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. Under some circumstances ...
Firewalls
a minor - rather than the parent - must sign the release of patient information
have a unique password and it should be changed frequently
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

2. Fax machines
Standard
U.S. goverment
should only be used when no other - more secure mode of transmission is available
Rule

3. Transmission of information between two parties fro financial or administrative activities.
Code sets
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Transaction

4. Emancipated minors

5. Title I of HIPAA
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Electronic Protected Health Information
addresses portability of insurance coverage when employees change or lose their jobs

6. PII
treatment - payment - & healthcare operations
Patient Identifiable Information
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

7. Any set of codes use to encode health care data elements.
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
although medical records are confidential - there are times when they can be released w/o a patient consent.
Rule
Code sets

8. Common law
false and malicious writing about another
Malfeasance
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Individually Identifiable Health Information

9. A written document detailing a health care provider's privacy practices.
A written set of questions requiring written answers from a plaintiff or defendant under oath
Designated record set
Notice of Privacy Practices (NPP)
Examples of PHI

10. Protected Health Information (PHI)
What types of disclosures do not require patient permission?
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)
testimony under oath

11. Doctor release of patient
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
U.S. goverment
law concerned with public wrongs against society
only those who meed to know should have access to patient information

12. 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
the philosophical study of moral values and rules - conducts
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.
security rule
Covered entities

13. IIHI
Minimum necessary
Portability
substance abuse treatment
Individually Identifiable Health Information

14. What information do patients NOT have access to?
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.
located in a secured and private space
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

15. HIPAA
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Patient
purpose - pride - patience - persistence - perspective
Designated record set

16. 5P's of ethical power
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
State preemption
purpose - pride - patience - persistence - perspective
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

17. Verify the identification of anyone requesting patient information.
The body of laws made by states is their own statutory laws
U.S. goverment
Verification
have a unique password and it should be changed frequently

18. Patient records are _____________ so not all staff will have access.
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
need to know
only those who meed to know should have access to patient 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

19. Sending information over electronic networks.
security rule
Electronic transmission
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

20. Reportable diseases...
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
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
must be reported to authorities by law
Covered transactions

21. Bioethics
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
false and malicious writing about another
Electronic transmission
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

22. Federal law protects patient records dealing with...
Patient Identifiable Information
Privacy
substance abuse treatment
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

23. Statue of limitations
state laws setting time limit for bringing a lawsuit
the philosophical study of moral values and rules - conducts
Patient
same legal standards apply to all patient records whether on paper or computer

24. Hardware or software designed to prevent unauthorized access to electronic information.
Firewalls
Treatment - payment and health care operations (TPO)
regular - in a secure location
treatment - payment - & healthcare operations

25. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Malfeasance
false and malicious writing about another
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Covered transactions

26. Clearinghouse
law concerned with public wrongs against society
Minimum necessary
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
illegal touching of another person

27. Any wrongdoing for which an action for damages may be brought
Tort
Covered transactions
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.
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

28. 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.
generally only patient can auth release of own medical record - there are a few exceptions
Treatment - payment and health care operations (TPO)
Patient
U.S. goverment

29. Some state laws specifically protect __________. A patient would need to sign a specific request.
Privacy
What types of disclosures do not require patient permission?
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
De-Identified Information

30. Negligence
Electronic transmission
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
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

31. A general HIPAA requirement
Tort
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Patient rights under HIPAA
Standard

32. Implied contract
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
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
a contract that comes about from the actions of the parties rather than words
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

33. Freedom from unauthorized intrusion
State preemption
Privacy
improper performance of an otherwise lawful act. civil
Tort

34. Slander
false charges and malicious oral statements about someone
regular - in a secure location
Covered transactions
Electronic Protected Health Information

35. The computer screen should have a screensaver that...
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
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 written set of questions requiring written answers from a plaintiff or defendant under oath

36. What are the 3 purposes of HIPAA?
Insurance portability - administrative simplification - privacy and security
Patient
Code sets
false charges and malicious oral statements about someone

37. Misfeasance
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
need to know
improper performance of an otherwise lawful act. civil
addresses portability of insurance coverage when employees change or lose their jobs

38. The person recieving treatment
Patient
law that permits a person w/ a legal age and sound mind to give their body to donation
Portability
Ethical

39. All persons who will have access are required to...
A written set of questions requiring written answers from a plaintiff or defendant under oath
Standard
Examples of PHI
have a unique password and it should be changed frequently

40. General exceptions for releasing patient information
Tort
De-Identified Information
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

41. Conforming to proper professional behavior
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
testimony under oath
Electronic transmission
Ethical

42. Ethics
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
the philosophical study of moral values and rules - conducts
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

43. interrogatory
A written set of questions requiring written answers from a plaintiff or defendant under oath
Rule
What types of disclosures do not require patient permission?
state laws setting time limit for bringing a lawsuit

44. Protected health information from which certain patient identifiers have been removed
Limited data set
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
A written set of questions requiring written answers from a plaintiff or defendant under oath
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

45. Good samaritan law
malpractice
regular - in a secure location
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

46. Libel
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
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
false and malicious writing about another
concerns noncriminal disputes between private parties

47. Who regulates HIPAA?
Regulations
have a unique password and it should be changed frequently
U.S. goverment
located in a secured and private space

48. Policies and procedures use to protect electronic information from unauthorized access
Security
law that permits a person w/ a legal age and sound mind to give their body to donation
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
Privacy

49. Medical records can be released w/o consent to...
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
Notice of Privacy Practices (NPP)
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

50. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Electronic Protected Health Information
Portability
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
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.