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HIPAA

Instructions:

Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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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. Who regulates HIPAA?
the philosophical study of moral values and rules - conducts
The body of laws made by states is their own statutory laws
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
U.S. goverment

2. Computes and HIPAA
located in a secured and private space
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
same legal standards apply to all patient records whether on paper or computer
Examples of PHI

3. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
Transaction
security rule
Patient Identifiable 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

4. Titile II of HIPAA
A written set of questions requiring written answers from a plaintiff or defendant under oath
Standard
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
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

5. Professional Negligence
malpractice
concerns noncriminal disputes between private parties
Notice of Privacy Practices (NPP)
State preemption

6. Libel
Encryption
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
false and malicious writing about another
Invasion of Privacy Publishing

7. HIPAA
Rule
Patient Identifiable Information
have a unique password and it should be changed frequently
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

8. 4d's of negligence
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
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
generally only patient can auth release of own medical record - there are a few exceptions
The body of laws made by states is their own statutory laws

9. Some state laws specifically protect __________. A patient would need to sign a specific request.
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Privacy
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
addresses portability of insurance coverage when employees change or lose their jobs

10. IIHI
have a unique password and it should be changed frequently
Individually Identifiable Health Information
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

11. Good samaritan law
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Limited data set
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

12. Freedom from unauthorized intrusion
Portability
Designated record set
Privacy
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

13. Fax Machines and HIPAA
Patient rights under HIPAA
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Tort

14. interrogatory
A written set of questions requiring written answers from a plaintiff or defendant under oath
Firewalls
What types of disclosures do not require patient permission?
need to know

15. Ethics
Tort
the philosophical study of moral values and rules - conducts
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Encryption

16. Sending information over electronic networks.
Patient
testimony under oath
Electronic transmission
Rule

17. A written document detailing a health care provider's privacy 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
Electronic transmission
substance abuse treatment
Notice of Privacy Practices (NPP)

18. Uniform anotomical gift act
Rule
Patient Identifiable Information
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.

19. NPP
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
testimony under oath
Notice of Privacy Practices
Code sets

20. TPO
Insurance portability - administrative simplification - privacy and security
treatment - payment - & healthcare operations
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Electronic transmission

21. What information do patients NOT have access to?
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
although medical records are confidential - there are times when they can be released w/o a patient consent.
Transaction

22. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Covered transactions
Patient Identifiable Information
same legal standards apply to all patient records whether on paper or computer
purpose - pride - patience - persistence - perspective

23. Implied consent
Invasion of Privacy Publishing
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.
need to know
Portability

24. Federal law protects patient records dealing with...
substance abuse treatment
Insurance portability - administrative simplification - privacy and security
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

25. Business Associate Agreements applies to...
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Rule
Covered transactions
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

26. The person recieving treatment
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Patient
have a unique password and it should be changed frequently
Notice of Privacy Practices (NPP)

27. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
should never be released w/o a patient's signed consent or court order
same legal standards apply to all patient records whether on paper or computer
State preemption
U.S. goverment

28. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
What types of disclosures do not require patient permission?
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
De-Identified Information
concerns noncriminal disputes between private parties

29. What are the 3 purposes of HIPAA?
Standard
Insurance portability - administrative simplification - privacy and security
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Limited data set

30. Reportable diseases...
purpose - pride - patience - persistence - perspective
Firewalls
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
must be reported to authorities by law

31. Criminal law
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
law concerned with public wrongs against society
State preemption
concerns noncriminal disputes between private parties

32. Disclosure without Consent
although medical records are confidential - there are times when they can be released w/o a patient consent.
Rule
should never be released w/o a patient's signed consent or court order
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

33. Medical records used for health care research

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34. Key entities
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
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Patient
illegal touching of another person

35. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Electronic transmission
Rule
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.
Portability

36. Any wrongdoing for which an action for damages may be brought
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
De-Identified Information
Permission
Tort

37. The limited amount of patient information to be disclosed - depending on circumstances.
Tort
U.S. goverment
Minimum necessary
Notice of Privacy Practices

38. Medical records can be released w/o consent to...
security rule
Electronic Protected Health Information
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
treatment - payment - & healthcare operations

39. Document that includes the standards
Electronic data interchange
Rule
located in a secured and private space
Health Information

40. Any set of codes use to encode health care data elements.
law concerned with public wrongs against society
Code sets
Standard
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

41. Confidentiality

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42. Implied contract
Minimum necessary
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
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
a contract that comes about from the actions of the parties rather than words

43. Common law
Treatment - payment and health care operations (TPO)
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.
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

44. HIPAA compliance mandates that computer systems must be...
located in a secured and private space
Treatment - payment and health care operations (TPO)
Patient
comes on after a few idle seconds and the use of a privacy screen should be mandatory

45. PII
Individually Identifiable Health Information
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
State preemption
Patient Identifiable Information

46. De-Identified Information
De-Identified Information
Encryption
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

47. 5P's of ethical power
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
purpose - pride - patience - persistence - perspective
Security
false and malicious writing about another

48. Verify the identification of anyone requesting patient information.
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 entities
Verification
located in a secured and private space

49. HIPAA states...
must be reported to authorities by law
only those who meed to know should have access to patient information
Tort
Standard

50. Emancipated minors

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HIPAA

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