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. Document that includes the standards
Rule
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Limited data set
comes on after a few idle seconds and the use of a privacy screen should be mandatory

2. Fax Machines and HIPAA
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Malfeasance
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Firewalls

3. The use of uniform electronic network protocols to transfer business information between organizations.
treatment - payment - & healthcare operations
Security
Electronic transmission
Electronic data interchange

4. Unlawful act done without permission.
Malfeasance
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Regulations
State preemption

5. Computes and HIPAA
state laws setting time limit for bringing a lawsuit
same legal standards apply to all patient records whether on paper or computer
Patient rights under HIPAA
Privacy

6. HIPAA
Transaction
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
illegal touching of another person
testimony under oath

7. 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
What types of disclosures do not require patient permission?
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
treatment - payment - & healthcare operations
Covered entities

8. Slander
Insurance portability - administrative simplification - privacy and security
Notice of Privacy Practices
false charges and malicious oral statements about someone
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

9. 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
What types of disclosures do not require patient permission?
purpose - pride - patience - persistence - perspective

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

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11. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Portability
need to know
law concerned with public wrongs against society

12. TPO
testimony under oath
Rule
treatment - payment - & healthcare operations
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

13. 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
Electronic transmission
false and malicious writing about another
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

14. EPHI
Security
Minimum necessary
regular - in a secure location
Electronic Protected Health Information

15. Disabilities act

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16. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
purpose - pride - patience - persistence - perspective
What types of disclosures do not require patient permission?
substance abuse treatment
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

17. Implied consent
must be reported to authorities by law
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
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

18. 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
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 contract that comes about from the actions of the parties rather than words
have a unique password and it should be changed frequently
Patient rights under HIPAA

19. HIPAA compliance mandates that computer systems must be...
Rule
testimony under oath
Patient Identifiable Information
located in a secured and private space

20. The computer screen should have a screensaver that...
Verification
State preemption
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Patient

21. Medical records can be released w/o consent to...
Minimum necessary
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
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

22. Bioethics
Ethical
state laws setting time limit for bringing a lawsuit
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

23. Statutory
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
The body of laws made by states is their own statutory laws
Ethical
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

24. Patient records are _____________ so not all staff will have access.
need to know
Ethical
a contract that comes about from the actions of the parties rather than words
Encryption

25. Professional Negligence
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
purpose - pride - patience - persistence - perspective
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
malpractice

26. Protected health information from which certain patient identifiers have been removed
law concerned with public wrongs against society
A written set of questions requiring written answers from a plaintiff or defendant under oath
Limited data set
located in a secured and private space

27. Federal law protects patient records dealing with...
Limited data set
The body of laws made by states is their own statutory laws
substance abuse treatment
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

28. Titile II of HIPAA
Designated record set
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Covered entities
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

29. General exceptions for releasing 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
Patient Identifiable Information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
false and malicious writing about another

30. Reportable diseases...
need to know
must be reported to authorities by law
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
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

31. OIG - Office of the Inspector General
a minor - rather than the parent - must sign the release of patient 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
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
The body of laws made by states is their own statutory laws

32. making known - or using information relating to the private life or affairs of a person without their approval or permission
Invasion of Privacy Publishing
security rule
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Limited data set

33. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
need to know
Covered transactions
testimony under oath
A written set of questions requiring written answers from a plaintiff or defendant under oath

34. 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.
have a unique password and it should be changed frequently
Examples of PHI
Notice of Privacy Practices (NPP)
Security

35. 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
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
Rule

36. Conforming to proper professional behavior
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
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Covered transactions
Ethical

37. Disclosure without Consent
Portability
the philosophical study of moral values and rules - conducts
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
although medical records are confidential - there are times when they can be released w/o a patient consent.

38. Who regulates HIPAA?
U.S. goverment
malpractice
need to know
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

39. Doctor release of patient
Examples of PHI
Regulations
What types of disclosures do not require patient permission?
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

40. Negligence
security rule
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

41. Includes records maintained by or for a covered entity.
Designated record set
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
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
A written set of questions requiring written answers from a plaintiff or defendant under oath

42. Fax machines
malpractice
although medical records are confidential - there are times when they can be released w/o a patient consent.
Designated record set
should only be used when no other - more secure mode of transmission is available

43. Advanced directives
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
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
Portability
What types of disclosures do not require patient permission?

44. IIHI
Individually Identifiable Health Information
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
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
located in a secured and private space

45. 5P's of ethical power
Encryption
illegal touching of another person
purpose - pride - patience - persistence - perspective
Patient rights under HIPAA

46. Some state laws specifically protect __________. A patient would need to sign a specific request.
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Individually Identifiable Health Information
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

47. A reason for each use and disclosure of patient information.
same legal standards apply to all patient records whether on paper or computer
U.S. goverment
Permission
should never be released w/o a patient's signed consent or court order

48. DII
Minimum necessary
De-Identified Information
Firewalls
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

49. Title I of HIPAA
regular - in a secure location
De-Identified Information
addresses portability of insurance coverage when employees change or lose their jobs
should only be used when no other - more secure mode of transmission is available

50. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
Electronic data interchange
Individually Identifiable Health Information
State preemption
U.S. goverment