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. 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
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Tort
Verification

2. Negligence
Individually Identifiable Health Information
Privacy
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
although medical records are confidential - there are times when they can be released w/o a patient consent.

3. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
treatment - payment - & healthcare operations
Covered transactions
security rule
Individually Identifiable Health Information

4. 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.
Examples of PHI
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
concerns noncriminal disputes between private parties
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

5. Disabilities act

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6. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
What types of disclosures do not require patient permission?
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
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
improper performance of an otherwise lawful act. civil

7. Deposition
testimony under oath
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
concerns noncriminal disputes between private parties
Patient

8. Common law
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

9. General exceptions for releasing patient information
false charges and malicious oral statements about someone
security rule
Notice of Privacy Practices
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

10. Slander
A written set of questions requiring written answers from a plaintiff or defendant under oath
testimony under oath
false charges and malicious oral statements about someone
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

11. The person recieving treatment
Security
Electronic transmission
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Patient

12. A reason for each use and disclosure of patient information.
Permission
law concerned with public wrongs against society
Security
Electronic transmission

13. Any wrongdoing for which an action for damages may be brought
need to know
law that permits a person w/ a legal age and sound mind to give their body to donation
Tort
Patient

14. Key entities
law concerned with public wrongs against society
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
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.
purpose - pride - patience - persistence - perspective

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

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16. Titile II of HIPAA
law that permits a person w/ a legal age and sound mind to give their body to donation
Tort
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Transaction

17. Transmission of information between two parties fro financial or administrative activities.
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
The body of laws made by states is their own statutory laws
Transaction
Patient Identifiable Information

18. making known - or using information relating to the private life or affairs of a person without their approval or permission
treatment - payment - & healthcare operations
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.
Invasion of Privacy Publishing

19. 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
Covered transactions
although medical records are confidential - there are times when they can be released w/o a patient consent.

20. The use of uniform electronic network protocols to transfer business information between organizations.
purpose - pride - patience - persistence - perspective
What types of disclosures do not require patient permission?
improper performance of an otherwise lawful act. civil
Electronic data interchange

21. What are the 3 purposes of HIPAA?
Insurance portability - administrative simplification - privacy and security
Portability
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
law concerned with public wrongs against society

22. Clearinghouse
improper performance of an otherwise lawful act. civil
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
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
located in a secured and private space

23. Some state laws specifically protect __________. A patient would need to sign a specific request.
Limited data set
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
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

24. What information do patients NOT have access to?
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Security
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
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

25. Medical records used for health care research

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26. Protected health information from which certain patient identifiers have been removed
Invasion of Privacy Publishing
Security
Limited data set
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

27. Uniform anotomical gift act
law that permits a person w/ a legal age and sound mind to give their body to donation
Individually Identifiable Health Information
should never be released w/o a patient's signed consent or court order
A written set of questions requiring written answers from a plaintiff or defendant under oath

28. Confidentiality

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29. Implied consent
Patient Identifiable Information
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.
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Health Information

30. Title I of HIPAA
Individually Identifiable Health Information
addresses portability of insurance coverage when employees change or lose their jobs
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Security

31. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
located in a secured and private space
Patient rights under HIPAA
Portability
the philosophical study of moral values and rules - conducts

32. Computes and HIPAA
Encryption
a minor - rather than the parent - must sign the release of patient information
should only be used when no other - more secure mode of transmission is available
same legal standards apply to all patient records whether on paper or computer

33. EPHI
Rule
Electronic Protected Health Information
Examples of PHI
Transaction

34. Criminal law
Encryption
Security
law concerned with public wrongs against society
testimony under oath

35. Fax Machines and HIPAA
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Designated record set
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Covered entities

36. Any set of codes use to encode health care data elements.
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Code sets
State preemption
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

37. Verify the identification of anyone requesting patient information.
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
Treatment - payment and health care operations (TPO)
Verification
law that permits a person w/ a legal age and sound mind to give their body to donation

38. Document that includes the standards
Rule
Security
U.S. goverment
have a unique password and it should be changed frequently

39. Statue of limitations
state laws setting time limit for bringing a lawsuit
illegal touching of another person
Encryption
should never be released w/o a patient's signed consent or court order

40. De-Identified Information
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Regulations
Encryption
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

41. Implied contract
same legal standards apply to all patient records whether on paper or computer
a contract that comes about from the actions of the parties rather than words
malpractice
De-Identified Information

42. Federal law protects patient records dealing with...
substance abuse treatment
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.
regular - in a secure location
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

43. interrogatory
Treatment - payment and health care operations (TPO)
A written set of questions requiring written answers from a plaintiff or defendant under oath
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
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.

44. Conforming to proper professional behavior
should never be released w/o a patient's signed consent or court order
Ethical
substance abuse treatment
concerns noncriminal disputes between private parties

45. 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
Patient rights under HIPAA
have a unique password and it should be changed frequently
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Verification

46. Disclosure without Consent
What types of disclosures do not require patient permission?
Transaction
although medical records are confidential - there are times when they can be released w/o a patient consent.
A written set of questions requiring written answers from a plaintiff or defendant under oath

47. HIPAA
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect 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
located in a secured and private space

48. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Covered transactions
Electronic Protected Health 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
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

49. 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
Covered entities
same legal standards apply to all patient records whether on paper or computer
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
although medical records are confidential - there are times when they can be released w/o a patient consent.

50. Statutory
The body of laws made by states is their own statutory laws
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
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
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability