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. Titile II of HIPAA
testimony under oath
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
Patient rights under HIPAA

2. Includes records maintained by or for a covered entity.
a minor - rather than the parent - must sign the release of patient information
Designated record set
Electronic Protected Health Information
Limited data set

3. Federal law protects patient records dealing with...
State preemption
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
substance abuse treatment
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

4. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Covered transactions
Firewalls
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

5. Business Associate Agreements applies to...
Examples of PHI
need to know
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
Privacy

6. 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.
regular - in a secure location
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
Examples of PHI
Patient Identifiable Information

7. Releasing 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
generally only patient can auth release of own medical record - there are a few exceptions
Patient rights under HIPAA
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

8. 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
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
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

9. 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.
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
the philosophical study of moral values and rules - conducts
The body of laws made by states is their own statutory laws
Treatment - payment and health care operations (TPO)

10. Deposition
Notice of Privacy Practices (NPP)
Insurance portability - administrative simplification - privacy and 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
testimony under oath

11. Good samaritan law
Treatment - payment and health care operations (TPO)
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
must be reported to authorities by law

12. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Treatment - payment and health care operations (TPO)
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
have a unique password and it should be changed frequently
Regulations

13. Any set of codes use to encode health care data elements.
Verification
Regulations
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Code sets

14. NPP
Notice of Privacy Practices
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
law that permits a person w/ a legal age and sound mind to give their body to donation
generally only patient can auth release of own medical record - there are a few exceptions

15. Uniform anotomical gift act
Electronic transmission
Limited data set
law that permits a person w/ a legal age and sound mind to give their body to donation
state laws setting time limit for bringing a lawsuit

16. Conforming to proper professional behavior
Treatment - payment and health care operations (TPO)
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
purpose - pride - patience - persistence - perspective
Ethical

17. Negligence
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
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Invasion of Privacy Publishing

18. Any wrongdoing for which an action for damages may be brought
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Notice of Privacy Practices
Tort
false and malicious writing about another

19. making known - or using information relating to the private life or affairs of a person without their approval or permission
Invasion of Privacy Publishing
law concerned with public wrongs against society
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
treatment - payment - & healthcare operations

20. The limited amount of patient information to be disclosed - depending on circumstances.
Minimum necessary
malpractice
concerns noncriminal disputes between private parties
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

21. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
should never be released w/o a patient's signed consent or court order
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
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
security rule

22. Data must be backed up at ___________ and those back-up files should be stored ________.
malpractice
state laws setting time limit for bringing a lawsuit
U.S. goverment
regular - in a secure location

23. TPO
treatment - payment - & healthcare operations
testimony under oath
A written set of questions requiring written answers from a plaintiff or defendant under oath
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

24. Fax Machines and HIPAA
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
purpose - pride - patience - persistence - perspective
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

25. 4d's of negligence
need to know
same legal standards apply to all patient records whether on paper or computer
Electronic transmission
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

26. IIHI
substance abuse treatment
Individually Identifiable Health Information
should only be used when no other - more secure mode of transmission is available
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

27. Disclosure without Consent
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Minimum necessary
U.S. goverment
although medical records are confidential - there are times when they can be released w/o a patient consent.

28. A reason for each use and disclosure of patient information.
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
security rule
Verification
Permission

29. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
Individually Identifiable Health Information
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
Limited data set
What types of disclosures do not require patient permission?

30. Confidentiality

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31. The person recieving treatment
Rule
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Patient
the philosophical study of moral values and rules - conducts

32. Freedom from unauthorized intrusion
Privacy
addresses portability of insurance coverage when employees change or lose their jobs
Regulations
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

33. Criminal law
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
generally only patient can auth release of own medical record - there are a few exceptions
A written set of questions requiring written answers from a plaintiff or defendant under oath

34. Medical records used for health care research

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35. Protected Health Information (PHI)
same legal standards apply to all patient records whether on paper or computer
must be reported to authorities by law
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
testimony under oath

36. 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
Patient rights under HIPAA
illegal touching of another person
treatment - payment - & healthcare operations

37. Misfeasance
Patient rights under HIPAA
law that permits a person w/ a legal age and sound mind to give their body to donation
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

38. Bioethics
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.
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
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

39. OIG - Office of the Inspector General
should only be used when no other - more secure mode of transmission is available
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
comes on after a few idle seconds and the use of a privacy screen should be mandatory
concerns noncriminal disputes between private parties

40. Title I of HIPAA
concerns noncriminal disputes between private parties
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
addresses portability of insurance coverage when employees change or lose their jobs
substance abuse treatment

41. Emancipated minors

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42. Privacy Officer
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.
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
Examples of PHI

43. All persons who will have access are required to...
comes on after a few idle seconds and the use of a privacy screen should be mandatory
false charges and malicious oral statements about someone
have a unique password and it should be changed frequently
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. Who regulates HIPAA?
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
U.S. goverment
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c 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

45. Policies and procedures use to protect electronic information from unauthorized access
Security
false charges and malicious oral statements about someone
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
Patient rights under HIPAA

46. What are the 3 purposes of HIPAA?
purpose - pride - patience - persistence - perspective
a minor - rather than the parent - must sign the release of patient information
Insurance portability - administrative simplification - privacy and security
Tort

47. 5P's of ethical power
Verification
located in a secured and private space
illegal touching of another person
purpose - pride - patience - persistence - perspective

48. Verify the identification of anyone requesting patient information.
only those who meed to know should have access to patient information
Verification
Regulations
generally only patient can auth release of own medical record - there are a few exceptions

49. HIPAA
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
State preemption
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

50. Clearinghouse
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
must be reported to authorities by law
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
have a unique password and it should be changed frequently