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. 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
only those who meed to know should have access to patient information
Covered entities
the philosophical study of moral values and rules - conducts
Designated record set

2. Slander
false charges and malicious oral statements about someone
same legal standards apply to all patient records whether on paper or computer
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

3. Patient records are _____________ so not all staff will have access.
U.S. goverment
need to know
Covered transactions
The body of laws made by states is their own statutory laws

4. IIHI
Individually Identifiable Health Information
a contract that comes about from the actions of the parties rather than words
Firewalls
although medical records are confidential - there are times when they can be released w/o a patient consent.

5. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
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
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
What types of disclosures do not require patient permission?

6. Any set of codes use to encode health care data elements.
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Firewalls
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
Code sets

7. Coded information that can't be read until is decoded.
same legal standards apply to all patient records whether on paper or computer
Transaction
illegal touching of another person
Encryption

8. Includes records maintained by or for a covered entity.
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
generally only patient can auth release of own medical record - there are a few exceptions
the philosophical study of moral values and rules - conducts

9. All persons who will have access are required to...
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
Ethical
should never be released w/o a patient's signed consent or court order

10. Any wrongdoing for which an action for damages may be brought
located in a secured and private space
Tort
Malfeasance
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

11. HIPAA states...
only those who meed to know should have access to patient information
Transaction
Security
malpractice

12. Protected health information from which certain patient identifiers have been removed
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
Limited data set
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
purpose - pride - patience - persistence - perspective

13. making known - or using information relating to the private life or affairs of a person without their approval or permission
Rule
Invasion of Privacy Publishing
Electronic Protected Health Information
De-Identified Information

14. Statutory
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Minimum necessary
The body of laws made by states is their own statutory laws
need to know

15. Computes and HIPAA
same legal standards apply to all patient records whether on paper or computer
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?
improper performance of an otherwise lawful act. civil

16. Implied consent
Verification
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.
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
Limited data set

17. Confidentiality

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18. The person recieving treatment
Patient
Permission
false and malicious writing about another
comes on after a few idle seconds and the use of a privacy screen should be mandatory

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

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20. What information do patients NOT have access to?
need to know
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
law concerned with public wrongs against society
the philosophical study of moral values and rules - conducts

21. A reason for each use and disclosure of patient information.
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
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
Permission

22. Transmission of information between two parties fro financial or administrative activities.
comes on after a few idle seconds and the use of a privacy screen should be mandatory
purpose - pride - patience - persistence - perspective
Transaction
substance abuse treatment

23. General exceptions for releasing patient information
Malfeasance
only those who meed to know should have access to patient information
Limited data set
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

24. Hardware or software designed to prevent unauthorized access to electronic 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
Portability
Firewalls
false charges and malicious oral statements about someone

25. Federal law protects patient records dealing with...
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
substance abuse treatment
law that permits a person w/ a legal age and sound mind to give their body to donation
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

26. 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
Examples of PHI
same legal standards apply to all patient records whether on paper or computer

27. 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)
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.
although medical records are confidential - there are times when they can be released w/o a patient consent.
Electronic data interchange

28. EPHI
Electronic Protected Health Information
Transaction
law that permits a person w/ a legal age and sound mind to give their body to donation
Regulations

29. 5P's of ethical power
Notice of Privacy Practices (NPP)
Covered entities
purpose - pride - patience - persistence - perspective
substance abuse treatment

30. 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
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
need to know
De-Identified Information

31. Who regulates HIPAA?
Transaction
Covered entities
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
U.S. goverment

32. 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.
Examples of PHI
security rule
Electronic transmission
A written set of questions requiring written answers from a plaintiff or defendant under oath

33. What are the 3 purposes of HIPAA?
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Malfeasance
Insurance portability - administrative simplification - privacy and security

34. Sending information over electronic networks.
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Notice of Privacy Practices
Electronic transmission
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

35. Data must be backed up at ___________ and those back-up files should be stored ________.
regular - in a secure location
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
should never be released w/o a patient's signed consent or court order
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

36. Conforming to proper professional behavior
Ethical
Individually Identifiable Health Information
Regulations
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

37. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
security rule
Tort
testimony under oath
malpractice

38. Fax machines
testimony under oath
Ethical
should only be used when no other - more secure mode of transmission is available
Rule

39. Ethics
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
purpose - pride - patience - persistence - perspective
the philosophical study of moral values and rules - conducts
Security

40. Privacy Officer
Health Information
A written set of questions requiring written answers from a plaintiff or defendant under oath
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
should only be used when no other - more secure mode of transmission is available

41. Civil law
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
malpractice
concerns noncriminal disputes between private parties
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

42. De-Identified Information
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Health Information
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
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. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
law that permits a person w/ a legal age and sound mind to give their body to donation
Regulations
comes on after a few idle seconds and the use of a privacy screen should be mandatory

44. Misfeasance
concerns noncriminal disputes between private parties
improper performance of an otherwise lawful act. civil
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Regulations

45. Statue of limitations
addresses portability of insurance coverage when employees change or lose their jobs
located in a secured and private space
state laws setting time limit for bringing a lawsuit
same legal standards apply to all patient records whether on paper or computer

46. Common law
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
regular - in a secure location
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Covered transactions

47. Deposition
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
Tort
testimony under oath
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

48. HIPAA
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
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
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

49. HI
Health Information
improper performance of an otherwise lawful act. civil
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Patient Identifiable Information

50. Title I of HIPAA
illegal touching of another person
Tort
a contract that comes about from the actions of the parties rather than words
addresses portability of insurance coverage when employees change or lose their jobs