Test your basic knowledge |

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. 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.
Health Information
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Examples of PHI
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

2. Implied consent
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
U.S. goverment
Electronic data interchange
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.

3. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
must be reported to authorities by law
Designated record set
security rule
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

4. Medical records can be released w/o consent to...
generally only patient can auth release of own medical record - there are a few exceptions
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
should only be used when no other - more secure mode of transmission is available
Rule

5. What are the 3 purposes of HIPAA?
only those who meed to know should have access to patient information
Transaction
Insurance portability - administrative simplification - privacy and security
Patient Identifiable Information

6. Battery
illegal touching of another person
purpose - pride - patience - persistence - perspective
U.S. goverment
generally only patient can auth release of own medical record - there are a few exceptions

7. General exceptions for releasing patient information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
although medical records are confidential - there are times when they can be released w/o a patient consent.
illegal touching of another person
Designated record set

8. Sending information over electronic networks.
false and malicious writing about another
Electronic transmission
testimony under oath
Ethical

9. interrogatory
Permission
A written set of questions requiring written answers from a plaintiff or defendant under oath
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
What types of disclosures do not require patient permission?

10. Ethics
the philosophical study of moral values and rules - conducts
need to know
malpractice
Patient

11. Advanced directives
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
Insurance portability - administrative simplification - privacy and security
Malfeasance
Patient rights under HIPAA

12. 4d's of negligence
security rule
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
regular - in a secure location
Electronic data interchange

13. TPO
treatment - payment - & healthcare operations
law concerned with public wrongs against society
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.
State preemption

14. Negligence
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Patient
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
treatment - payment - & healthcare operations

15. Data must be backed up at ___________ and those back-up files should be stored ________.
regular - in a secure location
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
Individually Identifiable Health Information
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

16. Good samaritan law
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
concerns noncriminal disputes between private parties
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
Ethical

17. 5P's of ethical power
purpose - pride - patience - persistence - perspective
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Covered transactions
Verification

18. Releasing patient information
Patient rights under HIPAA
generally only patient can auth release of own medical record - there are a few exceptions
Firewalls
Code sets

19. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
false and malicious writing about another
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Portability

20. Bioethics
Electronic data interchange
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
a minor - rather than the parent - must sign the release of patient information
Limited data set

21. A general HIPAA requirement
Standard
Patient Identifiable Information
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
should never be released w/o a patient's signed consent or court order

22. All persons who will have access are required to...
What types of disclosures do not require patient permission?
malpractice
have a unique password and it should be changed frequently
Tort

23. Subpoenas
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Examples of PHI
Treatment - payment and health care operations (TPO)
law that permits a person w/ a legal age and sound mind to give their body to donation

24. Common law
illegal touching of another person
Rule
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Covered transactions

25. Slander
Ethical
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
false charges and malicious oral statements about someone
U.S. goverment

26. EPHI
Electronic data interchange
Electronic Protected Health Information
security rule
Notice of Privacy Practices

27. Emancipated minors

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28. making known - or using information relating to the private life or affairs of a person without their approval or permission
law concerned with public wrongs against society
Invasion of Privacy Publishing
need to know
a minor - rather than the parent - must sign the release of patient information

29. Confidentiality

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30. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
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
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Transaction

31. Uniform anotomical gift act
Treatment - payment and health care operations (TPO)
false and malicious writing about another
Encryption
law that permits a person w/ a legal age and sound mind to give their body to donation

32. 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.
improper performance of an otherwise lawful act. civil
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.
regular - in a secure location
Treatment - payment and health care operations (TPO)

33. Medical records used for health care research

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34. Fax machines
should only be used when no other - more secure mode of transmission is available
Privacy
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
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

35. Verify the identification of anyone requesting patient information.
Notice of Privacy Practices (NPP)
Individually Identifiable Health Information
Verification
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

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
Electronic transmission
Patient
Covered entities
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.

37. Protected health information from which certain patient identifiers have been removed
Limited data set
Regulations
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

38. Who regulates HIPAA?
Permission
U.S. goverment
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
state laws setting time limit for bringing a lawsuit

39. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Treatment - payment and health care operations (TPO)
Regulations
state laws setting time limit for bringing a lawsuit
located in a secured and private space

40. Freedom from unauthorized intrusion
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Privacy
false charges and malicious oral statements about someone
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

41. IIHI
Invasion of Privacy Publishing
Individually Identifiable Health Information
Health Information
must be reported to authorities by law

42. Professional Negligence
State preemption
substance abuse treatment
malpractice
law concerned with public wrongs against society

43. PII
Patient Identifiable Information
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
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

44. Key entities
false and malicious writing about another
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 laws setting time limit for bringing a lawsuit
The body of laws made by states is their own statutory laws

45. Transmission of information between two parties fro financial or administrative activities.
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
illegal touching of another person
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Transaction

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

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47. A reason for each use and disclosure of patient information.
Permission
purpose - pride - patience - persistence - perspective
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
concerns noncriminal disputes between private parties

48. Computes and HIPAA
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
false and malicious writing about another
addresses portability of insurance coverage when employees change or lose their jobs
same legal standards apply to all patient records whether on paper or computer

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

50. Includes records maintained by or for a covered entity.
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Designated record set
a contract that comes about from the actions of the parties rather than words