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. Verify the identification of anyone requesting patient information.
Verification
substance abuse treatment
Notice of Privacy Practices (NPP)
Treatment - payment and health care operations (TPO)

2. Ethics
the philosophical study of moral values and rules - conducts
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
generally only patient can auth release of own medical record - there are a few exceptions
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

3. Titile II of HIPAA
Ethical
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
The body of laws made by states is their own statutory laws
generally only patient can auth release of own medical record - there are a few exceptions

4. HIPAA states...
De-Identified Information
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Notice of Privacy Practices (NPP)
only those who meed to know should have access to patient information

5. Clearinghouse
the philosophical study of moral values and rules - conducts
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
state laws setting time limit for bringing a lawsuit
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

6. Any set of codes use to encode health care data elements.
Code sets
Covered transactions
What types of disclosures do not require patient permission?
Notice of Privacy Practices (NPP)

7. The computer screen should have a screensaver that...
false and malicious writing about another
Tort
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Ethical

8. A general HIPAA requirement
Standard
Patient rights under HIPAA
Rule
Insurance portability - administrative simplification - privacy and security

9. Disclosure without Consent
What types of disclosures do not require patient permission?
De-Identified Information
although medical records are confidential - there are times when they can be released w/o a patient consent.
Limited data set

10. Battery
illegal touching of another person
a contract that comes about from the actions of the parties rather than words
Limited data set
state laws setting time limit for bringing a lawsuit

11. Deposition
testimony under oath
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
need to know
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

12. All persons who will have access are required to...
the philosophical study of moral values and rules - conducts
improper performance of an otherwise lawful act. civil
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
have a unique password and it should be changed frequently

13. Business Associate Agreements applies to...
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
De-Identified Information
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

14. Common law
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Firewalls
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

15. Medical records can be released w/o consent to...
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
Code sets
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
A written set of questions requiring written answers from a plaintiff or defendant under oath

16. Data must be backed up at ___________ and those back-up files should be stored ________.
regular - in a secure location
Covered entities
should only be used when no other - more secure mode of transmission is available
Portability

17. Professional Negligence
malpractice
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
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Regulations

18. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Ethical
Covered transactions
regular - in a secure location
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

19. Criminal law
law concerned with public wrongs against society
What types of disclosures do not require patient permission?
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
law that permits a person w/ a legal age and sound mind to give their body to donation

20. Disabilities act

21. Hardware or software designed to prevent unauthorized access to electronic information.
same legal standards apply to all patient records whether on paper or computer
Firewalls
Electronic Protected Health Information
Covered transactions

22. OIG - Office of the Inspector General
Individually Identifiable Health Information
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Minimum necessary

23. Includes records maintained by or for a covered entity.
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
Insurance portability - administrative simplification - privacy and security
Designated record set

24. NPP
false and malicious writing about another
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
law concerned with public wrongs against society
Notice of Privacy Practices

25. EPHI
Electronic Protected Health Information
Patient rights under HIPAA
illegal touching of another person
regular - in a secure location

26. The limited amount of patient information to be disclosed - depending on circumstances.
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
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.
regular - in a secure location
Minimum necessary

27. Any wrongdoing for which an action for damages may be brought
substance abuse treatment
Tort
a contract that comes about from the actions of the parties rather than words
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

28. Policies and procedures use to protect electronic information from unauthorized access
Security
Electronic transmission
Electronic data interchange
addresses portability of insurance coverage when employees change or lose their jobs

29. Some state laws specifically protect __________. A patient would need to sign a specific request.
Tort
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

30. Good samaritan law
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
U.S. goverment
need to know
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

31. 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.
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Treatment - payment and health care operations (TPO)
security rule
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

32. Reportable diseases...
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
must be reported to authorities by law
Designated record set

33. HIPAA compliance mandates that computer systems must be...
generally only patient can auth release of own medical record - there are a few exceptions
testimony under oath
located in a secured and private space
treatment - payment - & healthcare operations

34. Privacy Officer
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
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
a minor - rather than the parent - must sign the release of patient information

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

36. Conforming to proper professional behavior
law concerned with public wrongs against society
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Ethical
Patient Identifiable Information

37. Under some circumstances ...
What types of disclosures do not require patient permission?
concerns noncriminal disputes between private parties
U.S. goverment
a minor - rather than the parent - must sign the release of patient information

38. Implied consent
Portability
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Insurance portability - administrative simplification - privacy and security
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.

39. Fax machines
concerns noncriminal disputes between private parties
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
should only be used when no other - more secure mode of transmission is available

40. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
State preemption
should only be used when no other - more secure mode of transmission is available
Encryption
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

41. 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.
Security
generally only patient can auth release of own medical record - there are a few exceptions
Examples of PHI
Treatment - payment and health care operations (TPO)

42. Who regulates 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
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.
Individually Identifiable Health Information
U.S. goverment

43. Negligence
a contract that comes about from the actions of the parties rather than words
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
State preemption
Encryption

44. Document that includes the standards
Rule
Minimum necessary
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
concerns noncriminal disputes between private parties

45. What are the 3 purposes of HIPAA?
should only be used when no other - more secure mode of transmission is available
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.
Insurance portability - administrative simplification - privacy and security
Transaction

46. Statutory
security rule
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
U.S. goverment

47. 4d's of negligence
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
Electronic transmission
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
U.S. goverment

48. Protected Health Information (PHI)
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
malpractice
Electronic data interchange
Ethical

49. Uniform anotomical gift act
should never be released w/o a patient's signed consent or court order
law that permits a person w/ a legal age and sound mind to give their body to donation
Security
Tort

50. A written document detailing a health care provider's privacy practices.
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
Regulations
Notice of Privacy Practices (NPP)