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. Disabilities act

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2. Freedom from unauthorized intrusion
Privacy
Notice of Privacy Practices
State preemption
a minor - rather than the parent - must sign the release of patient information

3. HIPAA states...
Covered entities
false charges and malicious oral statements about someone
only those who meed to know should have access to patient information
Malfeasance

4. Ethics
Limited data set
Covered entities
Notice of Privacy Practices (NPP)
the philosophical study of moral values and rules - conducts

5. Professional Negligence
malpractice
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
security rule
same legal standards apply to all patient records whether on paper or computer

6. Criminal law
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Treatment - payment and health care operations (TPO)
law concerned with public wrongs against society
substance abuse treatment

7. Titile II of HIPAA
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
should only be used when no other - more secure mode of transmission is available
Patient

8. Disclosure without Consent
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Examples of PHI
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.

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

10. Libel
The body of laws made by states is their own statutory laws
purpose - pride - patience - persistence - perspective
security rule
false and malicious writing about another

11. Unlawful act done without permission.
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Malfeasance
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
should only be used when no other - more secure mode of transmission is available

12. HI
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
Health Information
Encryption
Ethical

13. Federal law protects patient records dealing with...
substance abuse treatment
Ethical
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

14. Releasing patient information
improper performance of an otherwise lawful act. civil
generally only patient can auth release of own medical record - there are a few exceptions
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.
Verification

15. 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
Malfeasance
Code sets

16. Sending information over electronic networks.
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.
Insurance portability - administrative simplification - privacy and security
Portability
Electronic transmission

17. Negligence
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
What types of disclosures do not require patient permission?
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

18. The limited amount of patient information to be disclosed - depending on circumstances.
must be reported to authorities by law
Minimum necessary
What types of disclosures do not require patient permission?
need to know

19. Medical records used for health care research

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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
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Covered entities
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 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

21. Misfeasance
improper performance of an otherwise lawful act. civil
What types of disclosures do not require patient permission?
located in a secured and private space
Designated record set

22. TPO
Covered entities
treatment - payment - & healthcare operations
U.S. goverment
Encryption

23. Doctor release of patient
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Portability
Transaction
testimony under oath

24. Common law
addresses portability of insurance coverage when employees change or lose their jobs
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
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
Electronic Protected Health Information

25. A written document detailing a health care provider's privacy practices.
Notice of Privacy Practices (NPP)
Ethical
Patient Identifiable Information
law concerned with public wrongs against society

26. Under some circumstances ...
treatment - payment - & healthcare operations
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
a minor - rather than the parent - must sign the release of patient information
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

27. DII
De-Identified Information
Verification
The body of laws made by states is their own statutory laws
should never be released w/o a patient's signed consent or court order

28. Fax machines
only those who meed to know should have access to patient information
Portability
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
should only be used when no other - more secure mode of transmission is available

29. Battery
illegal touching of another person
Notice of Privacy Practices
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
The body of laws made by states is their own statutory laws

30. interrogatory
A written set of questions requiring written answers from a plaintiff or defendant under oath
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

31. Fax Machines and HIPAA
Electronic data interchange
Health Information
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
generally only patient can auth release of own medical record - there are a few exceptions

32. Who regulates HIPAA?
Designated record set
A written set of questions requiring written answers from a plaintiff or defendant under oath
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

33. De-Identified Information
What types of disclosures do not require patient permission?
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
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
Patient

34. The use of uniform electronic network protocols to transfer business information between organizations.
Electronic data interchange
Notice of Privacy Practices
Permission
malpractice

35. General exceptions for releasing patient information
The body of laws made by states is their own statutory laws
state laws setting time limit for bringing a lawsuit
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
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

36. Data must be backed up at ___________ and those back-up files should be stored ________.
testimony under oath
Verification
regular - in a secure location
false charges and malicious oral statements about someone

37. PII
regular - in a secure location
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
concerns noncriminal disputes between private parties
Patient Identifiable Information

38. 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.
Tort
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Covered entities
Examples of PHI

39. 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.
Electronic Protected Health Information
Covered transactions
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Treatment - payment and health care operations (TPO)

40. Verify the identification of anyone requesting patient information.
law that permits a person w/ a legal age and sound mind to give their body to donation
substance abuse treatment
Verification
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

41. Bioethics
Patient rights under HIPAA
law that permits a person w/ a legal age and sound mind to give their body to donation
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
U.S. goverment

42. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
security rule
Security
Treatment - payment and health care operations (TPO)
treatment - payment - & healthcare operations

43. Includes records maintained by or for a covered entity.
Designated record set
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
Regulations
testimony under oath

44. Statue of limitations
state laws setting time limit for bringing a lawsuit
located in a secured and private space
A written set of questions requiring written answers from a plaintiff or defendant under oath
Malfeasance

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

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46. Clearinghouse
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
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
Health Information
Notice of Privacy Practices

47. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
need to know
regular - in a secure location
What types of disclosures do not require patient permission?
law concerned with public wrongs against society

48. 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
should never be released w/o a patient's signed consent or court order
false charges and malicious oral statements about someone
Security

49. Protected health information from which certain patient identifiers have been removed
should never be released w/o a patient's signed consent or court order
Examples of PHI
Transaction
Limited data set

50. A reason for each use and disclosure of patient information.
Electronic Protected Health Information
Permission
a contract that comes about from the actions of the parties rather than words
have a unique password and it should be changed frequently