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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. Reportable diseases...
Health Information
must be reported to authorities by law
testimony under oath
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

2. Patient records are _____________ so not all staff will have access.
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
need to know
the philosophical study of moral values and rules - conducts
A written set of questions requiring written answers from a plaintiff or defendant under oath

3. Clearinghouse
De-Identified Information
generally only patient can auth release of own medical record - there are a few exceptions
illegal touching of another person
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

4. Key entities
Tort
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
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
comes on after a few idle seconds and the use of a privacy screen should be mandatory

5. Privacy Officer
Invasion of Privacy Publishing
Insurance portability - administrative simplification - privacy and security
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
Rule

6. Good samaritan law
Notice of Privacy Practices (NPP)
although medical records are confidential - there are times when they can be released w/o a patient consent.
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

7. A general HIPAA requirement
Standard
state laws setting time limit for bringing a lawsuit
illegal touching of another person
have a unique password and it should be changed frequently

8. 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
U.S. goverment
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Patient rights under HIPAA
Individually Identifiable Health Information

9. Some state laws specifically protect __________. A patient would need to sign a specific request.
Patient
Notice of Privacy Practices
Portability
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

10. Statue of limitations
Encryption
state laws setting time limit for bringing a lawsuit
Patient Identifiable Information
treatment - payment - & healthcare operations

11. TPO
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
treatment - payment - & healthcare operations
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

12. Disabilities act

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13. Data must be backed up at ___________ and those back-up files should be stored ________.
regular - in a secure location
Electronic transmission
Covered entities
Minimum necessary

14. Protected Health Information (PHI)
improper performance of an otherwise lawful act. civil
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
generally only patient can auth release of own medical record - there are a few exceptions
Encryption

15. HIPAA states...
should only be used when no other - more secure mode of transmission is available
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
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
only those who meed to know should have access to patient information

16. General exceptions for releasing patient information
should never be released w/o a patient's signed consent or court order
Treatment - payment and health care operations (TPO)
What types of disclosures do not require patient permission?
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

17. Misfeasance
improper performance of an otherwise lawful act. civil
security rule
Individually Identifiable Health Information
Examples of PHI

18. The use of uniform electronic network protocols to transfer business information between organizations.
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
malpractice
Electronic data interchange
Code sets

19. Verify the identification of anyone requesting patient information.
should never be released w/o a patient's signed consent or court order
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
security rule
Verification

20. Statutory
addresses portability of insurance coverage when employees change or lose their jobs
Malfeasance
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
The body of laws made by states is their own statutory laws

21. Subpoenas
state laws setting time limit for bringing a lawsuit
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
generally only patient can auth release of own medical record - there are a few exceptions
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

22. Criminal law
a minor - rather than the parent - must sign the release of patient information
Patient
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
law concerned with public wrongs against society

23. HIPAA compliance mandates that computer systems must be...
located in a secured and private space
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
concerns noncriminal disputes between private parties
Ethical

24. Advanced directives
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
treatment - payment - & healthcare operations
Notice of Privacy Practices (NPP)
generally only patient can auth release of own medical record - there are a few exceptions

25. Unlawful act done without permission.
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
addresses portability of insurance coverage when employees change or lose their jobs
Malfeasance
Portability

26. What information do patients NOT have access to?
security rule
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Permission

27. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
comes on after a few idle seconds and the use of a privacy screen should be mandatory
have a unique password and it should be changed frequently
Regulations
Privacy

28. Deposition
only those who meed to know should have access to patient information
malpractice
testimony under oath
Rule

29. Under some circumstances ...
although medical records are confidential - there are times when they can be released w/o a patient consent.
a minor - rather than the parent - must sign the release of patient information
a contract that comes about from the actions of the parties rather than words
Covered entities

30. Protected health information from which certain patient identifiers have been removed
Treatment - payment and health care operations (TPO)
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
Limited data set
located in a secured and private space

31. All persons who will have access are required to...
Portability
state laws setting time limit for bringing a lawsuit
De-Identified Information
have a unique password and it should be changed frequently

32. Coded information that can't be read until is decoded.
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
Encryption
A written set of questions requiring written answers from a plaintiff or defendant under oath
Verification

33. Federal law protects patient records dealing with...
substance abuse treatment
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Ethical
Patient rights under HIPAA

34. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
should never be released w/o a patient's signed consent or court order
Malfeasance
Permission
security rule

35. Civil law
Security
Electronic transmission
concerns noncriminal disputes between private parties
illegal touching of another person

36. Professional Negligence
malpractice
U.S. goverment
only those who meed to know should have access to patient information
Patient Identifiable Information

37. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
De-Identified Information
state laws setting time limit for bringing a lawsuit
Portability
Insurance portability - administrative simplification - privacy and security

38. Any set of codes use to encode health care data elements.
Portability
Notice of Privacy Practices (NPP)
Code sets
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

39. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Covered entities
State preemption

40. Titile II of HIPAA
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
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Code sets
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

41. Any wrongdoing for which an action for damages may be brought
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Tort
law concerned with public wrongs against society
have a unique password and it should be changed frequently

42. Conforming to proper professional behavior
addresses portability of insurance coverage when employees change or lose their jobs
Ethical
regular - in a secure location
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

43. Libel
Patient rights under HIPAA
improper performance of an otherwise lawful act. civil
false and malicious writing about another
Designated record set

44. OIG - Office of the Inspector General
Malfeasance
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Notice of Privacy Practices
law that permits a person w/ a legal age and sound mind to give their body to donation

45. Releasing patient information
purpose - pride - patience - persistence - perspective
Notice of Privacy Practices
Regulations
generally only patient can auth release of own medical record - there are a few exceptions

46. Business Associate Agreements applies to...
De-Identified Information
state laws setting time limit for bringing a lawsuit
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
should never be released w/o a patient's signed consent or court order

47. Medical records used for health care research

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48. Implied contract
Tort
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
a contract that comes about from the actions of the parties rather than words
Covered transactions

49. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Covered transactions
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
a minor - rather than the parent - must sign the release of patient information

50. HI
Health Information
Electronic data interchange
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

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HIPAA

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