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. The use of uniform electronic network protocols to transfer business information between organizations.
Designated record set
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
U.S. goverment
Electronic data interchange

2. Freedom from unauthorized intrusion
Privacy
Minimum necessary
although medical records are confidential - there are times when they can be released w/o a patient consent.
Individually Identifiable Health Information

3. interrogatory
A written set of questions requiring written answers from a plaintiff or defendant under oath
U.S. goverment
addresses portability of insurance coverage when employees change or lose their jobs
a contract that comes about from the actions of the parties rather than words

4. Fax Machines and HIPAA
should only be used when no other - more secure mode of transmission is available
regular - in a secure location
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
false and malicious writing about another

5. 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
Covered entities
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
a minor - rather than the parent - must sign the release of patient information

6. Unlawful act done without permission.
only those who meed to know should have access to patient information
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
testimony under oath
Malfeasance

7. Criminal law
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Covered entities
law concerned with public wrongs against society
treatment - payment - & healthcare operations

8. Privacy Officer
located in a secured and private space
Electronic Protected Health Information
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
comes on after a few idle seconds and the use of a privacy screen should be mandatory

9. Good samaritan law
purpose - pride - patience - persistence - perspective
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
Privacy

10. Document that includes the standards
Notice of Privacy Practices (NPP)
Rule
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
A written set of questions requiring written answers from a plaintiff or defendant under oath

11. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Portability
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
Covered entities
comes on after a few idle seconds and the use of a privacy screen should be mandatory

12. Sending information over electronic networks.
Standard
state laws setting time limit for bringing a lawsuit
Transaction
Electronic transmission

13. making known - or using information relating to the private life or affairs of a person without their approval or permission
Invasion of Privacy Publishing
illegal touching of another person
addresses portability of insurance coverage when employees change or lose their jobs
Patient rights under HIPAA

14. Implied contract
a contract that comes about from the actions of the parties rather than words
Insurance portability - administrative simplification - privacy and security
concerns noncriminal disputes between private parties
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. Computes and HIPAA
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Invasion of Privacy Publishing
need to know
same legal standards apply to all patient records whether on paper or computer

16. What are the 3 purposes of HIPAA?
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.
Electronic data interchange
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
Insurance portability - administrative simplification - privacy and security

17. Emancipated minors

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18. NPP
Notice of Privacy Practices
only those who meed to know should have access to patient information
substance abuse treatment
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

19. HIPAA
U.S. goverment
although medical records are confidential - there are times when they can be released w/o a patient consent.
testimony under oath
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

20. The limited amount of patient information to be disclosed - depending on circumstances.
Insurance portability - administrative simplification - privacy and security
Minimum necessary
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Patient rights under HIPAA

21. HIPAA compliance mandates that computer systems must be...
Limited data set
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Minimum necessary
located in a secured and private space

22. Deposition
Tort
testimony under oath
Patient rights under HIPAA
Notice of Privacy Practices

23. Fax machines
should only be used when no other - more secure mode of transmission is available
Minimum necessary
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
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

24. Medical records can be released w/o consent to...
Portability
malpractice
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
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. Common law
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Standard
What types of disclosures do not require patient permission?

26. The person recieving treatment
Patient
Privacy
have a unique password and it should be changed frequently
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

27. Disabilities act

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28. Subpoenas
concerns noncriminal disputes between private parties
Treatment - payment and health care operations (TPO)
State preemption
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

29. Title I of HIPAA
addresses portability of insurance coverage when employees change or lose their jobs
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Limited data set
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

30. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Regulations
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

31. A general HIPAA requirement
Permission
De-Identified Information
Standard
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

32. Bioethics
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
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
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
concerns noncriminal disputes between private parties

33. Policies and procedures use to protect electronic information from unauthorized access
Code sets
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
Security
Privacy

34. Titile II of HIPAA
law concerned with public wrongs against society
security rule
Patient rights under HIPAA
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

35. Reportable diseases...
Security
Notice of Privacy Practices
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

36. Under some circumstances ...
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
a minor - rather than the parent - must sign the release of patient information
Permission
Encryption

37. General exceptions for releasing patient information
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
should only be used when no other - more secure mode of transmission is available
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

38. A reason for each use and disclosure of patient information.
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Permission
purpose - pride - patience - persistence - perspective
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

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

40. Data must be backed up at ___________ and those back-up files should be stored ________.
generally only patient can auth release of own medical record - there are a few exceptions
Portability
Transaction
regular - in a secure location

41. Civil law
have a unique password and it should be changed frequently
false and malicious writing about another
Treatment - payment and health care operations (TPO)
concerns noncriminal disputes between private parties

42. Statutory
The body of laws made by states is their own statutory laws
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
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Electronic data interchange

43. 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
Examples of PHI
Malfeasance
Individually Identifiable Health Information

44. Confidentiality

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45. Advanced directives
the philosophical study of moral values and rules - conducts
improper performance of an otherwise lawful act. civil
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
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. Conforming to proper professional behavior
generally only patient can auth release of own medical record - there are a few exceptions
although medical records are confidential - there are times when they can be released w/o a patient consent.
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Ethical

47. Protected health information from which certain patient identifiers have been removed
Health Information
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
security rule
Limited data set

48. Patient records are _____________ so not all staff will have access.
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
need to know
Rule

49. Negligence
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Ethical
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

50. Verify the identification of anyone requesting patient information.
substance abuse treatment
Health Information
Examples of PHI
Verification