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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. Uniform anotomical gift act
Verification
security rule
law that permits a person w/ a legal age and sound mind to give their body to donation
concerns noncriminal disputes between private parties

2. De-Identified Information
Notice of Privacy Practices
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Health Information
Privacy

3. Statutory
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Verification
Malfeasance
The body of laws made by states is their own statutory laws

4. NPP
Notice of Privacy Practices
De-Identified Information
Notice of Privacy Practices (NPP)
U.S. goverment

5. Clearinghouse
Ethical
Examples of PHI
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
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

6. Misfeasance
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
improper performance of an otherwise lawful act. civil
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Security

7. 5P's of ethical power
purpose - pride - patience - persistence - perspective
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Insurance portability - administrative simplification - privacy and security
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

8. Under some circumstances ...
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
a minor - rather than the parent - must sign the release of patient information
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

9. Disclosure without Consent
Privacy
Patient Identifiable Information
De-Identified Information
although medical records are confidential - there are times when they can be released w/o a patient consent.

10. 4d's of negligence
State preemption
testimony under oath
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
Notice of Privacy Practices

11. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
State preemption
Examples of PHI
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.
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

12. Who regulates HIPAA?
De-Identified Information
Electronic transmission
U.S. goverment
concerns noncriminal disputes between private parties

13. Includes records maintained by or for a covered entity.
Treatment - payment and health care operations (TPO)
treatment - payment - & healthcare operations
Designated record set
What types of disclosures do not require patient permission?

14. Disabilities act

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15. A reason for each use and disclosure of patient information.
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
Permission
Standard

16. Privacy Officer
Electronic data interchange
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
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Patient rights under HIPAA

17. 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
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.
Covered entities
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Standard

18. HIPAA compliance mandates that computer systems must be...
testimony under oath
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
located in a secured and private space

19. All persons who will have access are required to...
Verification
Designated record set
Limited data set
have a unique password and it should be changed frequently

20. Slander
false charges and malicious oral statements about someone
law that permits a person w/ a legal age and sound mind to give their body to donation
testimony under oath
although medical records are confidential - there are times when they can be released w/o a patient consent.

21. Statue of limitations
De-Identified Information
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
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
state laws setting time limit for bringing a lawsuit

22. The limited amount of patient information to be disclosed - depending on circumstances.
Minimum necessary
false charges and malicious oral statements about someone
Electronic data interchange
State preemption

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

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24. Subpoenas
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
a contract that comes about from the actions of the parties rather than words
De-Identified Information

25. A general HIPAA requirement
Standard
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
same legal standards apply to all patient records whether on paper or computer
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

26. 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.
Covered entities
improper performance of an otherwise lawful act. civil
a minor - rather than the parent - must sign the release of patient information
Treatment - payment and health care operations (TPO)

27. Medical records can be released w/o consent to...
Standard
testimony under oath
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
regular - in a secure location

28. Implied contract
a contract that comes about from the actions of the parties rather than words
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
addresses portability of insurance coverage when employees change or lose their jobs
State preemption

29. Title I of HIPAA
located in a secured and private space
Standard
addresses portability of insurance coverage when employees change or lose their jobs
State preemption

30. Releasing patient information
Rule
generally only patient can auth release of own medical record - there are a few exceptions
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
should never be released w/o a patient's signed consent or court order

31. OIG - Office of the Inspector General
a minor - rather than the parent - must sign the release of patient information
Covered entities
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
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

32. Conforming to proper professional behavior
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
only those who meed to know should have access to patient information
Ethical
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

33. Computes and HIPAA
Firewalls
Notice of Privacy Practices (NPP)
Code sets
same legal standards apply to all patient records whether on paper or computer

34. Data must be backed up at ___________ and those back-up files should be stored ________.
located in a secured and private space
regular - in a secure location
Security
state laws setting time limit for bringing a lawsuit

35. Document that includes the standards
the philosophical study of moral values and rules - conducts
Standard
Rule
Notice of Privacy Practices (NPP)

36. Good samaritan law
need to know
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Patient Identifiable Information
must be reported to authorities by law

37. interrogatory
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Patient rights under HIPAA
U.S. goverment
A written set of questions requiring written answers from a plaintiff or defendant under oath

38. Hardware or software designed to prevent unauthorized access to electronic information.
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Firewalls
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
comes on after a few idle seconds and the use of a privacy screen should be mandatory

39. General exceptions for releasing patient information
Notice of Privacy Practices
Minimum necessary
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Regulations

40. Ethics
Encryption
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.
the philosophical study of moral values and rules - conducts
a contract that comes about from the actions of the parties rather than words

41. TPO
treatment - payment - & healthcare operations
The body of laws made by states is their own statutory laws
illegal touching of another person
Notice of Privacy Practices

42. HI
same legal standards apply to all patient records whether on paper or computer
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Health Information
Treatment - payment and health care operations (TPO)

43. 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.
Covered entities
Examples of PHI
State preemption
have a unique password and it should be changed frequently

44. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Portability
Regulations
Electronic data interchange

45. Medical records used for health care research

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46. Protected health information from which certain patient identifiers have been removed
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
Limited data set
Notice of Privacy Practices (NPP)
treatment - payment - & healthcare operations

47. Verify the identification of anyone requesting patient information.
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Verification
Patient rights under HIPAA
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

48. Doctor release of patient
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Electronic Protected Health Information
A written set of questions requiring written answers from a plaintiff or defendant under oath
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

49. Policies and procedures use to protect electronic information from unauthorized access
Security
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
Minimum necessary

50. Bioethics
malpractice
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Individually Identifiable Health Information
concerns noncriminal disputes between private parties