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. De-Identified Information
law concerned with public wrongs against society
although medical records are confidential - there are times when they can be released w/o a patient consent.
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
malpractice

2. PII
Regulations
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Patient Identifiable Information
illegal touching of another person

3. 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.
What types of disclosures do not require patient permission?
generally only patient can auth release of own medical record - there are a few exceptions
State preemption
Treatment - payment and health care operations (TPO)

4. Good samaritan law
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
purpose - pride - patience - persistence - perspective
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
State preemption

5. The computer screen should have a screensaver that...
law that permits a person w/ a legal age and sound mind to give their body to donation
comes on after a few idle seconds and the use of a privacy screen should be mandatory
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
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

6. The limited amount of patient information to be disclosed - depending on circumstances.
Patient Identifiable Information
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Minimum necessary
The body of laws made by states is their own statutory laws

7. Under some circumstances ...
Designated record set
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Firewalls
a minor - rather than the parent - must sign the release of patient information

8. Disabilities act

9. Transmission of information between two parties fro financial or administrative activities.
the philosophical study of moral values and rules - conducts
concerns noncriminal disputes between private parties
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Transaction

10. EPHI
Covered transactions
Ethical
Patient Identifiable Information
Electronic Protected Health Information

11. Policies and procedures use to protect electronic information from unauthorized access
need to know
Security
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
law concerned with public wrongs against society

12. Computes and HIPAA
U.S. goverment
a minor - rather than the parent - must sign the release of patient information
same legal standards apply to all patient records whether on paper or computer
Treatment - payment and health care operations (TPO)

13. NPP
Encryption
false and malicious writing about another
Minimum necessary
Notice of Privacy Practices

14. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Examples of PHI
State preemption

15. making known - or using information relating to the private life or affairs of a person without their approval or permission
Invasion of Privacy Publishing
A written set of questions requiring written answers from a plaintiff or defendant under oath
state laws setting time limit for bringing a lawsuit
Covered transactions

16. Deposition
Code sets
a contract that comes about from the actions of the parties rather than words
testimony under oath
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

17. Any set of codes use to encode health care data elements.
Portability
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
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Code sets

18. Data must be backed up at ___________ and those back-up files should be stored ________.
Electronic transmission
regular - in a secure location
should only be used when no other - more secure mode of transmission is available
Patient Identifiable Information

19. Titile II of HIPAA
should never be released w/o a patient's signed consent or court order
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
a contract that comes about from the actions of the parties rather than words
treatment - payment - & healthcare operations

20. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Regulations
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
only those who meed to know should have access to patient information

21. 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
false and malicious writing about another
security rule
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
Covered entities

22. What information do patients NOT have access to?
should never be released w/o a patient's signed consent or court order
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
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

23. Releasing patient information
testimony under oath
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.
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
generally only patient can auth release of own medical record - there are a few exceptions

24. Protected health information from which certain patient identifiers have been removed
Patient Identifiable Information
Limited data set
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Ethical

25. Privacy Officer
substance abuse treatment
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
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

26. Reportable diseases...
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
must be reported to authorities by law
Examples of PHI
state laws setting time limit for bringing a lawsuit

27. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
What types of disclosures do not require patient permission?
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
have a unique password and it should be changed frequently
addresses portability of insurance coverage when employees change or lose their jobs

28. 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
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Portability
law concerned with public wrongs against society

29. Coded information that can't be read until is decoded.
Encryption
Regulations
Code sets
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

30. Slander
false charges and malicious oral statements about someone
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Electronic Protected Health Information
The body of laws made by states is their own statutory laws

31. Includes records maintained by or for a covered entity.
must be reported to authorities by law
purpose - pride - patience - persistence - perspective
Designated record set
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

32. Clearinghouse
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.
purpose - pride - patience - persistence - perspective
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
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

33. interrogatory
A written set of questions requiring written answers from a plaintiff or defendant under oath
need to know
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Examples of PHI

34. 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
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
Patient rights under HIPAA
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

35. Statue of limitations
Standard
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
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
state laws setting time limit for bringing a lawsuit

36. Subpoenas
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
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 rights under HIPAA
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

37. IIHI
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Individually Identifiable Health 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
Malfeasance

38. Sending information over electronic networks.
Insurance portability - administrative simplification - privacy and security
Electronic Protected Health Information
Electronic transmission
testimony under oath

39. Fax machines
a contract that comes about from the actions of the parties rather than words
should only be used when no other - more secure mode of transmission is available
Security
illegal touching of another person

40. Battery
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
generally only patient can auth release of own medical record - there are a few exceptions
illegal touching of another person
Designated record set

41. The person recieving treatment
Patient
law concerned with public wrongs against society
Insurance portability - administrative simplification - privacy and security
Regulations

42. 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
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

43. A reason for each use and disclosure of patient information.
Permission
Notice of Privacy Practices (NPP)
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
law concerned with public wrongs against society

44. Hardware or software designed to prevent unauthorized access to electronic information.
U.S. goverment
Covered transactions
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
Firewalls

45. Protected Health Information (PHI)
U.S. goverment
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
Electronic data interchange
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

46. Professional Negligence
Standard
The body of laws made by states is their own statutory laws
malpractice
comes on after a few idle seconds and the use of a privacy screen should be mandatory

47. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
Firewalls
Permission
security rule
substance abuse treatment

48. Key entities
Rule
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
Verification
security rule

49. Patient records are _____________ so not all staff will have access.
Firewalls
need to know
Notice of Privacy Practices (NPP)
Treatment - payment and health care operations (TPO)

50. Title I of HIPAA
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
addresses portability of insurance coverage when employees change or lose their jobs
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.