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HIPAA

Instructions:

Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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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. Unlawful act done without permission.
security rule
Malfeasance
De-Identified Information
addresses portability of insurance coverage when employees change or lose their jobs

2. Doctor release of patient
Treatment - payment and health care operations (TPO)
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Permission

3. Some state laws specifically protect __________. A patient would need to sign a specific request.
testimony under oath
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
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

4. DII
Encryption
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
De-Identified Information

5. Bioethics
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
have a unique password and it should be changed frequently
Individually Identifiable Health Information
Health Information

6. EPHI
false and malicious writing about another
need to know
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Electronic Protected Health Information

7. Disabilities act

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8. Slander
Designated record set
false charges and malicious oral statements about someone
Invasion of Privacy Publishing
Code sets

9. HIPAA
Treatment - payment and health care operations (TPO)
should never be released w/o a patient's signed consent or court order
Invasion of Privacy Publishing
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

10. Federal law protects patient records dealing with...
malpractice
law that permits a person w/ a legal age and sound mind to give their body to donation
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
substance abuse treatment

11. Titile II of HIPAA
concerns noncriminal disputes between private parties
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Designated record set
Transaction

12. Uniform anotomical gift act
law concerned with public wrongs against society
law that permits a person w/ a legal age and sound mind to give their body to donation
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

13. Hardware or software designed to prevent unauthorized access to electronic information.
Firewalls
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Designated record set
law that permits a person w/ a legal age and sound mind to give their body to donation

14. All persons who will have access are required to...
have a unique password and it should be changed frequently
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Firewalls
Covered transactions

15. Medical records used for health care research

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16. A reason for each use and disclosure of patient information.
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.
although medical records are confidential - there are times when they can be released w/o a patient consent.
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

17. IIHI
state laws setting time limit for bringing a lawsuit
false and malicious writing about another
Individually Identifiable Health Information
the philosophical study of moral values and rules - conducts

18. The use of uniform electronic network protocols to transfer business information between organizations.
The body of laws made by states is their own statutory laws
Verification
malpractice
Electronic data interchange

19. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
State preemption
state laws setting time limit for bringing a lawsuit
law that permits a person w/ a legal age and sound mind to give their body to donation

20. Privacy Officer
Designated record set
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
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
illegal touching of another person

21. Any set of codes use to encode health care data elements.
Verification
Code sets
A written set of questions requiring written answers from a plaintiff or defendant under oath
Covered transactions

22. The person recieving treatment
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
comes on after a few idle seconds and the use of a privacy screen should be mandatory
although medical records are confidential - there are times when they can be released w/o a patient consent.
Patient

23. De-Identified Information
Portability
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
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
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

24. Verify the identification of anyone requesting patient information.
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Individually Identifiable Health Information
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Verification

25. NPP
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Notice of Privacy Practices
Malfeasance

26. Reportable diseases...
should never be released w/o a patient's signed consent or court order
must be reported to authorities by law
Patient
A written set of questions requiring written answers from a plaintiff or defendant under oath

27. Who regulates HIPAA?
U.S. goverment
Tort
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)

28. Implied contract
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
a contract that comes about from the actions of the parties rather than words
same legal standards apply to all patient records whether on paper or computer
Designated record set

29. Computes and HIPAA
same legal standards apply to all patient records whether on paper or computer
Covered transactions
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
although medical records are confidential - there are times when they can be released w/o a patient consent.

30. Freedom from unauthorized intrusion
Patient
Individually Identifiable Health Information
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Privacy

31. A general HIPAA requirement
Patient Identifiable Information
Covered entities
Security
Standard

32. HIPAA states...
Rule
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
U.S. goverment
only those who meed to know should have access to patient information

33. Title I of HIPAA
addresses portability of insurance coverage when employees change or lose their jobs
purpose - pride - patience - persistence - perspective
Treatment - payment and health care operations (TPO)
Regulations

34. Battery
Regulations
illegal touching of another person
Encryption
security rule

35. Conforming to proper professional behavior
Verification
a contract that comes about from the actions of the parties rather than words
Tort
Ethical

36. interrogatory
A written set of questions requiring written answers from a plaintiff or defendant under oath
Firewalls
concerns noncriminal disputes between private parties
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

37. Under some circumstances ...
a minor - rather than the parent - must sign the release of patient information
Designated record set
Treatment - payment and health care operations (TPO)
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

38. Protected health information from which certain patient identifiers have been removed
Rule
illegal touching of another person
addresses portability of insurance coverage when employees change or lose their jobs
Limited data set

39. General exceptions for releasing patient information
state laws setting time limit for bringing a lawsuit
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
What types of disclosures do not require patient permission?
The body of laws made by states is their own statutory laws

40. Business Associate Agreements applies to...
Individually Identifiable Health Information
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
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

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

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42. OIG - Office of the Inspector General
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Tort
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

43. making known - or using information relating to the private life or affairs of a person without their approval or permission
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
need to know
Invasion of Privacy Publishing
Security

44. Implied consent
need to know
Ethical
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.
although medical records are confidential - there are times when they can be released w/o a patient consent.

45. A written document detailing a health care provider's privacy practices.
Notice of Privacy Practices (NPP)
concerns noncriminal disputes between private parties
Designated record set
Permission

46. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
security rule
regular - in a secure location
Individually Identifiable Health Information

47. PII
Rule
Tort
Verification
Patient Identifiable Information

48. 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.
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Notice of Privacy Practices
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Examples of PHI

49. Confidentiality

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50. Key entities
A written set of questions requiring written answers from a plaintiff or defendant under oath
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
comes on after a few idle seconds and the use of a privacy screen should be mandatory
should only be used when no other - more secure mode of transmission is available

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HIPAA

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