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HIPAA

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Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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1. Business Associate Agreements applies to...
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
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 court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Rule

2. Fax machines
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
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
concerns noncriminal disputes between private parties
should only be used when no other - more secure mode of transmission is available

3. Common law
Examples of PHI
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
improper performance of an otherwise lawful act. civil
Patient rights under HIPAA

4. OIG - Office of the Inspector General
Covered entities
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Notice of Privacy Practices (NPP)
Minimum necessary

5. IIHI
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
Individually Identifiable Health Information
have a unique password and it should be changed frequently
law concerned with public wrongs against society

6. General exceptions for releasing patient information
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
substance abuse treatment
law concerned with public wrongs against society
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

7. Hardware or software designed to prevent unauthorized access to electronic information.
Minimum necessary
Firewalls
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
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

8. Protected Health Information (PHI)
Insurance portability - administrative simplification - privacy and security
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
U.S. goverment
addresses portability of insurance coverage when employees change or lose their jobs

9. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
Patient Identifiable Information
Notice of Privacy Practices
improper performance of an otherwise lawful act. civil
What types of disclosures do not require patient permission?

10. Freedom from unauthorized intrusion
Privacy
The body of laws made by states is their own statutory laws
Transaction
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

11. 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
false and malicious writing about another
regular - in a secure location
security rule

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
Covered entities
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
false and malicious writing about another
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

13. Statue of limitations
must be reported to authorities by law
substance abuse treatment
state laws setting time limit for bringing a lawsuit
Permission

14. Advanced directives
A written set of questions requiring written answers from a plaintiff or defendant under oath
What types of disclosures do not require patient permission?
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

15. Negligence
Electronic data interchange
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Verification
must be reported to authorities by law

16. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Portability
Permission
should only be used when no other - more secure mode of transmission is available

17. De-Identified Information
Covered transactions
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
substance abuse treatment

18. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Malfeasance
need to know
Covered transactions
Tort

19. Ethics
What types of disclosures do not require patient permission?
the philosophical study of moral values and rules - conducts
have a unique password and it should be changed frequently
Notice of Privacy Practices (NPP)

20. HIPAA compliance mandates that computer systems must be...
Designated record set
located in a secured and private space
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
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.

21. A reason for each use and disclosure of patient information.
Permission
law concerned with public wrongs against society
Regulations
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

22. Computes and HIPAA
Covered entities
same legal standards apply to all patient records whether on paper or computer
Privacy
U.S. goverment

23. Federal law protects patient records dealing with...
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.
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
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
substance abuse treatment

24. Disabilities act

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25. HIPAA states...
only those who meed to know should have access to patient 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.
Notice of Privacy Practices (NPP)
Regulations

26. NPP
Notice of Privacy Practices
The body of laws made by states is their own statutory laws
Portability
generally only patient can auth release of own medical record - there are a few exceptions

27. Medical records can be released w/o consent to...
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Security
Invasion of Privacy Publishing
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

28. Data must be backed up at ___________ and those back-up files should be stored ________.
regular - in a secure location
Designated record set
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
state laws setting time limit for bringing a lawsuit

29. Clearinghouse
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
Examples of PHI
Covered entities
Invasion of Privacy Publishing

30. All persons who will have access are required to...
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
De-Identified Information
have a unique password and it should be changed frequently
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

31. Subpoenas
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Covered entities
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

32. interrogatory
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
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
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
A written set of questions requiring written answers from a plaintiff or defendant under oath

33. Reportable diseases...
regular - in a secure location
false charges and malicious oral statements about someone
law concerned with public wrongs against society
must be reported to authorities by law

34. Privacy Officer
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
state laws setting time limit for bringing a lawsuit
A written set of questions requiring written answers from a plaintiff or defendant under oath
same legal standards apply to all patient records whether on paper or computer

35. 4d's of negligence
Code sets
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c 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
Rule

36. Civil law
improper performance of an otherwise lawful act. civil
concerns noncriminal disputes between private parties
Health Information
treatment - payment - & healthcare operations

37. Disclosure without Consent
Code sets
Regulations
Covered entities
although medical records are confidential - there are times when they can be released w/o a patient consent.

38. Professional Negligence
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
malpractice
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.
Covered entities

39. HI
same legal standards apply to all patient records whether on paper or computer
law that permits a person w/ a legal age and sound mind to give their body to donation
Electronic Protected Health Information
Health Information

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

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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.
Examples of PHI
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
law concerned with public wrongs against society

42. Titile II of HIPAA
testimony under oath
Treatment - payment and health care operations (TPO)
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
the philosophical study of moral values and rules - conducts

43. Conforming to proper professional behavior
Verification
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Ethical
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

44. Transmission of information between two parties fro financial or administrative activities.
Transaction
located in a secured and private space
Privacy
need to know

45. Good samaritan law
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
a contract that comes about from the actions of the parties rather than words
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

46. Criminal law
have a unique password and it should be changed frequently
law concerned with public wrongs against society
U.S. goverment
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

47. Protected health information from which certain patient identifiers have been removed
concerns noncriminal disputes between private parties
Limited data set
Electronic transmission
Covered entities

48. Verify the identification of anyone requesting patient information.
Verification
regular - in a secure location
Ethical
state laws setting time limit for bringing a lawsuit

49. Deposition
Privacy
testimony under oath
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
concerns noncriminal disputes between private parties

50. HIPAA
Electronic data interchange
Covered entities
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

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HIPAA

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