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. Protected health information from which certain patient identifiers have been removed
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Limited data set
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
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

2. Key entities
Portability
Individually Identifiable 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
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

3. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Ethical
Regulations
Individually Identifiable Health Information
Electronic transmission

4. Verify the identification of anyone requesting patient information.
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Firewalls
Ethical
Verification

5. The computer screen should have a screensaver that...
Minimum necessary
Notice of Privacy Practices
testimony under oath
comes on after a few idle seconds and the use of a privacy screen should be mandatory

6. 5P's of ethical power
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
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.
Rule
purpose - pride - patience - persistence - perspective

7. Statue of limitations
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
state laws setting time limit for bringing a lawsuit
Firewalls
same legal standards apply to all patient records whether on paper or computer

8. 4d's of negligence
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
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.
Individually Identifiable Health Information
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

9. Sending information over electronic networks.
improper performance of an otherwise lawful act. civil
testimony under oath
false and malicious writing about another
Electronic transmission

10. Federal law protects patient records dealing with...
substance abuse treatment
only those who meed to know should have access to patient information
have a unique password and it should be changed frequently
security rule

11. 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.
should never be released w/o a patient's signed consent or court order
illegal touching of another person
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Examples of PHI

12. Any set of codes use to encode health care data elements.
The body of laws made by states is their own statutory laws
Notice of Privacy Practices (NPP)
Code sets
State preemption

13. HIPAA compliance mandates that computer systems must be...
false charges and malicious oral statements about someone
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
located in a secured and private space
Insurance portability - administrative simplification - privacy and security

14. General exceptions for releasing patient information
Covered transactions
should only be used when no other - more secure mode of transmission is available
Tort
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

15. HIPAA states...
Electronic Protected Health Information
Individually Identifiable Health Information
improper performance of an otherwise lawful act. civil
only those who meed to know should have access to patient information

16. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Portability
treatment - payment - & healthcare operations
false charges and malicious oral statements about someone
Standard

17. Clearinghouse
Patient rights under HIPAA
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
Permission
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

18. Who regulates HIPAA?
A written set of questions requiring written answers from a plaintiff or defendant under oath
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
false charges and malicious oral statements about someone
U.S. goverment

19. 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
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
the philosophical study of moral values and rules - conducts
Covered entities
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

20. PII
Patient Identifiable Information
a minor - rather than the parent - must sign the release of patient information
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Individually Identifiable Health Information

21. DII
De-Identified Information
Notice of Privacy Practices
comes on after a few idle seconds and the use of a privacy screen should be mandatory
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

22. Uniform anotomical gift act
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
law that permits a person w/ a legal age and sound mind to give their body to donation
Insurance portability - administrative simplification - privacy and security
A written set of questions requiring written answers from a plaintiff or defendant under oath

23. Any wrongdoing for which an action for damages may be brought
Designated record set
Malfeasance
should only be used when no other - more secure mode of transmission is available
Tort

24. Transmission of information between two parties fro financial or administrative activities.
Transaction
Individually Identifiable Health Information
Notice of Privacy Practices
Health Information

25. interrogatory
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Code sets
A written set of questions requiring written answers from a plaintiff or defendant under oath
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

26. making known - or using information relating to the private life or affairs of a person without their approval or permission
Invasion of Privacy Publishing
Permission
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

27. Deposition
Limited data set
testimony under oath
although medical records are confidential - there are times when they can be released w/o a patient consent.
substance abuse treatment

28. Libel
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
false and malicious writing about another
have a unique password and it should be changed frequently
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

29. Conforming to proper professional behavior
law concerned with public wrongs against society
Ethical
Transaction
generally only patient can auth release of own medical record - there are a few exceptions

30. Policies and procedures use to protect electronic information from unauthorized access
Covered transactions
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
Minimum necessary

31. Emancipated minors

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32. Misfeasance
improper performance of an otherwise lawful act. civil
What types of disclosures do not require patient permission?
should never be released w/o a patient's signed consent or court order
Covered entities

33. Professional Negligence
Notice of Privacy Practices
Minimum necessary
Individually Identifiable Health Information
malpractice

34. Reportable diseases...
must be reported to authorities by law
Patient Identifiable Information
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Treatment - payment and health care operations (TPO)

35. 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.
Treatment - payment and health care operations (TPO)
comes on after a few idle seconds and the use of a privacy screen should be mandatory
a contract that comes about from the actions of the parties rather than words
concerns noncriminal disputes between private parties

36. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
located in a secured and private space
State preemption
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

37. Confidentiality

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38. Fax Machines and HIPAA
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Privacy
addresses portability of insurance coverage when employees change or lose their jobs
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

39. Computes and HIPAA
same legal standards apply to all patient records whether on paper or computer
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Electronic Protected Health 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

40. All persons who will have access are required to...
have a unique password and it should be changed frequently
Designated record set
located in a secured and private space
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.

41. Implied consent
Tort
Rule
U.S. goverment
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.

42. Slander
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
Code sets
false charges and malicious oral statements about someone
the philosophical study of moral values and rules - conducts

43. Unlawful act done without permission.
Malfeasance
false charges and malicious oral statements about someone
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
regular - in a secure location

44. EPHI
purpose - pride - patience - persistence - perspective
Electronic Protected Health Information
Treatment - payment and health care operations (TPO)
Patient

45. Common law
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Malfeasance
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
should never be released w/o a patient's signed consent or court order

46. Disabilities act

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47. What are the 3 purposes of HIPAA?
Covered transactions
Insurance portability - administrative simplification - privacy and security
must be reported to authorities by law
same legal standards apply to all patient records whether on paper or computer

48. Disclosure without Consent
addresses portability of insurance coverage when employees change or lose their jobs
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
comes on after a few idle seconds and the use of a privacy screen should be mandatory
although medical records are confidential - there are times when they can be released w/o a patient consent.

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

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50. De-Identified Information
State preemption
Patient rights under HIPAA
Electronic Protected Health Information
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.