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HIPAA

Instructions:

Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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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. Disabilities act

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2. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
although medical records are confidential - there are times when they can be released w/o a patient consent.
Covered transactions
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

3. General exceptions for releasing patient information
What types of disclosures do not require patient permission?
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
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
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

4. Doctor release of patient
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
What types of disclosures do not require patient permission?
treatment - payment - & healthcare operations

5. Computes and HIPAA
same legal standards apply to all patient records whether on paper or computer
Electronic Protected Health Information
Privacy
Examples of PHI

6. making known - or using information relating to the private life or affairs of a person without their approval or permission
Transaction
Invasion of Privacy Publishing
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
false and malicious writing about another

7. Federal law protects patient records dealing with...
Minimum necessary
U.S. goverment
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
substance abuse treatment

8. Hardware or software designed to prevent unauthorized access to electronic information.
Portability
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Firewalls
A written set of questions requiring written answers from a plaintiff or defendant under oath

9. 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
Covered entities
false and malicious writing about another
Individually Identifiable Health Information

10. Reportable diseases...
Security
security rule
must be reported to authorities by law
Standard

11. Medical records can be released w/o consent to...
Health Information
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
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
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

12. HIPAA states...
Permission
although medical records are confidential - there are times when they can be released w/o a patient consent.
only those who meed to know should have access to patient information
Individually Identifiable Health Information

13. Coded information that can't be read until is decoded.
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Encryption
Minimum necessary
Code sets

14. Conforming to proper professional behavior
Ethical
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Examples of PHI
Permission

15. Releasing patient information
Firewalls
generally only patient can auth release of own medical record - there are a few exceptions
a contract that comes about from the actions of the parties rather than words
should never be released w/o a patient's signed consent or court order

16. Disclosure without Consent
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
although medical records are confidential - there are times when they can be released w/o a patient consent.
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
a minor - rather than the parent - must sign the release of patient information

17. Medical records used for health care research

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18. Any wrongdoing for which an action for damages may be brought
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Individually Identifiable Health Information
Tort

19. Unlawful act done without permission.
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.
Code sets
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
Malfeasance

20. HIPAA compliance mandates that computer systems must be...
should never be released w/o a patient's signed consent or court order
security rule
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.
located in a secured and private space

21. Misfeasance
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
same legal standards apply to all patient records whether on paper or computer
only those who meed to know should have access to patient information
improper performance of an otherwise lawful act. civil

22. Sending information over electronic networks.
Privacy
have a unique password and it should be changed frequently
Electronic transmission
false charges and malicious oral statements about someone

23. Freedom from unauthorized intrusion
must be reported to authorities by law
Notice of Privacy Practices (NPP)
Firewalls
Privacy

24. Data must be backed up at ___________ and those back-up files should be stored ________.
addresses portability of insurance coverage when employees change or lose their jobs
regular - in a secure location
Portability
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

25. Professional Negligence
U.S. goverment
malpractice
security rule
The body of laws made by states is their own statutory laws

26. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Treatment - payment and health care operations (TPO)
Regulations
Invasion of Privacy Publishing
the philosophical study of moral values and rules - conducts

27. The person recieving treatment
same legal standards apply to all patient records whether on paper or computer
false charges and malicious oral statements about someone
Patient
the philosophical study of moral values and rules - conducts

28. Transmission of information between two parties fro financial or administrative activities.
state laws setting time limit for bringing a lawsuit
Transaction
located in a secured and private space
must be reported to authorities by law

29. TPO
illegal touching of another person
treatment - payment - & healthcare operations
Tort
false and malicious writing about another

30. Titile II of HIPAA
Transaction
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

31. Deposition
testimony under oath
Patient
concerns noncriminal disputes between private parties
addresses portability of insurance coverage when employees change or lose their jobs

32. Who regulates HIPAA?
testimony under oath
U.S. goverment
Code sets
Privacy

33. Subpoenas
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Limited data set
a minor - rather than the parent - must sign the release of patient information

34. Any set of codes use to encode health care data elements.
illegal touching of another person
Examples of PHI
Firewalls
Code sets

35. The computer screen should have a screensaver that...
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
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)
comes on after a few idle seconds and the use of a privacy screen should be mandatory

36. Bioethics
Notice of Privacy Practices (NPP)
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

37. EPHI
Tort
Electronic Protected Health Information
Patient
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

38. What are the 3 purposes of HIPAA?
improper performance of an otherwise lawful act. civil
Insurance portability - administrative simplification - privacy and security
Covered 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

39. Uniform anotomical gift act
Permission
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
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

40. Libel
false and malicious writing about another
improper performance of an otherwise lawful act. civil
What types of disclosures do not require patient permission?
State preemption

41. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Covered transactions
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
although medical records are confidential - there are times when they can be released w/o a patient consent.
Portability

42. Civil law
De-Identified Information
treatment - payment - & healthcare operations
concerns noncriminal disputes between private parties
should never be released w/o a patient's signed consent or court order

43. Clearinghouse
need to know
De-Identified Information
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
Minimum necessary

44. Criminal law
Malfeasance
purpose - pride - patience - persistence - perspective
law concerned with public wrongs against society
regular - in a secure location

45. Title I of HIPAA
addresses portability of insurance coverage when employees change or lose their jobs
Electronic transmission
Electronic data interchange
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.

46. 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
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
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.
Minimum necessary

47. Document that includes the standards
Electronic data interchange
Designated record set
Rule
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

48. 5P's of ethical power
Malfeasance
concerns noncriminal disputes between private parties
purpose - pride - patience - persistence - perspective
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.

49. A reason for each use and disclosure of patient information.
a minor - rather than the parent - must sign the release of patient information
Permission
malpractice
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

50. HIPAA
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Portability
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Health Information

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HIPAA

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