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. Protected Health Information (PHI)
Verification
Ethical
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Covered transactions

2. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Regulations
Covered transactions
Electronic Protected Health Information
Examples of PHI

3. The computer screen should have a screensaver that...
state laws setting time limit for bringing a lawsuit
although medical records are confidential - there are times when they can be released w/o a patient consent.
comes on after a few idle seconds and the use of a privacy screen should be mandatory
need to know

4. 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.
Examples of PHI
Patient
Transaction
The body of laws made by states is their own statutory laws

5. Reportable diseases...
Malfeasance
false and malicious writing about another
Covered transactions
must be reported to authorities by law

6. Bioethics
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Limited data set
treatment - payment - & healthcare operations
security rule

7. Under some circumstances ...
Examples of PHI
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
a minor - rather than the parent - must sign the release of patient information
Firewalls

8. Misfeasance
Ethical
improper performance of an otherwise lawful act. civil
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.
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

9. A reason for each use and disclosure of patient information.
Individually Identifiable Health Information
Permission
Encryption
Covered transactions

10. Libel
false and malicious writing about another
Health Information
illegal touching of another person
law that permits a person w/ a legal age and sound mind to give their body to donation

11. Document that includes the standards
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Rule
addresses portability of insurance coverage when employees change or lose their jobs

12. Federal law protects patient records dealing with...
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
substance abuse treatment
have a unique password and it should be changed frequently
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

13. 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
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Portability
Covered entities
a contract that comes about from the actions of the parties rather than words

14. Disclosure without Consent
The body of laws made by states is their own statutory laws
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
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
although medical records are confidential - there are times when they can be released w/o a patient consent.

15. Hardware or software designed to prevent unauthorized access to electronic information.
Transaction
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
Firewalls
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

16. Policies and procedures use to protect electronic information from unauthorized access
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.
the philosophical study of moral values and rules - conducts
Patient
Security

17. IIHI
substance abuse treatment
Individually Identifiable Health Information
State preemption
Covered entities

18. making known - or using information relating to the private life or affairs of a person without their approval or permission
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Invasion of Privacy Publishing
although medical records are confidential - there are times when they can be released w/o a patient consent.

19. Negligence
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Standard
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Portability

20. Data must be backed up at ___________ and those back-up files should be stored ________.
Notice of Privacy Practices (NPP)
The body of laws made by states is their own statutory laws
generally only patient can auth release of own medical record - there are a few exceptions
regular - in a secure location

21. What are the 3 purposes of HIPAA?
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Insurance portability - administrative simplification - privacy and security
Tort
comes on after a few idle seconds and the use of a privacy screen should be mandatory

22. Verify the identification of anyone requesting patient information.
Verification
Code sets
Firewalls
only those who meed to know should have access to patient information

23. Who regulates HIPAA?
same legal standards apply to all patient records whether on paper or computer
Covered entities
U.S. goverment
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

24. Privacy Officer
Electronic transmission
Minimum necessary
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
although medical records are confidential - there are times when they can be released w/o a patient consent.

25. De-Identified Information
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Electronic Protected Health Information
although medical records are confidential - there are times when they can be released w/o a patient consent.

26. Advanced directives
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
Rule
only those who meed to know should have access to patient information
Regulations

27. What information do patients NOT have access to?
Firewalls
Rule
A written set of questions requiring written answers from a plaintiff or defendant under oath
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

28. Disabilities act

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29. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
Insurance portability - administrative simplification - privacy and security
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
What types of disclosures do not require patient permission?
a contract that comes about from the actions of the parties rather than words

30. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
U.S. goverment
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
security rule

31. Patient records are _____________ so not all staff will have access.
need to know
Ethical
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

32. Statutory
Examples of PHI
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
Firewalls
The body of laws made by states is their own statutory laws

33. Releasing patient information
Invasion of Privacy Publishing
generally only patient can auth release of own medical record - there are a few exceptions
Ethical
concerns noncriminal disputes between private parties

34. Emancipated minors

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35. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Regulations
a minor - rather than the parent - must sign the release of patient information
testimony under oath
Standard

36. TPO
purpose - pride - patience - persistence - perspective
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.
regular - in a secure location
treatment - payment - & healthcare operations

37. The person recieving treatment
must be reported to authorities by law
Firewalls
concerns noncriminal disputes between private parties
Patient

38. Sending information over electronic networks.
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Ethical
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Electronic transmission

39. Clearinghouse
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
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
improper performance of an otherwise lawful act. civil
Firewalls

40. Deposition
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
false and malicious writing about another
treatment - payment - & healthcare operations
testimony under oath

41. Ethics
Patient rights under HIPAA
the philosophical study of moral values and rules - conducts
comes on after a few idle seconds and the use of a privacy screen should be mandatory
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

42. Battery
illegal touching of another person
Tort
treatment - payment - & healthcare operations
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

43. HIPAA states...
only those who meed to know should have access to patient information
Electronic transmission
Tort
Rule

44. Civil law
Insurance portability - administrative simplification - privacy and security
should never be released w/o a patient's signed consent or court order
concerns noncriminal disputes between private parties
Encryption

45. The limited amount of patient information to be disclosed - depending on circumstances.
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Minimum necessary
Malfeasance
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

46. Common law
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.
false and malicious writing about another
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
need to know

47. Fax machines
law that permits a person w/ a legal age and sound mind to give their body to donation
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
should only be used when no other - more secure mode of transmission is available
Encryption

48. A general HIPAA requirement
Verification
Standard
law that permits a person w/ a legal age and sound mind to give their body to donation
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

49. General exceptions for releasing patient information
Permission
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
malpractice
Security

50. 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)
Malfeasance
Minimum necessary
only those who meed to know should have access to patient information