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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. Includes records maintained by or for a covered entity.
law concerned with public wrongs against society
Limited data set
Designated record set
generally only patient can auth release of own medical record - there are a few exceptions

2. All persons who will have access are required to...
Patient rights under HIPAA
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Patient
have a unique password and it should be changed frequently

3. A reason for each use and disclosure of patient information.
Verification
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.
Permission
Invasion of Privacy Publishing

4. Fax Machines and HIPAA
although medical records are confidential - there are times when they can be released w/o a patient consent.
false charges and malicious oral statements about someone
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Code sets

5. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Limited data set
Designated record set
Tort
Covered transactions

6. HI
Health Information
Notice of Privacy Practices
located in a secured and private space
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

7. Protected Health Information (PHI)
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
The body of laws made by states is their own statutory laws
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Treatment - payment and health care operations (TPO)

8. Document that includes the standards
have a unique password and it should be changed frequently
Rule
A written set of questions requiring written answers from a plaintiff or defendant under oath
Privacy

9. Hardware or software designed to prevent unauthorized access to electronic information.
Firewalls
Permission
Privacy
have a unique password and it should be changed frequently

10. Some state laws specifically protect __________. A patient would need to sign a specific request.
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
only those who meed to know should have access to patient information
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
addresses portability of insurance coverage when employees change or lose their jobs

11. Civil law
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Verification
Notice of Privacy Practices
concerns noncriminal disputes between private parties

12. 4d's of negligence
Electronic Protected Health Information
Minimum necessary
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
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

13. Ethics
the philosophical study of moral values and rules - conducts
Notice of Privacy Practices
Ethical
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

14. 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.
Electronic Protected Health Information
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Treatment - payment and health care operations (TPO)
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

15. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
false charges and malicious oral statements about someone
Examples of PHI
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
Portability

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

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17. General exceptions for releasing patient information
substance abuse treatment
Ethical
Security
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

18. Implied consent
must be reported to authorities by law
law concerned with public wrongs against society
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 preemption

19. De-Identified Information
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
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
substance abuse treatment

20. Disclosure without Consent
Encryption
although medical records are confidential - there are times when they can be released w/o a patient consent.
Permission
a contract that comes about from the actions of the parties rather than words

21. The computer screen should have a screensaver that...
Covered transactions
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
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Transaction

22. Negligence
Standard
should never be released w/o a patient's signed consent or court order
false charges and malicious oral statements about someone
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

23. EPHI
The body of laws made by states is their own statutory laws
Electronic Protected Health Information
Individually Identifiable Health Information
Tort

24. PII
Notice of Privacy Practices
need to know
Patient Identifiable Information
Covered entities

25. Unlawful act done without permission.
Malfeasance
Notice of Privacy Practices
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
Designated record set

26. Federal law protects patient records dealing with...
Privacy
Minimum necessary
Invasion of Privacy Publishing
substance abuse treatment

27. Verify the identification of anyone requesting patient information.
a minor - rather than the parent - must sign the release of patient information
Verification
Covered entities
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

28. 5P's of ethical power
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
purpose - pride - patience - persistence - perspective
Portability
The body of laws made by states is their own statutory laws

29. What are the 3 purposes of HIPAA?
Insurance portability - administrative simplification - privacy and security
Covered entities
malpractice
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

30. What information do patients NOT have access to?
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
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Patient Identifiable Information

31. Battery
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
testimony under oath
illegal touching of another person
a contract that comes about from the actions of the parties rather than words

32. making known - or using information relating to the private life or affairs of a person without their approval or permission
should only be used when no other - more secure mode of transmission is available
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Patient
Invasion of Privacy Publishing

33. Any set of codes use to encode health care data elements.
Code sets
the philosophical study of moral values and rules - conducts
Standard
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

34. DII
Privacy
De-Identified 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
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

35. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
a contract that comes about from the actions of the parties rather than words
security rule
substance abuse treatment
addresses portability of insurance coverage when employees change or lose their jobs

36. Slander
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
need to know
false charges and malicious oral statements about someone
only those who meed to know should have access to patient information

37. Medical records used for health care research

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38. 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
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
should only be used when no other - more secure mode of transmission is available
Minimum necessary

39. Common law
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Patient rights under HIPAA
U.S. goverment

40. HIPAA states...
Notice of Privacy Practices
Electronic Protected Health Information
only those who meed to know should have access to patient information
Patient

41. HIPAA compliance mandates that computer systems must be...
located in a secured and private space
Patient
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
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.

42. Professional Negligence
generally only patient can auth release of own medical record - there are a few exceptions
Security
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
malpractice

43. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Transaction
Regulations
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Electronic transmission

44. The person recieving treatment
have a unique password and it should be changed frequently
Patient
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Designated record set

45. A general HIPAA requirement
What types of disclosures do not require patient permission?
Standard
generally only patient can auth release of own medical record - there are a few exceptions
Notice of Privacy Practices (NPP)

46. Data must be backed up at ___________ and those back-up files should be stored ________.
law concerned with public wrongs against society
need to know
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
regular - in a secure location

47. Sending information over electronic networks.
Electronic data interchange
only those who meed to know should have access to patient information
Electronic transmission
Transaction

48. Statutory
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
The body of laws made by states is their own statutory laws
Regulations

49. Good samaritan law
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
Security
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Tort

50. Titile II of HIPAA
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
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

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HIPAA

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