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. OIG - Office of the Inspector General
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
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
testimony under oath
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

2. What information do patients NOT have access to?
Notice of Privacy Practices
Firewalls
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

3. Title I of HIPAA
Transaction
Designated record set
generally only patient can auth release of own medical record - there are a few exceptions
addresses portability of insurance coverage when employees change or lose their jobs

4. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Permission
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
false charges and malicious oral statements about someone
Covered transactions

5. De-Identified Information
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Security
Ethical
Covered transactions

6. Protected health information from which certain patient identifiers have been removed
Patient Identifiable Information
Portability
Covered transactions
Limited data set

7. 4d's of negligence
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
although medical records are confidential - there are times when they can be released w/o a patient consent.
Notice of Privacy Practices
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

8. 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)
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
testimony under oath
Encryption

9. The person recieving treatment
Treatment - payment and health care operations (TPO)
regular - in a secure location
Patient
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

10. General exceptions for releasing patient information
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Notice of Privacy Practices (NPP)
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

11. Statutory
The body of laws made by states is their own statutory laws
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Patient rights under HIPAA
U.S. goverment

12. making known - or using information relating to the private life or affairs of a person without their approval or 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
although medical records are confidential - there are times when they can be released w/o a patient consent.
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Invasion of Privacy Publishing

13. HIPAA
Covered transactions
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
What types of disclosures do not require patient permission?
Covered entities

14. HIPAA states...
only those who meed to know should have access to patient information
testimony under oath
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
improper performance of an otherwise lawful act. civil

15. Clearinghouse
Notice of Privacy Practices
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
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
Regulations

16. Criminal law
state laws setting time limit for bringing a lawsuit
Electronic Protected Health Information
Patient Identifiable Information
law concerned with public wrongs against society

17. Doctor release of patient
Minimum necessary
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Malfeasance

18. Includes records maintained by or for a covered entity.
Examples of PHI
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
located in a secured and private space
Designated record set

19. Any set of codes use to encode health care data elements.
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Code sets
a contract that comes about from the actions of the parties rather than words
Limited data set

20. Fax Machines and HIPAA
Covered entities
security rule
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

21. Verify the identification of anyone requesting patient information.
U.S. goverment
Verification
Covered transactions
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

22. Fax machines
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
De-Identified Information
should only be used when no other - more secure mode of transmission is available
Electronic Protected Health Information

23. Negligence
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Covered transactions
should only be used when no other - more secure mode of transmission is available
State preemption

24. Federal law protects patient records dealing with...
substance abuse treatment
Portability
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Notice of Privacy Practices

25. A written document detailing a health care provider's privacy practices.
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
generally only patient can auth release of own medical record - there are a few exceptions
Notice of Privacy Practices (NPP)
substance abuse treatment

26. The computer screen should have a screensaver that...
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
comes on after a few idle seconds and the use of a privacy screen should be mandatory
must be reported to authorities by law

27. Releasing patient information
a minor - rather than the parent - must sign the release of patient information
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
generally only patient can auth release of own medical record - there are a few exceptions

28. All persons who will have access are required to...
should only be used when no other - more secure mode of transmission is available
Invasion of Privacy Publishing
Security
have a unique password and it should be changed frequently

29. Hardware or software designed to prevent unauthorized access to electronic information.
State preemption
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 data interchange
Firewalls

30. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Portability
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Electronic data interchange
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.

31. Reportable diseases...
security rule
Firewalls
false charges and malicious oral statements about someone
must be reported to authorities by law

32. Disabilities act

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33. Emancipated minors

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34. Document that includes the standards
Security
Tort
should only be used when no other - more secure mode of transmission is available
Rule

35. 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
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
Verification
Covered entities
should only be used when no other - more secure mode of transmission is available

36. Statue of limitations
state laws setting time limit for bringing a lawsuit
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
treatment - payment - & healthcare operations

37. 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
Electronic transmission
improper performance of an otherwise lawful act. civil
malpractice

38. Transmission of information between two parties fro financial or administrative activities.
Firewalls
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
generally only patient can auth release of own medical record - there are a few exceptions
Transaction

39. Some state laws specifically protect __________. A patient would need to sign a specific request.
Electronic transmission
have a unique password and it should be changed frequently
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
security rule

40. Coded information that can't be read until is decoded.
regular - in a secure location
testimony under oath
Encryption
a contract that comes about from the actions of the parties rather than words

41. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
What types of disclosures do not require patient permission?
Limited data set
Patient
Standard

42. Battery
Notice of Privacy Practices
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
Patient rights under HIPAA
illegal touching of another person

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

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44. Any wrongdoing for which an action for damages may be brought
need to know
Individually Identifiable Health Information
Malfeasance
Tort

45. Uniform anotomical gift act
Patient
Transaction
law that permits a person w/ a legal age and sound mind to give their body to donation
the philosophical study of moral values and rules - conducts

46. Patient records are _____________ so not all staff will have access.
need to know
Electronic data interchange
Covered entities
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

47. The limited amount of patient information to be disclosed - depending on circumstances.
Minimum necessary
Electronic transmission
Patient rights under HIPAA
should never be released w/o a patient's signed consent or court order

48. Protected Health Information (PHI)
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)
should only be used when no other - more secure mode of transmission is available
Patient

49. HIPAA compliance mandates that computer systems must be...
located in a secured and private space
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
Malfeasance
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

50. Misfeasance
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
malpractice
Patient rights under HIPAA
improper performance of an otherwise lawful act. civil