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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. DII
Security
Notice of Privacy Practices (NPP)
Notice of Privacy Practices
De-Identified Information

2. Privacy Officer
Transaction
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
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
Privacy

3. HIPAA states...
Covered transactions
only those who meed to know should have access to patient information
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
security rule

4. Under some circumstances ...
De-Identified Information
treatment - payment - & healthcare operations
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

5. Bioethics
Notice of Privacy Practices
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
must be reported to authorities by law

6. The limited amount of patient information to be disclosed - depending on circumstances.
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
located in a secured and private space
Minimum necessary
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

7. Good samaritan law
false and malicious writing about another
Verification
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
law that permits a person w/ a legal age and sound mind to give their body to donation

8. Implied contract
a contract that comes about from the actions of the parties rather than words
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
A written set of questions requiring written answers from a plaintiff or defendant under oath
same legal standards apply to all patient records whether on paper or computer

9. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Covered transactions
Notice of Privacy Practices
Minimum necessary
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

10. 4d's of negligence
What types of disclosures do not require patient permission?
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
substance abuse treatment
false and malicious writing about another

11. NPP
Electronic transmission
Treatment - payment and health care operations (TPO)
Notice of Privacy Practices
Minimum necessary

12. TPO
Privacy
The body of laws made by states is their own statutory laws
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

13. Who regulates HIPAA?
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
U.S. goverment
addresses portability of insurance coverage when employees change or lose their jobs
although medical records are confidential - there are times when they can be released w/o a patient consent.

14. Unlawful act done without permission.
Standard
improper performance of an otherwise lawful act. civil
Malfeasance
Encryption

15. Reportable diseases...
false and malicious writing about another
law that permits a person w/ a legal age and sound mind to give their body to donation
Notice of Privacy Practices (NPP)
must be reported to authorities by law

16. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
generally only patient can auth release of own medical record - there are a few exceptions
security rule
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

17. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Portability
security rule
treatment - payment - & healthcare operations
Standard

18. 5P's of ethical power
Covered entities
purpose - pride - patience - persistence - perspective
comes on after a few idle seconds and the use of a privacy screen should be mandatory
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

19. Uniform anotomical gift act
law that permits a person w/ a legal age and sound mind to give their body to donation
Transaction
De-Identified Information
need to know

20. 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
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
same legal standards apply to all patient records whether on paper or computer
Covered entities
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

21. Libel
Covered entities
Electronic transmission
false and malicious writing about another
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.

22. Patient records are _____________ so not all staff will have access.
De-Identified Information
Privacy
Electronic Protected Health Information
need to know

23. Battery
Permission
Notice of Privacy Practices
illegal touching of another person
Designated record set

24. HI
should only be used when no other - more secure mode of transmission is available
The body of laws made by states is their own statutory laws
Health Information
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.

25. Deposition
Treatment - payment and health care operations (TPO)
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
Patient
testimony under oath

26. Protected Health Information (PHI)
Invasion of Privacy Publishing
U.S. goverment
State preemption
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

27. Statue of limitations
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Invasion of Privacy Publishing
state laws setting time limit for bringing a lawsuit
need to know

28. Disabilities act

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29. 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
substance abuse treatment
Patient
De-Identified Information

30. interrogatory
a contract that comes about from the actions of the parties rather than words
Permission
Tort
A written set of questions requiring written answers from a plaintiff or defendant under oath

31. Civil law
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Privacy
Minimum necessary
concerns noncriminal disputes between private parties

32. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
a contract that comes about from the actions of the parties rather than words
Encryption
concerns noncriminal disputes between private parties
Regulations

33. A written document detailing a health care provider's privacy practices.
should never be released w/o a patient's signed consent or court order
Notice of Privacy Practices (NPP)
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Firewalls

34. 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)
law that permits a person w/ a legal age and sound mind to give their body to donation
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.

35. Protected health information from which certain patient identifiers have been removed
Designated record set
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
Electronic transmission
Limited data set

36. Policies and procedures use to protect electronic information from unauthorized access
should only be used when no other - more secure mode of transmission is available
Security
state laws setting time limit for bringing a lawsuit
Malfeasance

37. Freedom from unauthorized intrusion
Health Information
Privacy
Standard
Security

38. Releasing patient information
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
generally only patient can auth release of own medical record - there are a few exceptions
Regulations
Security

39. What information do patients NOT have access to?
De-Identified Information
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
law that permits a person w/ a legal age and sound mind to give their body to donation
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

40. OIG - Office of the Inspector General
What types of disclosures do not require patient permission?
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
concerns noncriminal disputes between private parties
Portability

41. Common law
Standard
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
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Electronic Protected Health Information

42. A general HIPAA requirement
Covered entities
Standard
U.S. goverment
although medical records are confidential - there are times when they can be released w/o a patient consent.

43. Disclosure without Consent
although medical records are confidential - there are times when they can be released w/o a patient consent.
Rule
should only be used when no other - more secure mode of transmission is available
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

44. Business Associate Agreements applies to...
testimony under oath
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
generally only patient can auth release of own medical record - there are a few exceptions
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

45. Emancipated minors

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46. Some state laws specifically protect __________. A patient would need to sign a specific request.
Covered transactions
Electronic Protected Health Information
only those who meed to know should have access to patient information
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

47. making known - or using information relating to the private life or affairs of a person without their approval or permission
Notice of Privacy Practices
Invasion of Privacy Publishing
The body of laws made by states is their own statutory laws
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

48. Computes and HIPAA
false and malicious writing about another
same legal standards apply to all patient records whether on paper or computer
should only be used when no other - more secure mode of transmission is available
Notice of Privacy Practices

49. Fax Machines and HIPAA
security rule
Examples of PHI
located in a secured and private space
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

50. Criminal law
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
law concerned with public wrongs against society
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
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

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HIPAA

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