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Test your basic knowledge |
HIPAA
Start Test
Study First
Subjects
:
certifications
,
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
Regulations
security rule
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
law concerned with public wrongs against society
2. What are the 3 purposes of HIPAA?
Insurance portability - administrative simplification - privacy and security
must be reported to authorities by law
law concerned with public wrongs against society
need to know
3. Releasing patient information
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
generally only patient can auth release of own medical record - there are a few exceptions
testimony under oath
Patient rights under HIPAA
4. Under some circumstances ...
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
a minor - rather than the parent - must sign the release of patient information
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Malfeasance
5. Conforming to proper professional behavior
Ethical
located in a secured and private space
Notice of Privacy Practices (NPP)
malpractice
6. 5P's of ethical power
a contract that comes about from the actions of the parties rather than words
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
have a unique password and it should be changed frequently
purpose - pride - patience - persistence - perspective
7. Any set of codes use to encode health care data elements.
Individually Identifiable Health Information
Electronic Protected Health Information
Code sets
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
8. Data must be backed up at ___________ and those back-up files should be stored ________.
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
regular - in a secure location
although medical records are confidential - there are times when they can be released w/o a patient consent.
9. HIPAA
purpose - pride - patience - persistence - perspective
must be reported to authorities by law
Designated record set
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
10. interrogatory
Individually Identifiable Health Information
A written set of questions requiring written answers from a plaintiff or defendant under oath
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
Health Information
11. What information do patients NOT have access to?
only those who meed to know should have access to patient information
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
improper performance of an otherwise lawful act. civil
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
12. Good samaritan law
addresses portability of insurance coverage when employees change or lose their jobs
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
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
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
13. 4d's of negligence
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
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
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.
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
14. HI
need to know
Individually Identifiable Health Information
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Health Information
15. Sending information over electronic networks.
generally only patient can auth release of own medical record - there are a few exceptions
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Firewalls
Electronic transmission
16. Coded information that can't be read until is decoded.
same legal standards apply to all patient records whether on paper or computer
Tort
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Encryption
17. The use of uniform electronic network protocols to transfer business information between organizations.
Electronic Protected Health Information
Electronic data interchange
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
18. 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
malpractice
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Standard
Patient rights under HIPAA
19. Includes records maintained by or for a covered entity.
Designated record set
Patient rights under HIPAA
testimony under oath
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
20. Medical records can be released w/o consent to...
Privacy
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
purpose - pride - patience - persistence - perspective
Patient Identifiable Information
21. Deposition
State preemption
Portability
testimony under oath
Covered entities
22. IIHI
Individually Identifiable Health Information
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.
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
Examples of PHI
23. Verify the identification of anyone requesting patient information.
U.S. goverment
Verification
Tort
State preemption
24. Implied consent
security rule
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
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
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.
25. Hardware or software designed to prevent unauthorized access to electronic information.
Firewalls
Code sets
should never be released w/o a patient's signed consent or court order
although medical records are confidential - there are times when they can be released w/o a patient consent.
26. Computes and HIPAA
same legal standards apply to all patient records whether on paper or computer
malpractice
security rule
State preemption
27. Ethics
the philosophical study of moral values and rules - conducts
What types of disclosures do not require patient permission?
should only be used when no other - more secure mode of transmission is available
law concerned with public wrongs against society
28. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
regular - in a secure location
security rule
Patient
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
29. Privacy Officer
improper performance of an otherwise lawful act. civil
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
Notice of 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.
30. Misfeasance
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
improper performance of an otherwise lawful act. civil
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
31. Any wrongdoing for which an action for damages may be brought
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
Treatment - payment and health care operations (TPO)
Tort
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.
32. Emancipated minors
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33. Who regulates HIPAA?
testimony under oath
same legal standards apply to all patient records whether on paper or computer
U.S. goverment
concerns noncriminal disputes between private parties
34. EPHI
Limited data set
Electronic Protected Health Information
improper performance of an otherwise lawful act. civil
Tort
35. Protected Health Information (PHI)
A written set of questions requiring written answers from a plaintiff or defendant under oath
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
36. 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
What types of disclosures do not require patient permission?
The body of laws made by states is their own statutory laws
Notice of Privacy Practices (NPP)
Covered entities
37. 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
De-Identified Information
Electronic transmission
38. General exceptions for releasing patient information
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Notice of Privacy Practices (NPP)
located in a secured and private space
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
39. Freedom from unauthorized intrusion
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
Regulations
Privacy
Limited data set
40. Disabilities act
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41. Statue of limitations
Permission
addresses portability of insurance coverage when employees change or lose their jobs
state laws setting time limit for bringing a lawsuit
Treatment - payment and health care operations (TPO)
42. Civil law
treatment - payment - & healthcare operations
Invasion of Privacy Publishing
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
concerns noncriminal disputes between private parties
43. A reason for each use and disclosure of patient information.
Covered entities
State preemption
Permission
must be reported to authorities by law
44. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Regulations
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
substance abuse treatment
Insurance portability - administrative simplification - privacy and security
45. De-Identified Information
malpractice
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Ethical
46. OIG - Office of the Inspector General
Code sets
Notice of Privacy Practices (NPP)
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
addresses portability of insurance coverage when employees change or lose their jobs
47. making known - or using information relating to the private life or affairs of a person without their approval or permission
malpractice
Invasion of Privacy Publishing
State preemption
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
48. Common law
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
false charges and malicious oral statements about someone
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Limited data set
49. Implied contract
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
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.
Electronic Protected Health Information
a contract that comes about from the actions of the parties rather than words
50. Transmission of information between two parties fro financial or administrative activities.
regular - in a secure location
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Transaction
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