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. Good samaritan law
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
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.
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

2. Medical records used for health care research

3. Titile II of HIPAA
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
illegal touching of another person
Code sets
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

4. Includes records maintained by or for a covered entity.
Designated record set
security rule
need to know
Electronic data interchange

5. Reportable diseases...
must be reported to authorities by law
Individually Identifiable Health Information
Patient
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

6. IIHI
Notice of Privacy Practices
substance abuse treatment
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
Individually Identifiable Health Information

7. Computes and HIPAA
Rule
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
same legal standards apply to all patient records whether on paper or computer
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

8. Conforming to proper professional behavior
What types of disclosures do not require patient permission?
testimony under oath
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Ethical

9. Key entities
regular - in a secure location
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
only those who meed to know should have access to patient information
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

10. Professional Negligence
Notice of Privacy Practices
malpractice
should only be used when no other - more secure mode of transmission is available
Electronic data interchange

11. The use of uniform electronic network protocols to transfer business information between organizations.
Covered entities
a contract that comes about from the actions of the parties rather than words
Electronic data interchange
malpractice

12. making known - or using information relating to the private life or affairs of a person without their approval or permission
Covered transactions
Invasion of Privacy Publishing
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
purpose - pride - patience - persistence - perspective

13. 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.
U.S. goverment
false charges and malicious oral statements about someone

14. 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
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
need to know

15. Criminal law
law concerned with public wrongs against society
Electronic data interchange
Tort
should never be released w/o a patient's signed consent or court order

16. General exceptions for releasing patient information
Covered entities
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
substance abuse treatment
Minimum necessary

17. Uniform anotomical gift act
Electronic data interchange
law that permits a person w/ a legal age and sound mind to give their body to donation
Health Information
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

18. Transmission of information between two parties fro financial or administrative activities.
Transaction
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
U.S. goverment
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.

19. What information do patients NOT have access to?
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
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
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.

20. A written document detailing a health care provider's privacy practices.
Notice of Privacy Practices (NPP)
Patient Identifiable Information
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Rule

21. TPO
Patient
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
State preemption

22. NPP
the philosophical study of moral values and rules - conducts
U.S. goverment
Notice of Privacy Practices
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

23. Clearinghouse
state laws setting time limit for bringing a lawsuit
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
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

24. 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
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Covered entities
What types of disclosures do not require patient permission?
Encryption

25. OIG - Office of the Inspector General
concerns noncriminal disputes between private parties
located in a secured and private space
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
should only be used when no other - more secure mode of transmission is available

26. Confidentiality

27. 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.
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Standard
Treatment - payment and health care operations (TPO)
A written set of questions requiring written answers from a plaintiff or defendant under oath

28. Statue of limitations
U.S. goverment
Invasion of Privacy Publishing
Malfeasance
state laws setting time limit for bringing a lawsuit

29. Deposition
Security
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
A written set of questions requiring written answers from a plaintiff or defendant under oath
testimony under oath

30. Sending information over electronic networks.
false and malicious writing about another
Limited data set
Electronic transmission
purpose - pride - patience - persistence - perspective

31. Statutory
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
should never be released w/o a patient's signed consent or court order
The body of laws made by states is their own statutory laws
state laws setting time limit for bringing a lawsuit

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

33. Coded information that can't be read until is decoded.
Encryption
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Security
Limited data set

34. HIPAA states...
a contract that comes about from the actions of the parties rather than words
U.S. goverment
only those who meed to know should have access to patient information
Malfeasance

35. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
same legal standards apply to all patient records whether on paper or computer
Electronic data interchange
Individually Identifiable Health Information
Covered transactions

36. Negligence
regular - in a secure location
Firewalls
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Notice of Privacy Practices

37. Implied consent
What types of disclosures do not require patient permission?
The body of laws made by states is their own statutory laws
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.
Minimum necessary

38. Libel
testimony under oath
Designated record set
located in a secured and private space
false and malicious writing about another

39. Policies and procedures use to protect electronic information from unauthorized access
should never be released w/o a patient's signed consent or court order
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
Security

40. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
addresses portability of insurance coverage when employees change or lose their jobs
security rule
a contract that comes about from the actions of the parties rather than words
The body of laws made by states is their own statutory laws

41. A general HIPAA requirement
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
although medical records are confidential - there are times when they can be released w/o a patient consent.
Code sets
Standard

42. Data must be backed up at ___________ and those back-up files should be stored ________.
Standard
regular - in a secure location
Rule
Security

43. EPHI
Electronic Protected Health Information
located in a secured and private space
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Minimum necessary

44. Privacy Officer
Patient rights under HIPAA
U.S. goverment
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
Individually Identifiable Health Information

45. The limited amount of patient information to be disclosed - depending on circumstances.
Minimum necessary
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
A written set of questions requiring written answers from a plaintiff or defendant under oath
law that permits a person w/ a legal age and sound mind to give their body to donation

46. Protected Health Information (PHI)
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
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Regulations
Designated record set

47. Any wrongdoing for which an action for damages may be brought
testimony under oath
Tort
Permission
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

48. HIPAA
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Notice of Privacy Practices (NPP)
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
improper performance of an otherwise lawful act. civil

49. Emancipated minors

50. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Portability
Designated record set
generally only patient can auth release of own medical record - there are a few exceptions
A written set of questions requiring written answers from a plaintiff or defendant under oath