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

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2. Includes records maintained by or for a covered entity.
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Designated record set
Privacy
generally only patient can auth release of own medical record - there are a few exceptions

3. Medical records used for health care research

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4. Misfeasance
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
improper performance of an otherwise lawful act. civil
same legal standards apply to all patient records whether on paper or computer
Tort

5. 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
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Tort
De-Identified Information

6. HI
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.
a minor - rather than the parent - must sign the release of patient information
law concerned with public wrongs against society
Health Information

7. Verify the identification of anyone requesting patient information.
located in a secured and private space
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Verification
Regulations

8. Releasing patient information
Ethical
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.
Portability
generally only patient can auth release of own medical record - there are a few exceptions

9. Policies and procedures use to protect electronic information from unauthorized access
located in a secured and private space
Permission
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Security

10. What are the 3 purposes of HIPAA?
generally only patient can auth release of own medical record - there are a few exceptions
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Invasion of Privacy Publishing
Insurance portability - administrative simplification - privacy and security

11. Medical records can be released w/o consent to...
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Covered entities
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.

12. 4d's of negligence
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
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
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

13. Good samaritan law
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
a contract that comes about from the actions of the parties rather than words
concerns noncriminal disputes between private parties
law that permits a person w/ a legal age and sound mind to give their body to donation

14. A reason for each use and disclosure of patient 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
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Permission
De-Identified Information

15. Reportable diseases...
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
false charges and malicious oral statements about someone
Patient Identifiable Information
must be reported to authorities by law

16. 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)
Ethical
substance abuse treatment
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

17. 5P's of ethical power
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Notice of Privacy Practices
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
purpose - pride - patience - persistence - perspective

18. IIHI
Patient Identifiable Information
malpractice
Code sets
Individually Identifiable Health Information

19. EPHI
security rule
Electronic Protected Health Information
Standard
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.

20. Common law
Malfeasance
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Invasion of Privacy Publishing
Examples of PHI

21. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Minimum necessary
Portability
Notice of Privacy Practices
Treatment - payment and health care operations (TPO)

22. Document that includes the standards
Rule
Treatment - payment and health care operations (TPO)
security rule
malpractice

23. DII
De-Identified Information
Transaction
Regulations
Examples of PHI

24. HIPAA states...
Patient rights under HIPAA
Electronic transmission
a minor - rather than the parent - must sign the release of patient information
only those who meed to know should have access to patient information

25. Patient records are _____________ so not all staff will have access.
need to know
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
purpose - pride - patience - persistence - perspective
A written set of questions requiring written answers from a plaintiff or defendant under oath

26. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
Minimum necessary
Regulations
What types of disclosures do not require patient permission?
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

27. Any set of codes use to encode health care data elements.
Limited data set
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.
improper performance of an otherwise lawful act. civil
Code sets

28. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
Patient
a contract that comes about from the actions of the parties rather than words
State preemption
addresses portability of insurance coverage when employees change or lose their jobs

29. Advanced directives
purpose - pride - patience - persistence - perspective
Covered entities
law concerned with public wrongs against society
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

30. Doctor release of patient
testimony under oath
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
state laws setting time limit for bringing a lawsuit
Insurance portability - administrative simplification - privacy and security

31. TPO
treatment - payment - & healthcare operations
should never be released w/o a patient's signed consent or court order
addresses portability of insurance coverage when employees change or lose their jobs
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

32. Slander
false charges and malicious oral statements about someone
malpractice
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

33. Statutory
only those who meed to know should have access to patient information
The body of laws made by states is their own statutory laws
Permission
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.

34. Negligence
comes on after a few idle seconds and the use of a privacy screen should be mandatory
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
a contract that comes about from the actions of the parties rather than words
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

35. Privacy Officer
Covered entities
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
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
concerns noncriminal disputes between private parties

36. Freedom from unauthorized intrusion
generally only patient can auth release of own medical record - there are a few exceptions
Privacy
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
Electronic Protected Health Information

37. HIPAA compliance mandates that computer systems must be...
false and malicious writing about another
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
located in a secured and private space

38. Some state laws specifically protect __________. A patient would need to sign a specific request.
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Portability
treatment - payment - & healthcare operations
Examples of PHI

39. Bioethics
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
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
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

40. PII
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Patient Identifiable Information
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
De-Identified Information

41. Confidentiality

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42. Business Associate Agreements applies to...
What types of disclosures do not require patient permission?
Designated record set
Health 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

43. General exceptions for releasing patient information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Malfeasance
Electronic transmission

44. The limited amount of patient information to be disclosed - depending on circumstances.
Minimum necessary
malpractice
Code sets
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

45. A written document detailing a health care provider's privacy practices.
regular - in a secure location
false charges and malicious oral statements about someone
De-Identified Information
Notice of Privacy Practices (NPP)

46. Title I of HIPAA
addresses portability of insurance coverage when employees change or lose their jobs
law that permits a person w/ a legal age and sound mind to give their body to donation
Ethical
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

47. Subpoenas
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.
have a unique password and it should be changed frequently
substance abuse treatment

48. Protected health information from which certain patient identifiers have been removed
The body of laws made by states is their own statutory laws
Limited data set
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
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. The use of uniform electronic network protocols to transfer business information between organizations.
Electronic data interchange
state laws setting time limit for bringing a lawsuit
must be reported to authorities by law
regular - in a secure location

50. Uniform anotomical gift act
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
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
Transaction
law that permits a person w/ a legal age and sound mind to give their body to donation