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. Bioethics
generally only patient can auth release of own medical record - there are a few exceptions
Individually Identifiable Health Information
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
improper performance of an otherwise lawful act. civil

2. Libel
Patient rights under HIPAA
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
false and malicious writing about another
Permission

3. Disabilities act

4. Includes records maintained by or for a covered entity.
Electronic transmission
Designated record set
malpractice
false and malicious writing about another

5. 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
Covered entities
Invasion of Privacy Publishing
although medical records are confidential - there are times when they can be released w/o a patient consent.
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

6. Federal law protects patient records dealing with...
Invasion of Privacy Publishing
Permission
substance abuse treatment
Health Information

7. Clearinghouse
Security
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
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

8. All persons who will have access are required to...
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.
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
have a unique password and it should be changed frequently

9. HIPAA states...
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Malfeasance
only those who meed to know should have access to patient information
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

10. Advanced directives
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.
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
addresses portability of insurance coverage when employees change or lose their jobs
Privacy

11. Sending information over electronic networks.
Electronic transmission
improper performance of an otherwise lawful act. civil
Ethical
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

12. Doctor release of patient
Covered transactions
improper performance of an otherwise lawful act. civil
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

13. PII
Notice of Privacy Practices (NPP)
Security
Patient Identifiable Information
substance abuse treatment

14. A written document detailing a health care provider's privacy practices.
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
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
Notice of Privacy Practices (NPP)
Ethical

15. Reportable diseases...
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.
must be reported to authorities by law
law that permits a person w/ a legal age and sound mind to give their body to donation
law concerned with public wrongs against society

16. Disclosure without Consent
Minimum necessary
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.
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

17. Who regulates HIPAA?
improper performance of an otherwise lawful act. civil
Electronic Protected Health Information
Portability
U.S. goverment

18. Document that includes the standards
Invasion of Privacy Publishing
purpose - pride - patience - persistence - perspective
Rule
testimony under oath

19. The limited amount of patient information to be disclosed - depending on circumstances.
Minimum necessary
Covered entities
Code sets
Covered transactions

20. Coded information that can't be read until is decoded.
Encryption
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
concerns noncriminal disputes between private parties
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

21. 4d's of negligence
should never be released w/o a patient's signed consent or court order
Malfeasance
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
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

22. 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
The body of laws made by states is their own statutory laws
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
illegal touching of another person
Patient rights under HIPAA

23. Computes and HIPAA
same legal standards apply to all patient records whether on paper or computer
Electronic data interchange
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Standard

24. Freedom from unauthorized intrusion
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Privacy
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Invasion of Privacy Publishing

25. Releasing patient information
concerns noncriminal disputes between private parties
Patient Identifiable 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
generally only patient can auth release of own medical record - there are a few exceptions

26. The person recieving treatment
Patient
Insurance portability - administrative simplification - privacy and security
Patient Identifiable Information
Firewalls

27. Policies and procedures use to protect electronic information from unauthorized access
Ethical
Security
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Encryption

28. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
only those who meed to know should have access to 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
What types of disclosures do not require patient permission?

29. Title I of HIPAA
a minor - rather than the parent - must sign the release of patient information
addresses portability of insurance coverage when employees change or lose their jobs
Insurance portability - administrative simplification - privacy and security
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

30. Privacy Officer
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
Portability
Limited data set
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

31. Protected Health Information (PHI)
Covered transactions
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.
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

32. What information do patients NOT have access to?
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
State preemption
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
The body of laws made by states is their own statutory laws

33. A reason for each use and disclosure of patient information.
should never be released w/o a patient's signed consent or court order
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
need to know
Permission

34. Medical records can be released w/o consent to...
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
Patient rights under HIPAA
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

35. The computer screen should have a screensaver that...
Ethical
Electronic Protected Health Information
comes on after a few idle seconds and the use of a privacy screen should be mandatory
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

36. Subpoenas
illegal touching of another person
U.S. goverment
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
located in a secured and private space

37. Implied consent
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.
Notice of Privacy Practices (NPP)
need to know

38. DII
The body of laws made by states is their own statutory laws
De-Identified Information
Patient rights under HIPAA
Portability

39. De-Identified Information
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Patient Identifiable Information
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Portability

40. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
must be reported to authorities by law
Covered transactions
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
same legal standards apply to all patient records whether on paper or computer

41. OIG - Office of the Inspector General
Ethical
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Code sets
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

42. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
State preemption
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Covered transactions
Electronic Protected Health Information

43. Conforming to proper professional behavior
Limited data set
substance abuse treatment
Ethical
De-Identified Information

44. IIHI
Covered entities
although medical records are confidential - there are times when they can be released w/o a patient consent.
improper performance of an otherwise lawful act. civil
Individually Identifiable Health Information

45. Negligence
should never be released w/o a patient's signed consent or court order
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
false and malicious writing about another
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

46. Some state laws specifically protect __________. A patient would need to sign a specific request.
Electronic Protected Health Information
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
concerns noncriminal disputes between private parties
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

47. HIPAA
U.S. goverment
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
What types of disclosures do not require patient permission?
Code sets

48. Statutory
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
The body of laws made by states is their own statutory laws
Regulations
Malfeasance

49. 5P's of ethical power
purpose - pride - patience - persistence - perspective
a minor - rather than the parent - must sign the release of patient information
Patient Identifiable 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

50. Under some circumstances ...
need to know
a minor - rather than the parent - must sign the release of patient information
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
the philosophical study of moral values and rules - conducts