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. Coded information that can't be read until is decoded.
Minimum necessary
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Encryption
De-Identified Information

2. EPHI
illegal touching of another person
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Electronic Protected Health Information
Individually Identifiable Health Information

3. DII
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
treatment - payment - & healthcare operations
De-Identified Information
Patient rights under HIPAA

4. HIPAA compliance mandates that computer systems must be...
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.
located in a secured and private space
Malfeasance
The body of laws made by states is their own statutory laws

5. Negligence
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
malpractice
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

6. Disclosure without Consent
although medical records are confidential - there are times when they can be released w/o a patient consent.
Portability
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
Ethical

7. Medical records used for health care research

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8. Fax machines
should only be used when no other - more secure mode of transmission is available
Electronic data interchange
concerns noncriminal disputes between private parties
located in a secured and private space

9. What are the 3 purposes of HIPAA?
U.S. goverment
Insurance portability - administrative simplification - privacy and security
only those who meed to know should have access to patient information
Covered entities

10. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
State preemption
What types of disclosures do not require patient permission?
Portability
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

11. 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
Limited data set
a minor - rather than the parent - must sign the release of patient information
a contract that comes about from the actions of the parties rather than words

12. Transmission of information between two parties fro financial or administrative activities.
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Transaction
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

13. 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
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
false charges and malicious oral statements about someone
Patient rights under HIPAA

14. Doctor release of patient
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Invasion of Privacy Publishing
have a unique password and it should be changed frequently
a contract that comes about from the actions of the parties rather than words

15. The use of uniform electronic network protocols to transfer business information between organizations.
have a unique password and it should be changed frequently
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Electronic data interchange
should never be released w/o a patient's signed consent or court order

16. Titile II of HIPAA
improper performance of an otherwise lawful act. civil
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
must be reported to authorities by law
should only be used when no other - more secure mode of transmission is available

17. Advanced directives
Electronic transmission
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
located in a secured and private space
state laws setting time limit for bringing a lawsuit

18. Disabilities act

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19. Unlawful act done without permission.
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
purpose - pride - patience - persistence - perspective
Malfeasance
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. Some state laws specifically protect __________. A patient would need to sign a specific request.
Covered transactions
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
regular - in a secure location
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

21. Uniform anotomical gift act
law that permits a person w/ a legal age and sound mind to give their body to donation
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.
substance abuse treatment
treatment - payment - & healthcare operations

22. Freedom from unauthorized intrusion
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.
Privacy
testimony under oath

23. A reason for each use and disclosure of patient information.
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Permission
Security
Malfeasance

24. Statutory
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Minimum necessary
The body of laws made by states is their own statutory laws
Insurance portability - administrative simplification - privacy and security

25. Ethics
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Covered entities
the philosophical study of moral values and rules - conducts
should only be used when no other - more secure mode of transmission is available

26. Statue of limitations
Examples of PHI
A written set of questions requiring written answers from a plaintiff or defendant under oath
state laws setting time limit for bringing a lawsuit
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.

27. Releasing patient information
generally only patient can auth release of own medical record - there are a few exceptions
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.
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.
substance abuse treatment

28. Criminal law
only those who meed to know should have access to patient information
law concerned with public wrongs against society
The body of laws made by states is their own statutory laws
false and malicious writing about another

29. Federal law protects patient records dealing with...
Security
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
substance abuse treatment
a minor - rather than the parent - must sign the release of patient information

30. The person recieving treatment
Verification
U.S. goverment
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Patient

31. All persons who will have access are required to...
have a unique password and it should be changed frequently
Invasion of Privacy Publishing
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
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

32. Title I of HIPAA
malpractice
addresses portability of insurance coverage when employees change or lose their jobs
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
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

33. Subpoenas
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Invasion of Privacy Publishing
Security
Individually Identifiable Health Information

34. Key entities
Covered entities
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
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
Covered transactions

35. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
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
Covered entities
Privacy
security rule

36. 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.
A written set of questions requiring written answers from a plaintiff or defendant under oath
Examples of PHI
regular - in a secure location
although medical records are confidential - there are times when they can be released w/o a patient consent.

37. Includes records maintained by or for a covered entity.
Invasion of Privacy Publishing
Electronic Protected Health Information
testimony under oath
Designated record set

38. Who regulates HIPAA?
should never be released w/o a patient's signed consent or court order
purpose - pride - patience - persistence - perspective
U.S. goverment
regular - in a secure location

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

40. Implied contract
De-Identified Information
Patient
a contract that comes about from the actions of the parties rather than words
should never be released w/o a patient's signed consent or court order

41. Medical records can be released w/o consent to...
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 laws setting time limit for bringing a lawsuit
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
A written set of questions requiring written answers from a plaintiff or defendant under oath

42. Reportable diseases...
must be reported to authorities by law
Covered transactions
A written set of questions requiring written answers from a plaintiff or defendant under oath
Ethical

43. 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)
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 court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
law concerned with public wrongs against society

44. Document that includes the standards
Rule
a contract that comes about from the actions of the parties rather than words
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
State preemption

45. PII
Patient Identifiable Information
Electronic Protected Health Information
Portability
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

46. Conforming to proper professional behavior
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Ethical
Standard
regular - in a secure location

47. Misfeasance
improper performance of an otherwise lawful act. civil
Firewalls
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
A written set of questions requiring written answers from a plaintiff or defendant under oath

48. A general HIPAA requirement
Standard
Health Information
Portability
must be reported to authorities by law

49. 4d's of negligence
illegal touching of another person
Regulations
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
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

50. Emancipated minors

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