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. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Firewalls
Covered transactions
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

2. Freedom from unauthorized intrusion
addresses portability of insurance coverage when employees change or lose their jobs
Privacy
Invasion of Privacy Publishing
Examples of PHI

3. Sending information over electronic networks.
Tort
Electronic transmission
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
What types of disclosures do not require patient permission?

4. Some state laws specifically protect __________. A patient would need to sign a specific request.
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
illegal touching of another person
What types of disclosures do not require patient permission?
Insurance portability - administrative simplification - privacy and security

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
although medical records are confidential - there are times when they can be released w/o a patient consent.
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.

6. Common law
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
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
Tort

7. Negligence
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Invasion of Privacy Publishing
false charges and malicious oral statements about someone
only those who meed to know should have access to patient information

8. Titile II of HIPAA
false charges and malicious oral statements about someone
same legal standards apply to all patient records whether on paper or computer
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
concerns noncriminal disputes between private parties

9. Reportable diseases...
Covered transactions
must be reported to authorities by law
treatment - payment - & healthcare operations
should only be used when no other - more secure mode of transmission is available

10. Policies and procedures use to protect electronic information from unauthorized access
Minimum necessary
Security
improper performance of an otherwise lawful act. civil
Malfeasance

11. Misfeasance
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
improper performance of an otherwise lawful act. civil
illegal touching of another person

12. OIG - Office of the Inspector General
security rule
illegal touching of another person
Insurance portability - administrative simplification - privacy and security
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

13. Libel
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
false and malicious writing about another
must be reported to authorities by law
testimony under oath

14. Slander
Code sets
false charges and malicious oral statements about someone
false and malicious writing about another
Permission

15. 5P's of ethical power
What types of disclosures do not require patient permission?
U.S. goverment
purpose - pride - patience - persistence - perspective
addresses portability of insurance coverage when employees change or lose their jobs

16. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
Patient
state laws setting time limit for bringing a lawsuit
State preemption
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

17. PII
generally only patient can auth release of own medical record - there are a few exceptions
Ethical
a minor - rather than the parent - must sign the release of patient information
Patient Identifiable Information

18. Business Associate Agreements applies to...
Code sets
should never be released w/o a patient's signed consent or court order
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
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

19. Under some circumstances ...
false and malicious writing about another
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
a minor - rather than the parent - must sign the release of patient information
false charges and malicious oral statements about someone

20. Protected health information from which certain patient identifiers have been removed
Limited data set
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
testimony under oath
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

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

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22. Medical records used for health care research

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23. Disclosure without Consent
Minimum necessary
although medical records are confidential - there are times when they can be released w/o a patient consent.
should never be released w/o a patient's signed consent or court order
Code sets

24. In HIPAA language health plans - Health care clearinghouses - and all health care providers that transmit HIPAA standard transactions electronically are called covered entities. Hospitals - nursing homes - hospices - pharmacies - physician practices
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
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
Covered entities

25. 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.
Encryption
Examples of PHI
Patient
generally only patient can auth release of own medical record - there are a few exceptions

26. Ethics
Patient
malpractice
regular - in a secure location
the philosophical study of moral values and rules - conducts

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

28. Transmission of information between two parties fro financial or administrative activities.
Permission
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.
Transaction
Invasion of Privacy Publishing

29. TPO
A written set of questions requiring written answers from a plaintiff or defendant under oath
treatment - payment - & healthcare operations
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
located in a secured and private space

30. Coded information that can't be read until is decoded.
the philosophical study of moral values and rules - conducts
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Encryption

31. making known - or using information relating to the private life or affairs of a person without their approval or permission
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
purpose - pride - patience - persistence - perspective
Invasion of Privacy Publishing
concerns noncriminal disputes between private parties

32. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
Verification
law concerned with public wrongs against society
concerns noncriminal disputes between private parties
What types of disclosures do not require patient permission?

33. Title I of HIPAA
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
addresses portability of insurance coverage when employees change or lose their jobs
Insurance portability - administrative simplification - privacy and security
Malfeasance

34. Fax Machines and HIPAA
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
Individually Identifiable Health Information
Covered transactions
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

35. Releasing patient information
must be reported to authorities by law
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
Tort

36. Any set of codes use to encode health care data elements.
a contract that comes about from the actions of the parties rather than words
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
treatment - payment - & healthcare operations
Code sets

37. 4d's of negligence
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
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
state laws setting time limit for bringing a lawsuit
testimony under oath

38. IIHI
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Individually Identifiable Health Information
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Electronic transmission

39. Computes and HIPAA
same legal standards apply to all patient records whether on paper or computer
treatment - payment - & healthcare operations
a minor - rather than the parent - must sign the release of patient information
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

40. Emancipated minors

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41. 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
What types of disclosures do not require patient permission?
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Patient rights under HIPAA
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

42. Federal law protects patient records dealing with...
substance abuse treatment
false charges and malicious oral statements about someone
although medical records are confidential - there are times when they can be released w/o a patient consent.
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

43. All persons who will have access are required to...
same legal standards apply to all patient records whether on paper or computer
have a unique password and it should be changed frequently
comes on after a few idle seconds and the use of a privacy screen should be mandatory
The body of laws made by states is their own statutory laws

44. Unlawful act done without permission.
Malfeasance
Examples of PHI
have a unique password and it should be changed frequently
testimony under oath

45. Statue of limitations
substance abuse treatment
state laws setting time limit for bringing a lawsuit
Covered transactions
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

46. Criminal law
Patient
law concerned with public wrongs against society
Malfeasance
Code sets

47. Uniform anotomical gift act
law that permits a person w/ a legal age and sound mind to give their body to donation
Electronic transmission
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Patient Identifiable Information

48. Medical records can be released w/o consent to...
addresses portability of insurance coverage when employees change or lose their jobs
Encryption
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
need to know

49. Disabilities act

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50. HIPAA
U.S. goverment
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
law that permits a person w/ a legal age and sound mind to give their body to donation