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. Civil law
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
testimony under oath
concerns noncriminal disputes between private parties
Privacy

2. Key entities
Covered entities
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Electronic Protected Health 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

3. All persons who will have access are required to...
have a unique password and it should be changed frequently
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Portability
Verification

4. Deposition
located in a secured and private space
same legal standards apply to all patient records whether on paper or computer
testimony under oath
Patient Identifiable Information

5. Confidentiality

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6. Policies and procedures use to protect electronic information from unauthorized access
law that permits a person w/ a legal age and sound mind to give their body to donation
Permission
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Security

7. Emancipated minors

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8. 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.
Individually Identifiable Health Information
Invasion of Privacy Publishing
Examples of PHI
Regulations

9. Unlawful act done without permission.
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Malfeasance
Notice of Privacy Practices
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

10. De-Identified Information
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Designated record set
Invasion of Privacy Publishing
A written set of questions requiring written answers from a plaintiff or defendant under oath

11. Subpoenas
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
The body of laws made by states is their own statutory laws
the philosophical study of moral values and rules - conducts
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

12. Title I of HIPAA
Electronic Protected Health Information
regular - in a secure location
addresses portability of insurance coverage when employees change or lose their jobs
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

13. EPHI
Examples of PHI
false and malicious writing about another
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Electronic Protected Health Information

14. Under some circumstances ...
Ethical
a minor - rather than the parent - must sign the release of patient information
Security
Encryption

15. Includes records maintained by or for a covered entity.
treatment - payment - & healthcare operations
State preemption
Designated record set
state laws setting time limit for bringing a lawsuit

16. The use of uniform electronic network protocols to transfer business information between organizations.
Electronic data interchange
Notice of Privacy Practices (NPP)
Patient
Individually Identifiable Health Information

17. Computes and HIPAA
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
located in a secured and private space
same legal standards apply to all patient records whether on paper or computer
Tort

18. OIG - Office of the Inspector General
Encryption
treatment - payment - & healthcare operations
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Examples of PHI

19. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
Regulations
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
What types of disclosures do not require patient permission?

20. Bioethics
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.
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
purpose - pride - patience - persistence - perspective
Examples of PHI

21. A written document detailing a health care provider's privacy practices.
Notice of Privacy Practices
regular - in a secure location
addresses portability of insurance coverage when employees change or lose their jobs
Notice of Privacy Practices (NPP)

22. Disabilities act

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23. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
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
Portability
Notice of Privacy Practices
the philosophical study of moral values and rules - conducts

24. NPP
Health Information
Notice of Privacy Practices
Firewalls
treatment - payment - & healthcare operations

25. What are the 3 purposes of HIPAA?
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
improper performance of an otherwise lawful act. civil
Insurance portability - administrative simplification - privacy and security

26. Any set of codes use to encode health care data elements.
regular - in a secure location
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
Code sets

27. The computer screen should have a screensaver that...
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
Portability
state laws setting time limit for bringing a lawsuit
comes on after a few idle seconds and the use of a privacy screen should be mandatory

28. making known - or using information relating to the private life or affairs of a person without their approval or permission
false and malicious writing about another
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
Notice of Privacy Practices (NPP)
Invasion of Privacy Publishing

29. A general HIPAA requirement
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Standard
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Verification

30. 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
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Transaction
Covered entities
Designated record set

31. Verify the identification of anyone requesting patient information.
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Firewalls
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Verification

32. 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.
Patient Identifiable Information
Treatment - payment and health care operations (TPO)
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Invasion of Privacy Publishing

33. Fax machines
should only be used when no other - more secure mode of transmission is available
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)
false charges and malicious oral statements about someone

34. Fax Machines and HIPAA
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Minimum necessary
purpose - pride - patience - persistence - perspective
What types of disclosures do not require patient permission?

35. Medical records used for health care research

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36. Sending information over electronic networks.
Electronic transmission
Covered transactions
Treatment - payment and health care operations (TPO)
Patient Identifiable Information

37. Misfeasance
addresses portability of insurance coverage when employees change or lose their jobs
improper performance of an otherwise lawful act. civil
Individually Identifiable Health Information
State preemption

38. Doctor release of patient
located in a secured and private space
Notice of Privacy Practices (NPP)
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

39. Uniform anotomical gift act
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
law that permits a person w/ a legal age and sound mind to give their body to donation
Verification
false and malicious writing about another

40. The limited amount of patient information to be disclosed - depending on circumstances.
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Limited data set
Minimum necessary

41. DII
Privacy
De-Identified Information
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

42. Advanced directives
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
Ethical
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

43. Some state laws specifically protect __________. A patient would need to sign a specific request.
a minor - rather than the parent - must sign the release of patient information
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Electronic data interchange
Insurance portability - administrative simplification - privacy and security

44. Battery
illegal touching of another person
Rule
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Portability

45. HIPAA states...
Rule
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
only those who meed to know should have access to patient information
need to know

46. 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
only those who meed to know should have access to patient information

47. Patient records are _____________ so not all staff will have access.
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
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 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

48. Good samaritan law
purpose - pride - patience - persistence - perspective
substance abuse treatment
located in a secured and private space
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

49. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
concerns noncriminal disputes between private parties
improper performance of an otherwise lawful act. civil
Rule
State preemption

50. Freedom from unauthorized intrusion
Regulations
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.
Privacy
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent