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. Uniform anotomical gift act
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
law that permits a person w/ a legal age and sound mind to give their body to donation
Code sets
U.S. goverment

2. Implied consent
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.
Treatment - payment and health care operations (TPO)
Designated record set
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

3. PII
Patient Identifiable Information
concerns noncriminal disputes between private parties
Regulations
improper performance of an otherwise lawful act. civil

4. HIPAA compliance mandates that computer systems must be...
located in a secured and private space
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
law concerned with public wrongs against society
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

5. OIG - Office of the Inspector General
located in a secured and private space
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
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

6. Data must be backed up at ___________ and those back-up files should be stored ________.
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
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

7. 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
treatment - payment - & healthcare operations
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

8. Disabilities act

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9. The use of uniform electronic network protocols to transfer business information between organizations.
Electronic data interchange
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
State preemption
same legal standards apply to all patient records whether on paper or computer

10. Good samaritan law
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
false and malicious writing about another
Standard
Encryption

11. The person recieving treatment
Firewalls
Patient
U.S. goverment
Individually Identifiable Health Information

12. HI
Health Information
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)
Electronic data interchange

13. 5P's of ethical power
purpose - pride - patience - persistence - perspective
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
only those who meed to know should have access to patient information
Electronic transmission

14. Fax machines
should only be used when no other - more secure mode of transmission is available
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
improper performance of an otherwise lawful act. civil

15. Doctor release of patient
purpose - pride - patience - persistence - perspective
Patient rights under HIPAA
located in a secured and private space
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

16. IIHI
Individually Identifiable Health Information
should only be used when no other - more secure mode of transmission is available
Ethical
Permission

17. Any wrongdoing for which an action for damages may be brought
only those who meed to know should have access to patient information
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Tort
addresses portability of insurance coverage when employees change or lose their jobs

18. Patient records are _____________ so not all staff will have access.
need to know
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
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
Privacy

19. What information do patients NOT have access to?
Ethical
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
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

20. Negligence
Privacy
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Invasion of Privacy Publishing
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

21. Title I of HIPAA
What types of disclosures do not require patient permission?
Encryption
have a unique password and it should be changed frequently
addresses portability of insurance coverage when employees change or lose their jobs

22. 4d's of negligence
Designated record set
Encryption
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
concerns noncriminal disputes between private parties

23. Statue of limitations
although medical records are confidential - there are times when they can be released w/o a patient consent.
state laws setting time limit for bringing a lawsuit
only those who meed to know should have access to patient information
State preemption

24. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Individually Identifiable Health Information
Portability
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

25. Advanced directives
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
regular - in a secure location
Examples of PHI
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

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

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27. Verify the identification of anyone requesting patient information.
Verification
security rule
law concerned with public wrongs against society
Minimum necessary

28. Federal law protects patient records dealing with...
U.S. goverment
Designated record set
purpose - pride - patience - persistence - perspective
substance abuse treatment

29. EPHI
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.
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Electronic Protected Health Information
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

30. Includes records maintained by or for a covered entity.
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Designated record set
Notice of Privacy Practices (NPP)
Code sets

31. Unlawful act done without permission.
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Tort
Malfeasance
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

32. Professional Negligence
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
have a unique password and it should be changed frequently
Notice of Privacy Practices
malpractice

33. A general HIPAA requirement
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Standard
a contract that comes about from the actions of the parties rather than words
Covered transactions

34. The limited amount of patient information to be disclosed - depending on circumstances.
Notice of Privacy Practices (NPP)
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
Minimum necessary
Patient rights under HIPAA

35. NPP
Electronic Protected Health Information
Insurance portability - administrative simplification - privacy and security
Privacy
Notice of Privacy Practices

36. Medical records can be released w/o consent to...
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
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
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Designated record set

37. Transmission of information between two parties fro financial or administrative activities.
testimony under oath
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
located in a secured and private space
Transaction

38. Who regulates HIPAA?
U.S. goverment
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Invasion of Privacy Publishing
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

39. Reportable diseases...
Regulations
law that permits a person w/ a legal age and sound mind to give their body to donation
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
must be reported to authorities by law

40. General exceptions for releasing patient information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
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
U.S. goverment

41. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
Limited data set
same legal standards apply to all patient records whether on paper or computer
Standard
security rule

42. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Covered transactions
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Patient rights under HIPAA
Transaction

43. Statutory
Privacy
The body of laws made by states is their own statutory laws
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

44. HIPAA
Transaction
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
substance abuse treatment
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

45. Fax Machines and HIPAA
Standard
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Covered entities

46. Slander
Notice of Privacy Practices (NPP)
addresses portability of insurance coverage when employees change or lose their jobs
false charges and malicious oral statements about someone
have a unique password and it should be changed frequently

47. Any set of codes use to encode health care data elements.
have a unique password and it should be changed frequently
Code sets
located in a secured and private space
Health Information

48. Privacy Officer
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
Patient
same legal standards apply to all patient records whether on paper or computer
Permission

49. Releasing patient information
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Security
generally only patient can auth release of own medical record - there are a few exceptions
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

50. Ethics
Verification
the philosophical study of moral values and rules - conducts
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Encryption