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. Any set of codes use to encode health care data elements.
need to know
although medical records are confidential - there are times when they can be released w/o a patient consent.
Code sets
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

2. Coded information that can't be read until is decoded.
Encryption
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Transaction
state laws setting time limit for bringing a lawsuit

3. Negligence
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Limited data set
only those who meed to know should have access to patient information

4. Slander
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
Firewalls
false charges and malicious oral statements about someone

5. Business Associate Agreements applies 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
Transaction
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
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

6. Sending information over electronic networks.
Tort
Covered entities
regular - in a secure location
Electronic transmission

7. Verify the identification of anyone requesting patient information.
Verification
same legal standards apply to all patient records whether on paper or computer
Limited data set
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

8. Who regulates HIPAA?
Limited data set
must be reported to authorities by law
Portability
U.S. goverment

9. The person recieving treatment
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Patient
Firewalls
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

10. Patient records are _____________ so not all staff will have access.
need to know
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Covered transactions
A written set of questions requiring written answers from a plaintiff or defendant under oath

11. Good samaritan law
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Tort
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
have a unique password and it should be changed frequently

12. The use of uniform electronic network protocols to transfer business information between organizations.
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
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
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
Electronic data interchange

13. making known - or using information relating to the private life or affairs of a person without their approval or permission
generally only patient can auth release of own medical record - there are a few exceptions
Invasion of Privacy Publishing
Electronic data interchange
Covered entities

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

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15. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
the philosophical study of moral values and rules - conducts
Verification
Rule
security rule

16. Fax machines
Treatment - payment and health care operations (TPO)
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
Tort
should only be used when no other - more secure mode of transmission is available

17. Common law
Regulations
comes on after a few idle seconds and the use of a privacy screen should be mandatory
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

18. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
The body of laws made by states is their own statutory laws
Portability
Insurance portability - administrative simplification - privacy and security
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

19. Data must be backed up at ___________ and those back-up files should be stored ________.
regular - in a secure location
treatment - payment - & healthcare operations
same legal standards apply to all patient records whether on paper or computer
Covered entities

20. Under some circumstances ...
regular - in a secure location
a minor - rather than the parent - must sign the release of patient information
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

21. Bioethics
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
malpractice
A written set of questions requiring written answers from a plaintiff or defendant under oath
false charges and malicious oral statements about someone

22. Criminal law
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
illegal touching of another person
law concerned with public wrongs against society
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

23. Ethics
the philosophical study of moral values and rules - conducts
Notice of Privacy Practices (NPP)
Regulations
State preemption

24. 4d's of negligence
Examples of PHI
located in a secured and private space
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
generally only patient can auth release of own medical record - there are a few exceptions

25. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
State preemption
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
state laws setting time limit for bringing a lawsuit

26. PII
Patient Identifiable Information
malpractice
A written set of questions requiring written answers from a plaintiff or defendant under oath
have a unique password and it should be changed frequently

27. Disclosure without Consent
Covered transactions
Electronic data interchange
regular - in a secure location
although medical records are confidential - there are times when they can be released w/o a patient consent.

28. 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.
Treatment - payment and health care operations (TPO)
Portability
substance abuse treatment
addresses portability of insurance coverage when employees change or lose their jobs

29. Statue of limitations
Electronic transmission
Standard
Notice of Privacy Practices
state laws setting time limit for bringing a lawsuit

30. What are the 3 purposes of HIPAA?
Insurance portability - administrative simplification - privacy and security
law concerned with public wrongs against society
Covered transactions
De-Identified Information

31. interrogatory
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
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
A written set of questions requiring written answers from a plaintiff or defendant under oath

32. What information do patients NOT have access to?
improper performance of an otherwise lawful act. civil
Invasion of Privacy Publishing
purpose - pride - patience - persistence - perspective
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

33. 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.
illegal touching of another person
Examples of PHI
Rule
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

34. De-Identified Information
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Code sets
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
security rule

35. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Covered transactions
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
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
same legal standards apply to all patient records whether on paper or computer

36. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
substance abuse treatment
State preemption
must be reported to authorities by law
What types of disclosures do not require patient permission?

37. Any wrongdoing for which an action for damages may be brought
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
substance abuse treatment
Tort
Notice of Privacy Practices (NPP)

38. Titile II of HIPAA
although medical records are confidential - there are times when they can be released w/o a patient consent.
have a unique password and it should be changed frequently
substance abuse treatment
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

39. Title I of HIPAA
addresses portability of insurance coverage when employees change or lose their jobs
Treatment - payment and health care operations (TPO)
Invasion of Privacy Publishing
improper performance of an otherwise lawful act. civil

40. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Notice of Privacy Practices (NPP)
Regulations

41. Misfeasance
improper performance of an otherwise lawful act. civil
Covered entities
purpose - pride - patience - persistence - perspective
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

42. NPP
Notice of Privacy Practices
concerns noncriminal disputes between private parties
Insurance portability - administrative simplification - privacy and security
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

43. A written document detailing a health care provider's privacy practices.
Designated record set
Notice of Privacy Practices (NPP)
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

44. The computer screen should have a screensaver that...
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
Security
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Treatment - payment and health care operations (TPO)

45. Implied consent
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.
comes on after a few idle seconds and the use of a privacy screen should be mandatory
a contract that comes about from the actions of the parties rather than words
Invasion of Privacy Publishing

46. Emancipated minors

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47. 5P's of ethical power
Code sets
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
purpose - pride - patience - persistence - perspective
The body of laws made by states is their own statutory laws

48. Freedom from unauthorized intrusion
Health Information
Verification
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Privacy

49. 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
Security
Patient rights under HIPAA
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Treatment - payment and health care operations (TPO)

50. Fax Machines and HIPAA
Designated record set
generally only patient can auth release of own medical record - there are a few exceptions
regular - in a secure location
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.