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Test your basic knowledge |
HIPAA
Start Test
Study First
Subjects
:
certifications
,
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. 5P's of ethical power
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
purpose - pride - patience - persistence - perspective
generally only patient can auth release of own medical record - there are a few exceptions
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
2. Document that includes the standards
Patient Identifiable Information
Rule
Invasion of Privacy Publishing
What types of disclosures do not require patient permission?
3. interrogatory
false and malicious writing about another
Examples of PHI
A written set of questions requiring written answers from a plaintiff or defendant under oath
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
4. DII
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
Patient rights under HIPAA
Tort
De-Identified Information
5. Who regulates HIPAA?
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
purpose - pride - patience - persistence - perspective
Patient Identifiable Information
U.S. goverment
6. 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
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Ethical
Examples of PHI
7. Reportable diseases...
The body of laws made by states is their own statutory laws
must be reported to authorities by law
Minimum necessary
Transaction
8. What are the 3 purposes of HIPAA?
improper performance of an otherwise lawful act. civil
false charges and malicious oral statements about someone
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
9. Ethics
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
must be reported to authorities by law
Patient rights under HIPAA
the philosophical study of moral values and rules - conducts
10. Any wrongdoing for which an action for damages may be brought
false charges and malicious oral statements about someone
malpractice
generally only patient can auth release of own medical record - there are a few exceptions
Tort
11. Emancipated minors
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12. making known - or using information relating to the private life or affairs of a person without their approval or permission
Standard
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Security
Invasion of Privacy Publishing
13. 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
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Electronic Protected Health Information
need to know
14. Under some circumstances ...
State preemption
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
a minor - rather than the parent - must sign the release of patient information
law concerned with public wrongs against society
15. Medical records used for health care research
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16. Statutory
The body of laws made by states is their own statutory laws
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Individually Identifiable Health Information
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
17. Any set of codes use to encode health care data elements.
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.
Rule
Code sets
comes on after a few idle seconds and the use of a privacy screen should be mandatory
18. Federal law protects patient records dealing with...
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
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
have a unique password and it should be changed frequently
19. The person recieving treatment
State preemption
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
same legal standards apply to all patient records whether on paper or computer
Patient
20. Negligence
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Firewalls
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
have a unique password and it should be changed frequently
21. Sending information over electronic networks.
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
Portability
Minimum necessary
Electronic transmission
22. Title I of HIPAA
security rule
addresses portability of insurance coverage when employees change or lose their jobs
should only be used when no other - more secure mode of transmission is available
Notice of Privacy Practices (NPP)
23. All persons who will have access are required to...
The body of laws made by states is their own statutory laws
false charges and malicious oral statements about someone
have a unique password and it should be changed frequently
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. HIPAA states...
should only be used when no other - more secure mode of transmission is available
only those who meed to know should have access to patient information
Rule
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
25. Computes and HIPAA
same legal standards apply to all patient records whether on paper or computer
Notice of Privacy Practices
a minor - rather than the parent - must sign the release of patient information
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
26. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Portability
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Malfeasance
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
27. Subpoenas
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
should never be released w/o a patient's signed consent or court order
Health Information
Examples of PHI
28. Civil law
concerns noncriminal disputes between private parties
Ethical
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
State preemption
29. The limited amount of patient information to be disclosed - depending on circumstances.
Transaction
Tort
Minimum necessary
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
30. The use of uniform electronic network protocols to transfer business information between organizations.
Electronic data interchange
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
treatment - payment - & healthcare operations
same legal standards apply to all patient records whether on paper or computer
31. Coded information that can't be read until is decoded.
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Encryption
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.
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
32. In order for a fax document to be HIPAA compliant...
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33. 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
Treatment - payment and health care operations (TPO)
Covered entities
a contract that comes about from the actions of the parties rather than words
Patient rights under HIPAA
34. Fax Machines and HIPAA
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.
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
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
substance abuse treatment
35. EPHI
Standard
Electronic Protected Health Information
have a unique password and it should be changed frequently
a minor - rather than the parent - must sign the release of patient information
36. HIPAA
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
Minimum necessary
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
37. Freedom from unauthorized intrusion
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Privacy
38. 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
Notice of Privacy Practices
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
Patient rights under HIPAA
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
39. Policies and procedures use to protect electronic information from unauthorized access
Notice of Privacy Practices
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
The body of laws made by states is their own statutory laws
Security
40. Patient records are _____________ so not all staff will have access.
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
need to know
Permission
treatment - payment - & healthcare operations
41. Includes records maintained by or for a covered entity.
Covered transactions
Encryption
regular - in a secure location
Designated record set
42. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
State preemption
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Designated record set
Patient
43. Some state laws specifically protect __________. A patient would need to sign a specific request.
Electronic transmission
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
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 minor - rather than the parent - must sign the release of patient information
44. Transmission of information between two parties fro financial or administrative activities.
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
Transaction
Covered entities
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
45. Deposition
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
testimony under oath
Electronic Protected Health Information
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
46. Releasing patient information
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Designated record set
Regulations
generally only patient can auth release of own medical record - there are a few exceptions
47. Unlawful act done without permission.
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
same legal standards apply to all patient records whether on paper or computer
Malfeasance
Security
48. Uniform anotomical gift act
What types of disclosures do not require patient permission?
U.S. goverment
law that permits a person w/ a legal age and sound mind to give their body to donation
although medical records are confidential - there are times when they can be released w/o a patient consent.
49. Protected Health Information (PHI)
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
law that permits a person w/ a legal age and sound mind to give their body to donation
Covered entities
50. Protected health information from which certain patient identifiers have been removed
Limited data set
Invasion of Privacy Publishing
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
Malfeasance