treatment - payment - & healthcare operations

10. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
purpose - pride - patience - persistence - perspective
State preemption
U.S. goverment
Transaction

11. making known - or using information relating to the private life or affairs of a person without their approval or permission
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Invasion of Privacy Publishing
generally only patient can auth release of own medical record - there are a few exceptions
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

12. 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
substance abuse treatment
malpractice
Regulations
Covered entities

13. 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
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Designated record set
Electronic transmission

14. Conforming to proper professional behavior
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
Ethical
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

15. Business Associate Agreements applies to...
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
regular - in a secure location
Privacy
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

16. Document that includes the standards
Rule
law that permits a person w/ a legal age and sound mind to give their body to donation
Encryption
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

17. Unlawful act done without permission.
Treatment - payment and health care operations (TPO)
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Malfeasance
What types of disclosures do not require patient permission?

18. Protected Health Information (PHI)
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
purpose - pride - patience - persistence - perspective
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
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.

19. Computes and HIPAA
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
regular - in a secure location
same legal standards apply to all patient records whether on paper or computer

20. Coded information that can't be read until is decoded.
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Health Information
Encryption
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

21. Title I of HIPAA
addresses portability of insurance coverage when employees change or lose their jobs
concerns noncriminal disputes between private parties
Individually Identifiable Health Information
Transaction

22. What are the 3 purposes of HIPAA?
Portability
Minimum necessary
Insurance portability - administrative simplification - privacy and security
A written set of questions requiring written answers from a plaintiff or defendant under oath

23. 4d's of negligence
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
De-Identified 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
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

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

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25. 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.
illegal touching of another person
Firewalls
should only be used when no other - more secure mode of transmission is available
Treatment - payment and health care operations (TPO)

26. HIPAA
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
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 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
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

27. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Regulations
although medical records are confidential - there are times when they can be released w/o a patient consent.

28. HIPAA states...
The body of laws made by states is their own statutory laws
only those who meed to know should have access to patient 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
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

29. Any wrongdoing for which an action for damages may be brought
Invasion of Privacy Publishing
need to know
Tort
U.S. goverment

30. Some state laws specifically protect __________. A patient would need to sign a specific request.
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Patient rights under HIPAA
Designated record set
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

31. Deposition
must be reported to authorities by law
addresses portability of insurance coverage when employees change or lose their jobs
testimony under oath
purpose - pride - patience - persistence - perspective

32. Transmission of information between two parties fro financial or administrative activities.
improper performance of an otherwise lawful act. civil
The body of laws made by states is their own statutory laws
Code sets
Transaction

33. Subpoenas
Permission
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
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
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

34. Statutory
false and malicious writing about another
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
The body of laws made by states is their own statutory laws
Designated record set

35. Fax machines
Covered entities
should only be used when no other - more secure mode of transmission is available
the philosophical study of moral values and rules - conducts
Transaction

36. TPO
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
treatment - payment - & healthcare operations
Security
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

37. Patient records are _____________ so not all staff will have access.
What types of disclosures do not require patient permission?
need to know
De-Identified Information
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

38. Titile II of HIPAA
De-Identified Information
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Portability

39. Advanced directives
Covered entities
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
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
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.

40. HIPAA compliance mandates that computer systems must be...
purpose - pride - patience - persistence - perspective
located in a secured and private space
A written set of questions requiring written answers from a plaintiff or defendant under oath
Minimum necessary

41. Sending information over electronic networks.
Insurance portability - administrative simplification - privacy and security
Electronic Protected Health Information
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
Electronic transmission

42. Misfeasance
Treatment - payment and health care operations (TPO)
Patient rights under HIPAA
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
improper performance of an otherwise lawful act. civil

43. A general HIPAA requirement
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Standard
Health Information
Covered entities

44. Ethics
Notice of Privacy Practices (NPP)
the philosophical study of moral values and rules - conducts
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.
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

45. De-Identified Information
Minimum necessary
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
purpose - pride - patience - persistence - perspective
treatment - payment - & healthcare operations

46. Fax Machines and HIPAA
Transaction
have a unique password and it should be changed frequently
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

47. A written document detailing a health care provider's privacy practices.
Notice of Privacy Practices (NPP)
Transaction
Insurance portability - administrative simplification - privacy and security
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

48. General exceptions for releasing patient information
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
a minor - rather than the parent - must sign the release of patient information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
improper performance of an otherwise lawful act. civil

49. Releasing patient information
Designated record 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.
generally only patient can auth release of own medical record - there are a few exceptions
Transaction

50. Key entities
although medical records are confidential - there are times when they can be released w/o a patient consent.
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
treatment - payment - & healthcare operations
Permission