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. Any wrongdoing for which an action for damages may be brought
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Tort
same legal standards apply to all patient records whether on paper or computer
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

2. Releasing patient information
generally only patient can auth release of own medical record - there are a few exceptions
Limited data set
Standard
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

3. 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.
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Minimum necessary
testimony under oath
Examples of PHI

4. HIPAA compliance mandates that computer systems must be...
Notice of Privacy Practices
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
located in a secured and private space
Covered entities

5. A written document detailing a health care provider's privacy practices.
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect 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
Malfeasance
Notice of Privacy Practices (NPP)

6. Key entities
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
only those who meed to know should have access to patient information
have a unique password and it should be changed frequently
Minimum necessary

7. Criminal law
Security
law concerned with public wrongs against society
addresses portability of insurance coverage when employees change or lose their jobs
Patient

8. Disabilities act

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9. Computes and HIPAA
regular - in a secure location
located in a secured and private space
comes on after a few idle seconds and the use of a privacy screen should be mandatory
same legal standards apply to all patient records whether on paper or computer

10. Titile II of HIPAA
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
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
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.
Permission

11. Transmission of information between two parties fro financial or administrative activities.
Transaction
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Covered entities
Firewalls

12. Statue of limitations
state laws setting time limit for bringing a lawsuit
Portability
Patient Identifiable Information
security rule

13. The computer screen should have a screensaver that...
Designated record set
Ethical
comes on after a few idle seconds and the use of a privacy screen should be mandatory
should only be used when no other - more secure mode of transmission is available

14. Slander
Rule
false charges and malicious oral statements about someone
Minimum necessary
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

15. Clearinghouse
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 transmission
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Electronic data interchange

16. making known - or using information relating to the private life or affairs of a person without their approval or permission
should never be released w/o a patient's signed consent or court order
Invasion of Privacy Publishing
Electronic transmission
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

17. PII
Patient Identifiable Information
illegal touching of another person
Verification
Insurance portability - administrative simplification - privacy and security

18. Fax Machines and HIPAA
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Limited data set
law that permits a person w/ a legal age and sound mind to give their body to donation
Ethical

19. Business Associate Agreements applies to...
Covered transactions
improper performance of an otherwise lawful act. civil
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
De-Identified Information

20. 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.
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
Firewalls
Transaction
Treatment - payment and health care operations (TPO)

21. Policies and procedures use to protect electronic information from unauthorized access
Covered entities
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written 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
Security

22. Civil law
concerns noncriminal disputes between private parties
Privacy
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
need to know

23. 4d's of negligence
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
have a unique password and it should be changed frequently
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
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

24. Coded information that can't be read until is decoded.
a minor - rather than the parent - must sign the release of patient information
Treatment - payment and health care operations (TPO)
Encryption
generally only patient can auth release of own medical record - there are a few exceptions

25. Good samaritan law
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Rule
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

26. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
security rule
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
Standard
treatment - payment - & healthcare operations

27. Ethics
Limited data set
the philosophical study of moral values and rules - conducts
although medical records are confidential - there are times when they can be released w/o a patient consent.
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

28. General exceptions for releasing patient information
Code sets
false and malicious writing about another
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
regular - in a secure location

29. interrogatory
Permission
Patient
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
A written set of questions requiring written answers from a plaintiff or defendant under oath

30. Hardware or software designed to prevent unauthorized access to electronic information.
addresses portability of insurance coverage when employees change or lose their jobs
Health Information
Notice of Privacy Practices (NPP)
Firewalls

31. Negligence
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Rule
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
need to know

32. 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
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
although medical records are confidential - there are times when they can be released w/o a patient consent.
Notice of Privacy Practices

33. Who regulates HIPAA?
the philosophical study of moral values and rules - conducts
same legal standards apply to all patient records whether on paper or computer
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
U.S. goverment

34. Under some circumstances ...
a minor - rather than the parent - must sign the release of patient information
Patient rights under HIPAA
Privacy
need to know

35. Implied contract
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.
a contract that comes about from the actions of the parties rather than words
State preemption
Rule

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

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37. Fax machines
state laws setting time limit for bringing a lawsuit
should only be used when no other - more secure mode of transmission is available
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
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

38. Professional Negligence
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
only those who meed to know should have access to patient information
malpractice
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

39. Libel
concerns noncriminal disputes between private parties
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
false and malicious writing about another
should only be used when no other - more secure mode of transmission is available

40. Implied 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
must be reported to authorities by law
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.
law that permits a person w/ a legal age and sound mind to give their body to donation

41. Document that includes the standards
Notice of Privacy Practices (NPP)
the philosophical study of moral values and rules - conducts
Rule
should never be released w/o a patient's signed consent or court order

42. Emancipated minors

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43. De-Identified Information
U.S. goverment
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Notice of Privacy Practices (NPP)
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

44. IIHI
should never be released w/o a patient's signed consent or court order
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Individually Identifiable Health Information
Verification

45. Privacy Officer
Electronic transmission
same legal standards apply to all patient records whether on paper or computer
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs 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

46. DII
De-Identified Information
Covered entities
addresses portability of insurance coverage when employees change or lose their jobs
Verification

47. HIPAA states...
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.
security rule
Individually Identifiable Health Information
only those who meed to know should have access to patient information

48. Conforming to proper professional behavior
A written set of questions requiring written answers from a plaintiff or defendant under oath
improper performance of an otherwise lawful act. civil
Privacy
Ethical

49. Data must be backed up at ___________ and those back-up files should be stored ________.
Regulations
substance abuse treatment
Covered transactions
regular - in a secure location

50. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Limited data set
Regulations
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.