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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. Slander
Privacy
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 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

2. Uniform anotomical gift act
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
U.S. goverment
law that permits a person w/ a legal age and sound mind to give their body to donation

3. Deposition
Electronic transmission
testimony under oath
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
located in a secured and private space

4. Any wrongdoing for which an action for damages may be brought
Electronic Protected 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
Tort
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

5. Bioethics
security rule
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
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
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

6. Professional Negligence
malpractice
concerns noncriminal disputes between private parties
a contract that comes about from the actions of the parties rather than words
Regulations

7. De-Identified Information
Examples of PHI
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
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

8. Any set of codes use to encode health care data elements.
Security
Code sets
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
although medical records are confidential - there are times when they can be released w/o a patient consent.

9. Includes records maintained by or for a covered entity.
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Rule
Designated record set
Notice of Privacy Practices

10. Releasing patient information
Designated record set
generally only patient can auth release of own medical record - there are a few exceptions
the philosophical study of moral values and rules - conducts
Electronic Protected Health Information

11. Title I of HIPAA
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
Verification
Covered transactions

12. HIPAA states...
Health Information
Code sets
only those who meed to know should have access to patient information
Electronic data interchange

13. HIPAA compliance mandates that computer systems must be...
located in a secured and private space
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
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Limited data set

14. Civil law
concerns noncriminal disputes between private parties
Individually Identifiable Health Information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

15. Doctor release of patient
Invasion of Privacy Publishing
should only be used when no other - more secure mode of transmission is available
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
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

16. A written document detailing a health care provider's privacy practices.
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
What types of disclosures do not require patient permission?
Code sets
Notice of Privacy Practices (NPP)

17. All persons who will have access are required to...
Patient
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
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
have a unique password and it should be changed frequently

18. Battery
substance abuse treatment
What types of disclosures do not require patient permission?
illegal touching of another person
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.

19. EPHI
Electronic transmission
Electronic Protected Health Information
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Invasion of Privacy Publishing

20. Disclosure without Consent
should never be released w/o a patient's signed consent or court order
although medical records are confidential - there are times when they can be released w/o a patient consent.
generally only patient can auth release of own medical record - there are a few exceptions
A written set of questions requiring written answers from a plaintiff or defendant under oath

21. Transmission of information between two parties fro financial or administrative activities.
Transaction
false charges and malicious oral statements about someone
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
the philosophical study of moral values and rules - conducts

22. Some state laws specifically protect __________. A patient would need to sign a specific request.
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Electronic Protected Health Information
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Patient

23. NPP
Notice of Privacy Practices
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Regulations
Invasion of Privacy Publishing

24. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
law that permits a person w/ a legal age and sound mind to give their body to donation
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
Individually Identifiable Health Information
Covered transactions

25. Libel
false and malicious writing about another
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 transactions
U.S. goverment

26. Who regulates HIPAA?
Security
U.S. goverment
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

27. Unlawful act done without permission.
improper performance of an otherwise lawful act. civil
need to know
Rule
Malfeasance

28. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
State preemption
security rule
The body of laws made by states is their own statutory laws

29. IIHI
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Invasion of Privacy Publishing
Individually Identifiable Health Information
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

30. Protected health information from which certain patient identifiers have been removed
Limited data set
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
false and malicious writing about another

31. Federal law protects patient records dealing with...
substance abuse treatment
Privacy
Notice of Privacy Practices
regular - in a secure location

32. A general HIPAA requirement
security rule
Rule
Standard
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

33. interrogatory
law that permits a person w/ a legal age and sound mind to give their body to donation
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
A written set of questions requiring written answers from a plaintiff or defendant under oath
Standard

34. 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
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Limited data set
Covered entities
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

35. Key entities
Privacy
testimony under oath
Invasion of Privacy Publishing
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

36. PII
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Transaction
Patient Identifiable Information
purpose - pride - patience - persistence - perspective

37. Misfeasance
Insurance portability - administrative simplification - privacy and security
need to know
improper performance of an otherwise lawful act. civil
security rule

38. Subpoenas
Covered entities
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Rule

39. Verify the identification of anyone requesting patient information.
Invasion of Privacy Publishing
Verification
malpractice
have a unique password and it should be changed frequently

40. Common law
Electronic data interchange
Minimum necessary
Tort
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

41. The computer screen should have a screensaver that...
Encryption
a contract that comes about from the actions of the parties rather than words
comes on after a few idle seconds and the use of a privacy screen should be mandatory
false charges and malicious oral statements about someone

42. 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
should only be used when no other - more secure mode of transmission is available
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
only those who meed to know should have access to patient information
Patient rights under HIPAA

43. 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.
Treatment - payment and health care operations (TPO)
Examples of PHI
security rule
Notice of Privacy Practices (NPP)

44. making known - or using information relating to the private life or affairs of a person without their approval or permission
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Invasion of Privacy Publishing
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Tort

45. Conforming to proper professional behavior
substance abuse treatment
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
Ethical
Covered transactions

46. Medical records used for health care research

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

48. 5P's of ethical power
security rule
purpose - pride - patience - persistence - perspective
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.
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

49. Policies and procedures use to protect electronic information from unauthorized access
Privacy
State preemption
have a unique password and it should be changed frequently
Security

50. Titile II of HIPAA
law that permits a person w/ a legal age and sound mind to give their body to donation
What types of disclosures do not require patient 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.
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

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HIPAA

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