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. Medical records used for health care research

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2. Protected health information from which certain patient identifiers have been removed
Patient
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Limited data set
should only be used when no other - more secure mode of transmission is available

3. Implied consent
although medical records are confidential - there are times when they can be released w/o a patient 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.
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Health Information

4. Battery
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
purpose - pride - patience - persistence - perspective
illegal touching of another person
security rule

5. Unlawful act done without permission.
improper performance of an otherwise lawful act. civil
Malfeasance
De-Identified Information
Privacy

6. Uniform anotomical gift act
Transaction
De-Identified Information
regular - in a secure location
law that permits a person w/ a legal age and sound mind to give their body to donation

7. Misfeasance
improper performance of an otherwise lawful act. civil
Treatment - payment and health care operations (TPO)
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Regulations

8. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
State preemption
Covered transactions
Designated record set
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

9. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
Covered entities
substance abuse treatment
Electronic transmission
State preemption

10. 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
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Covered entities
illegal touching of another person

11. Conforming to proper professional behavior
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Verification
Ethical
Covered entities

12. Doctor release of patient
Examples of PHI
substance abuse treatment
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
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

13. Civil law
law concerned with public wrongs against society
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
concerns noncriminal disputes between private parties
Encryption

14. Some state laws specifically protect __________. A patient would need to sign a specific request.
Tort
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Code sets
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

15. Coded information that can't be read until is decoded.
security rule
should only be used when no other - more secure mode of transmission is available
testimony under oath
Encryption

16. Federal law protects patient records dealing with...
treatment - payment - & healthcare operations
Designated record set
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
substance abuse treatment

17. Fax Machines and HIPAA
law concerned with public wrongs against society
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.
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.

18. The use of uniform electronic network protocols to transfer business information between organizations.
false charges and malicious oral statements about someone
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
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

19. De-Identified Information
addresses portability of insurance coverage when employees change or lose their jobs
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
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
false and malicious writing about another

20. Statutory
Malfeasance
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)
The body of laws made by states is their own statutory laws

21. 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.
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
The body of laws made by states is their own statutory laws
Examples of PHI
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

22. Key entities
Portability
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
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
A written set of questions requiring written answers from a plaintiff or defendant under oath

23. The limited amount of patient information to be disclosed - depending on circumstances.
Minimum necessary
treatment - payment - & healthcare operations
A written set of questions requiring written answers from a plaintiff or defendant under oath
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

24. HIPAA compliance mandates that computer systems must be...
state laws setting time limit for bringing a lawsuit
Regulations
Health Information
located in a secured and private space

25. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Portability
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)
false and malicious writing about another

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

27. 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
generally only patient can auth release of own medical record - there are a few exceptions
What types of disclosures do not require patient permission?
De-Identified Information

28. Negligence
Insurance portability - administrative simplification - privacy and security
Tort
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Patient rights under HIPAA

29. Verify the identification of anyone requesting patient information.
Verification
purpose - pride - patience - persistence - perspective
Insurance portability - administrative simplification - privacy and security
Limited data set

30. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
Electronic transmission
Portability
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.
What types of disclosures do not require patient permission?

31. Common law
Portability
Ethical
Privacy
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

32. Includes records maintained by or for a covered entity.
a minor - rather than the parent - must sign the release of patient information
Designated record set
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
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

33. Privacy Officer
Limited data set
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
Covered transactions
Insurance portability - administrative simplification - privacy and security

34. A reason for each use and disclosure of patient information.
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Permission
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
improper performance of an otherwise lawful act. civil

35. Business Associate Agreements applies 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
Firewalls
Designated record set
Security

36. Sending information over electronic networks.
De-Identified Information
Electronic transmission
have a unique password and it should be changed frequently
Rule

37. Transmission of information between two parties fro financial or administrative activities.
testimony under oath
Transaction
Permission
Tort

38. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Regulations
Designated record set
generally only patient can auth release of own medical record - there are a few exceptions
testimony under oath

39. 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
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
Minimum necessary
purpose - pride - patience - persistence - perspective

40. A written document detailing a health care provider's privacy practices.
Notice of Privacy Practices (NPP)
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
Limited data set
Portability

41. EPHI
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Transaction
Electronic Protected Health Information

42. Title I of HIPAA
Privacy
addresses portability of insurance coverage when employees change or lose their jobs
treatment - payment - & healthcare operations
Individually Identifiable Health Information

43. Disclosure without Consent
although medical records are confidential - there are times when they can be released w/o a patient consent.
Firewalls
State preemption
law concerned with public wrongs against society

44. TPO
treatment - payment - & healthcare operations
Portability
Standard
located in a secured and private space

45. The computer screen should have a screensaver that...
false charges and malicious oral statements about someone
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
comes on after a few idle seconds and the use of a privacy screen should be mandatory
the philosophical study of moral values and rules - conducts

46. What are the 3 purposes of HIPAA?
Rule
Insurance portability - administrative simplification - privacy and security
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
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

47. Bioethics
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
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Examples of PHI
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

48. Data must be backed up at ___________ and those back-up files should be stored ________.
Transaction
The body of laws made by states is their own statutory laws
regular - in a secure location
a minor - rather than the parent - must sign the release of patient information

49. Deposition
must be reported to authorities by law
malpractice
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
testimony under oath

50. Who regulates HIPAA?
Covered entities
U.S. goverment
improper performance of an otherwise lawful act. civil
Transaction