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. Implied contract
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Standard
a contract that comes about from the actions of the parties rather than words

2. Implied consent
law concerned with public wrongs against society
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
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.
treatment - payment - & healthcare operations

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

4. Deposition
testimony under oath
De-Identified Information
should only be used when no other - more secure mode of transmission is available
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

5. Civil law
regular - in a secure location
Code sets
illegal touching of another person
concerns noncriminal disputes between private parties

6. Criminal law
What types of disclosures do not require patient permission?
law concerned with public wrongs against society
Permission
Standard

7. Fax machines
law that permits a person w/ a legal age and sound mind to give their body to donation
should only be used when no other - more secure mode of transmission is available
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
treatment - payment - & healthcare operations

8. Bioethics
concerns noncriminal disputes between private parties
Firewalls
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.
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

9. See & Copy their health records - update health records - obtain a list of the institution's disclosures - other than for payment & healthcare operations - request a restriction on a certain uses or disclosures - choose how to receive their health in
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Electronic Protected Health Information
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Patient rights under HIPAA

10. 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.
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
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
Examples of PHI

11. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Regulations
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
Examples of PHI
false charges and malicious oral statements about someone

12. NPP
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Notice of Privacy Practices
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
a minor - rather than the parent - must sign the release of patient information

13. making known - or using information relating to the private life or affairs of a person without their approval or permission
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Code sets
Invasion of Privacy Publishing
Treatment - payment and health care operations (TPO)

14. Battery
illegal touching of another person
only those who meed to know should have access to patient information
same legal standards apply to all patient records whether on paper or computer
have a unique password and it should be changed frequently

15. The use of uniform electronic network protocols to transfer business information between organizations.
Electronic data interchange
illegal touching of another person
Privacy
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

16. Common law
Electronic data interchange
Code sets
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

17. Sending information over electronic networks.
state laws setting time limit for bringing a lawsuit
Electronic transmission
Patient Identifiable Information
improper performance of an otherwise lawful act. civil

18. interrogatory
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
concerns noncriminal disputes between private parties
false charges and malicious oral statements about someone
A written set of questions requiring written answers from a plaintiff or defendant under oath

19. Reportable diseases...
Security
addresses portability of insurance coverage when employees change or lose their jobs
Insurance portability - administrative simplification - privacy and security
must be reported to authorities by law

20. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Covered transactions
generally only patient can auth release of own medical record - there are a few exceptions
same legal standards apply to all patient records whether on paper or computer

21. Document that includes the standards
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.
Rule
Electronic Protected Health Information
Limited data set

22. Emancipated minors

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23. Medical records used for health care research

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24. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
De-Identified Information
regular - in a secure location
Portability
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

25. Key entities
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 Identifiable Information
substance abuse treatment
What types of disclosures do not require patient permission?

26. 5P's of ethical power
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Electronic Protected Health Information
Invasion of Privacy Publishing
purpose - pride - patience - persistence - perspective

27. Verify the identification of anyone requesting patient information.
Privacy
Insurance portability - administrative simplification - privacy and security
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.
Verification

28. Libel
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
false and malicious writing about another
Standard
should only be used when no other - more secure mode of transmission is available

29. All persons who will have access are required to...
generally only patient can auth release of own medical record - there are a few exceptions
Treatment - payment and health care operations (TPO)
Malfeasance
have a unique password and it should be changed frequently

30. Patient records are _____________ so not all staff will have access.
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
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
need to know

31. HI
state laws setting time limit for bringing a lawsuit
Health Information
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
Privacy

32. The computer screen should have a screensaver that...
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Minimum necessary
Standard
Covered entities

33. HIPAA states...
State preemption
The body of laws made by states is their own statutory laws
only those who meed to know should have access to patient information
concerns noncriminal disputes between private parties

34. The limited amount of patient information to be disclosed - depending on circumstances.
Patient
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
a minor - rather than the parent - must sign the release of patient information
Minimum necessary

35. Statue of limitations
Covered entities
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
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

36. Who regulates HIPAA?
Rule
security rule
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. goverment

37. PII
Notice of Privacy Practices
Patient Identifiable Information
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
regular - in a secure location

38. Computes and HIPAA
have a unique password and it should be changed frequently
Malfeasance
Encryption
same legal standards apply to all patient records whether on paper or computer

39. Coded information that can't be read until is decoded.
the philosophical study of moral values and rules - conducts
Encryption
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
a contract that comes about from the actions of the parties rather than words

40. 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.
have a unique password and it should be changed frequently
a contract that comes about from the actions of the parties rather than words
located in a secured and private space
Treatment - payment and health care operations (TPO)

41. Doctor release of patient
Covered entities
A written set of questions requiring written answers from a plaintiff or defendant under oath
Patient rights under HIPAA
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

42. Freedom from unauthorized intrusion
Treatment - payment and health care operations (TPO)
should only be used when no other - more secure mode of transmission is available
Transaction
Privacy

43. Professional Negligence
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Insurance portability - administrative simplification - privacy and security
Health Information
malpractice

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

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45. Clearinghouse
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
Minimum necessary
testimony under oath
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

46. OIG - Office of the Inspector General
Treatment - payment and health care operations (TPO)
illegal touching of another person
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

47. EPHI
only those who meed to know should have access to patient information
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Electronic data interchange
Electronic Protected Health Information

48. Unlawful act done without permission.
Malfeasance
security rule
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
Invasion of Privacy Publishing

49. Any wrongdoing for which an action for damages may be brought
law concerned with public wrongs against society
security rule
Tort
Malfeasance

50. TPO
De-Identified Information
Patient rights under HIPAA
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
treatment - payment - & healthcare operations