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HIPAA

Instructions:

Answer 50 questions in 15 minutes.
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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. Advanced directives
same legal standards apply to all patient records whether on paper or computer
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
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

2. Battery
illegal touching of another person
Firewalls
false charges and malicious oral statements about someone
Privacy

3. A general HIPAA requirement
Standard
substance abuse treatment
Treatment - payment and health care operations (TPO)
testimony under oath

4. HI
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
should only be used when no other - more secure mode of transmission is available
Health Information

5. DII
De-Identified Information
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Minimum necessary

6. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
only those who meed to know should have access to patient information
Patient
Covered transactions
A written set of questions requiring written answers from a plaintiff or defendant under oath

7. Policies and procedures use to protect electronic information from unauthorized access
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Treatment - payment and health care operations (TPO)
improper performance of an otherwise lawful act. civil
Security

8. making known - or using information relating to the private life or affairs of a person without their approval or permission
Regulations
Health Information
Invasion of Privacy Publishing
Individually Identifiable Health Information

9. Any set of codes use to encode health care data elements.
Electronic transmission
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
need to know
Code sets

10. Disclosure without Consent
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
only those who meed to know should have access to patient information
false and malicious writing about another
although medical records are confidential - there are times when they can be released w/o a patient consent.

11. Conforming to proper professional behavior
Ethical
Encryption
need to know
Regulations

12. HIPAA
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
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.
Privacy

13. Key entities
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
Insurance portability - administrative simplification - privacy and security
Patient
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

14. Data must be backed up at ___________ and those back-up files should be stored ________.
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
should never be released w/o a patient's signed consent or court order
regular - in a secure location
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

15. Libel
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
Health Information
false and malicious writing about another
Insurance portability - administrative simplification - privacy and security

16. NPP
Security
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Notice of Privacy Practices
Code sets

17. General exceptions for releasing patient information
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Permission
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

18. 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.
Standard
Electronic transmission
Examples of PHI
improper performance of an otherwise lawful act. civil

19. The person recieving treatment
The body of laws made by states is their own statutory laws
malpractice
Patient
should never be released w/o a patient's signed consent or court order

20. Verify the identification of anyone requesting patient information.
concerns noncriminal disputes between private parties
located in a secured and private space
have a unique password and it should be changed frequently
Verification

21. Clearinghouse
Firewalls
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
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

22. Business Associate Agreements applies to...
Insurance portability - administrative simplification - privacy and security
The body of laws made by states is their own statutory laws
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
false charges and malicious oral statements about someone

23. Includes records maintained by or for a covered entity.
Privacy
Rule
Designated record set
Patient Identifiable Information

24. Misfeasance
Tort
state laws setting time limit for bringing a lawsuit
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
improper performance of an otherwise lawful act. civil

25. Ethics
Firewalls
the philosophical study of moral values and rules - conducts
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Treatment - payment and health care operations (TPO)

26. The use of uniform electronic network protocols to transfer business information between organizations.
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
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
Electronic data interchange
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

27. Any wrongdoing for which an action for damages may be brought
Electronic data interchange
Notice of Privacy Practices (NPP)
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
Tort

28. Implied contract
a contract that comes about from the actions of the parties rather than words
security rule
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Covered entities

29. Patient records are _____________ so not all staff will have access.
need to know
Health Information
Insurance portability - administrative simplification - privacy and security
Rule

30. EPHI
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Encryption
Patient
Electronic Protected Health Information

31. 4d's of negligence
should never be released w/o a patient's signed consent or court order
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Portability
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

32. Unlawful act done without permission.
Malfeasance
Firewalls
although medical records are confidential - there are times when they can be released w/o a patient consent.
Tort

33. A reason for each use and disclosure of 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
malpractice
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
Permission

34. HIPAA compliance mandates that computer systems must be...
located in a secured and private space
Treatment - payment and health care operations (TPO)
State preemption
should only be used when no other - more secure mode of transmission is available

35. Coded information that can't be read until is decoded.
Encryption
generally only patient can auth release of own medical record - there are a few exceptions
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.

36. Some state laws specifically protect __________. A patient would need to sign a specific request.
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Treatment - payment and health care operations (TPO)
State preemption
must be reported to authorities by law

37. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
What types of disclosures do not require patient permission?
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Invasion of Privacy Publishing

38. Professional Negligence
A written set of questions requiring written answers from a plaintiff or defendant under oath
State preemption
Notice of Privacy Practices (NPP)
malpractice

39. Federal law protects patient records dealing with...
substance abuse treatment
law that permits a person w/ a legal age and sound mind to give their body to donation
only those who meed to know should have access to patient information
Patient

40. Transmission of information between two parties fro financial or administrative activities.
Covered transactions
regular - in a secure location
Transaction
improper performance of an otherwise lawful act. civil

41. 5P's of ethical power
treatment - payment - & healthcare operations
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
A written set of questions requiring written answers from a plaintiff or defendant under oath
purpose - pride - patience - persistence - perspective

42. All persons who will have access are required to...
should only be used when no other - more secure mode of transmission is available
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
concerns noncriminal disputes between private parties
have a unique password and it should be changed frequently

43. Criminal law
Patient Identifiable Information
law concerned with public wrongs against society
Ethical
Permission

44. De-Identified Information
Patient rights under HIPAA
Minimum necessary
Insurance portability - administrative simplification - privacy and security
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

45. Civil law
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
a minor - rather than the parent - must sign the release of patient information
concerns noncriminal disputes between private parties
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

46. Titile II of HIPAA
law that permits a person w/ a legal age and sound mind to give their body to donation
Portability
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

47. IIHI
located in a secured and private space
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Individually Identifiable Health Information
Treatment - payment and health care operations (TPO)

48. 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.
same legal standards apply to all patient records whether on paper or computer
Transaction
false charges and malicious oral statements about someone
Treatment - payment and health care operations (TPO)

49. Confidentiality

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50. HIPAA states...
state laws setting time limit for bringing a lawsuit
only those who meed to know should have access to patient information
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Minimum necessary

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HIPAA

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