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HIPAA

Instructions:

Answer 50 questions in 15 minutes.
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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. Hardware or software designed to prevent unauthorized access to electronic information.
illegal touching of another person
must be reported to authorities by law
Firewalls
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.

2. Document that includes the standards
Patient Identifiable Information
Rule
Examples of PHI
false and malicious writing about another

3. Coded information that can't be read until is decoded.
have a unique password and it should be changed frequently
regular - in a secure location
should only be used when no other - more secure mode of transmission is available
Encryption

4. A written document detailing a health care provider's privacy practices.
Notice of Privacy Practices (NPP)
false charges and malicious oral statements about someone
The body of laws made by states is their own statutory laws
Invasion of Privacy Publishing

5. Sending information over electronic networks.
Ethical
same legal standards apply to all patient records whether on paper or computer
a minor - rather than the parent - must sign the release of patient information
Electronic transmission

6. interrogatory
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
A written set of questions requiring written answers from a plaintiff or defendant under oath
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Patient rights under HIPAA

7. Computes and HIPAA
the philosophical study of moral values and rules - conducts
Rule
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
same legal standards apply to all patient records whether on paper or computer

8. Confidentiality

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9. Uniform anotomical gift act
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
law that permits a person w/ a legal age and sound mind to give their body to donation
Patient rights under HIPAA
Minimum necessary

10. 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
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
false charges and malicious oral statements about someone
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

11. Negligence
although medical records are confidential - there are times when they can be released w/o a patient consent.
malpractice
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
The body of laws made by states is their own statutory laws

12. PII
Patient Identifiable Information
Electronic data interchange
The body of laws made by states is their own statutory laws
Patient

13. Disclosure without Consent
although medical records are confidential - there are times when they can be released w/o a patient consent.
generally only patient can auth release of own medical record - there are a few exceptions
should only be used when no other - more secure mode of transmission is available
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

14. Implied contract
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
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
a contract that comes about from the actions of the parties rather than words
Covered entities

15. General exceptions for releasing patient information
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
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

16. Clearinghouse
Treatment - payment and health care operations (TPO)
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
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
state laws setting time limit for bringing a lawsuit

17. Any wrongdoing for which an action for damages may be brought
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
same legal standards apply to all patient records whether on paper or computer
Tort
must be reported to authorities by law

18. Civil law
substance abuse treatment
concerns noncriminal disputes between private parties
Examples of PHI
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. A general HIPAA requirement
Standard
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.
same legal standards apply to all patient records whether on paper or computer
Electronic Protected Health Information

20. Titile II of HIPAA
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
should never be released w/o a patient's signed consent or court order
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Covered entities

21. Verify the identification of anyone requesting patient information.
Verification
A written set of questions requiring written answers from a plaintiff or defendant under oath
Covered entities
The body of laws made by states is their own statutory laws

22. Battery
should never be released w/o a patient's signed consent or court order
illegal touching of another person
only those who meed to know should have access to patient information
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

23. Good samaritan law
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Examples of PHI

24. Title I of HIPAA
improper performance of an otherwise lawful act. civil
Limited data set
addresses portability of insurance coverage when employees change or lose their jobs
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

25. 5P's of ethical power
need to know
improper performance of an otherwise lawful act. civil
purpose - pride - patience - persistence - perspective
Malfeasance

26. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
a contract that comes about from the actions of the parties rather than words
need to know
Health Information
Covered transactions

27. Fax Machines and HIPAA
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Ethical
Verification

28. Some state laws specifically protect __________. A patient would need to sign a specific request.
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Tort
Treatment - payment and health care operations (TPO)
Designated record set

29. HIPAA states...
substance abuse treatment
Patient
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.
only those who meed to know should have access to patient information

30. Patient records are _____________ so not all staff will have access.
the philosophical study of moral values and rules - conducts
need to know
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Permission

31. All persons who will have access are required to...
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Regulations
have a unique password and it should be changed frequently
treatment - payment - & healthcare operations

32. Under some circumstances ...
a contract that comes about from the actions of the parties rather than words
Invasion of Privacy Publishing
Designated record set
a minor - rather than the parent - must sign the release of patient information

33. Libel
false and malicious writing about another
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
concerns noncriminal disputes between private parties
addresses portability of insurance coverage when employees change or lose their jobs

34. NPP
Security
Notice of Privacy Practices
purpose - pride - patience - persistence - perspective
regular - in a secure location

35. What are the 3 purposes of HIPAA?
Standard
Insurance portability - administrative simplification - privacy and security
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
purpose - pride - patience - persistence - perspective

36. Ethics
Limited data set
the philosophical study of moral values and rules - conducts
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Permission

37. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
purpose - pride - patience - persistence - perspective
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)
Portability

38. Conforming to proper professional behavior
Limited data set
Tort
need to know
Ethical

39. Subpoenas
The body of laws made by states is their own statutory laws
Privacy
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
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

40. The use of uniform electronic network protocols to transfer business information between organizations.
Minimum necessary
Electronic data interchange
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

41. making known - or using information relating to the private life or affairs of a person without their approval or permission
Invasion of Privacy Publishing
should only be used when no other - more secure mode of transmission is available
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
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

42. OIG - Office of the Inspector General
Examples of PHI
substance abuse treatment
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
false and malicious writing about another

43. Policies and procedures use to protect electronic information from unauthorized access
Designated record set
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
treatment - payment - & healthcare operations
Security

44. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
Code sets
illegal touching of another person
State preemption
Tort

45. HIPAA
malpractice
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
security rule

46. Federal law protects patient records dealing with...
substance abuse treatment
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
state laws setting time limit for bringing a lawsuit

47. 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 rule
Examples of PHI
illegal touching of another person
a contract that comes about from the actions of the parties rather than words

48. HIPAA compliance mandates that computer systems must be...
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
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
comes on after a few idle seconds and the use of a privacy screen should be mandatory

49. Doctor release of patient
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Permission
Privacy
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

50. Slander
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
State preemption
false charges and malicious oral statements about someone
a contract that comes about from the actions of the parties rather than words

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HIPAA

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