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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. A general HIPAA requirement
The body of laws made by states is their own statutory laws
Standard
Tort
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

2. Slander
Patient Identifiable Information
false charges and malicious oral statements about someone
Individually Identifiable Health Information
same legal standards apply to all patient records whether on paper or computer

3. Medical records used for health care research

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4. What are the 3 purposes of HIPAA?
Standard
law concerned with public wrongs against society
Insurance portability - administrative simplification - privacy and security
Privacy

5. Bioethics
Health Information
illegal touching of another person
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Patient

6. A written document detailing a health care provider's privacy practices.
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.
improper performance of an otherwise lawful act. civil
Notice of Privacy Practices (NPP)

7. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Individually Identifiable Health Information
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Regulations

8. Freedom from unauthorized intrusion
Individually Identifiable Health Information
Designated record set
Privacy
law concerned with public wrongs against society

9. Professional Negligence
malpractice
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
testimony under oath

10. Title I of HIPAA
Patient
Standard
Ethical
addresses portability of insurance coverage when employees change or lose their jobs

11. Releasing patient information
Notice of Privacy Practices (NPP)
generally only patient can auth release of own medical record - there are a few exceptions
Standard
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

12. Reportable diseases...
must be reported to authorities by law
law that permits a person w/ a legal age and sound mind to give their body to donation
false charges and malicious oral statements about someone
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

13. TPO
Examples of PHI
treatment - payment - & healthcare operations
have a unique password and it should be changed frequently
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

14. 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
a minor - rather than the parent - must sign the release of patient information
Patient rights under HIPAA
Firewalls
State preemption

15. Emancipated minors

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16. 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
Notice of Privacy Practices (NPP)
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Code sets

17. Disclosure without Consent
false charges and malicious oral statements about someone
Portability
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
although medical records are confidential - there are times when they can be released w/o a patient consent.

18. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
What types of disclosures do not require patient permission?
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
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Individually Identifiable Health Information

19. Unlawful act done without permission.
Malfeasance
Individually Identifiable Health Information
have a unique password and it should be changed frequently
same legal standards apply to all patient records whether on paper or computer

20. Key entities
Health Information
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
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.
treatment - payment - & healthcare operations

21. The use of uniform electronic network protocols to transfer business information between organizations.
Electronic data interchange
Designated record set
Rule
false and malicious writing about another

22. Clearinghouse
Malfeasance
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
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

23. 4d's of negligence
A written set of questions requiring written answers from a plaintiff or defendant under oath
Permission
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
Patient Identifiable Information

24. A reason for each use and disclosure of patient information.
Firewalls
treatment - payment - & healthcare operations
Permission
Encryption

25. Computes and HIPAA
should only be used when no other - more secure mode of transmission is available
Minimum necessary
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
same legal standards apply to all patient records whether on paper or computer

26. Advanced directives
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
should only be used when no other - more secure mode of transmission is available
U.S. goverment
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

27. Subpoenas
substance abuse treatment
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

28. HI
U.S. goverment
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.
Health Information
false charges and malicious oral statements about someone

29. Good samaritan law
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Designated record set
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Individually Identifiable Health Information

30. The limited amount of patient information to be disclosed - depending on circumstances.
law that permits a person w/ a legal age and sound mind to give their body to donation
What types of disclosures do not require patient permission?
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Minimum necessary

31. interrogatory
A written set of questions requiring written answers from a plaintiff or defendant under oath
addresses portability of insurance coverage when employees change or lose their jobs
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
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

32. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
Invasion of Privacy Publishing
state laws setting time limit for bringing a lawsuit
Limited data set
security rule

33. Statue of limitations
state laws setting time limit for bringing a lawsuit
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.
substance abuse treatment
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

34. Coded information that can't be read until is decoded.
Invasion of Privacy Publishing
illegal touching of another person
Encryption
Limited data set

35. DII
need to know
comes on after a few idle seconds and the use of a privacy screen should be mandatory
De-Identified Information
concerns noncriminal disputes between private parties

36. IIHI
illegal touching of another person
must be reported to authorities by law
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
Individually Identifiable Health Information

37. Common law
Designated record set
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
a minor - rather than the parent - must sign the release of patient information
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

38. Privacy Officer
only those who meed to know should have access to patient information
a contract that comes about from the actions of the parties rather than words
Patient Identifiable Information
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

39. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Covered transactions
testimony under oath
Covered entities
Ethical

40. Any wrongdoing for which an action for damages may be brought
treatment - payment - & healthcare operations
Notice of Privacy Practices (NPP)
Tort
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

41. General exceptions for releasing patient information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
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
Notice of Privacy Practices (NPP)
security rule

42. Implied consent
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.
false charges and malicious oral statements about someone
substance abuse treatment
Notice of Privacy Practices

43. Confidentiality

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44. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Portability
Notice of Privacy Practices (NPP)
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

45. Negligence
although medical records are confidential - there are times when they can be released w/o a patient consent.
Treatment - payment and health care operations (TPO)
the philosophical study of moral values and rules - conducts
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

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

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47. Includes records maintained by or for a covered entity.
Privacy
need to know
Electronic transmission
Designated record set

48. PII
Patient Identifiable Information
a contract that comes about from the actions of the parties rather than words
the philosophical study of moral values and rules - conducts
generally only patient can auth release of own medical record - there are a few exceptions

49. Civil law
a contract that comes about from the actions of the parties rather than words
law concerned with public wrongs against society
Encryption
concerns noncriminal disputes between private parties

50. making known - or using information relating to the private life or affairs of a person without their approval or permission
Individually Identifiable Health Information
Invasion of Privacy Publishing
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
improper performance of an otherwise lawful act. civil