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. Fax machines
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
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
should only be used when no other - more secure mode of transmission is available

2. interrogatory
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
Notice of Privacy Practices (NPP)
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.
A written set of questions requiring written answers from a plaintiff or defendant under oath

3. Statutory
a contract that comes about from the actions of the parties rather than words
the philosophical study of moral values and rules - conducts
Code sets
The body of laws made by states is their own statutory laws

4. The use of uniform electronic network protocols to transfer business information between organizations.
Electronic data interchange
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
What types of disclosures do not require patient permission?

5. Implied contract
treatment - payment - & healthcare operations
law concerned with public wrongs against society
The body of laws made by states is their own statutory laws
a contract that comes about from the actions of the parties rather than words

6. Medical records used for health care research

7. HIPAA states...
only those who meed to know should have access to patient information
regular - in a secure location
malpractice
state laws setting time limit for bringing a lawsuit

8. Doctor release of patient
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
improper performance of an otherwise lawful act. civil
malpractice
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

9. Policies and procedures use to protect electronic information from unauthorized access
should never be released w/o a patient's signed consent or court order
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
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Security

10. Sending information over electronic networks.
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Electronic transmission
Invasion of Privacy Publishing
Health Information

11. Data must be backed up at ___________ and those back-up files should be stored ________.
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
regular - in a secure location
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
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

12. A written document detailing a health care provider's privacy practices.
state laws setting time limit for bringing a lawsuit
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
Notice of Privacy Practices (NPP)
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

13. IIHI
state laws setting time limit for bringing a lawsuit
Individually Identifiable Health Information
substance abuse treatment
located in a secured and private space

14. 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.
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
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
malpractice

15. Who regulates HIPAA?
Patient Identifiable Information
concerns noncriminal disputes between private parties
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
U.S. goverment

16. What information do patients NOT have access to?
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
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.

17. Confidentiality

18. A reason for each use and disclosure of patient information.
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
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
Electronic data interchange
Permission

19. Slander
concerns noncriminal disputes between private parties
false charges and malicious oral statements about someone
Covered transactions
Permission

20. Key entities
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
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
De-Identified Information

21. Any wrongdoing for which an action for damages may be brought
Tort
need to know
Patient
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

22. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Individually Identifiable Health Information
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Covered transactions
a minor - rather than the parent - must sign the release of patient information

23. Battery
illegal touching of another person
Examples of PHI
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
Portability

24. NPP
false and malicious writing about another
have a unique password and it should be changed frequently
Notice of Privacy Practices
Invasion of Privacy Publishing

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

26. Coded information that can't be read until is decoded.
Designated record set
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
Encryption

27. Criminal law
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
law concerned with public wrongs against society
should never be released w/o a patient's signed consent or court order
Portability

28. Hardware or software designed to prevent unauthorized access to electronic information.
Health Information
Firewalls
Patient Identifiable Information
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

29. OIG - Office of the Inspector General
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Standard
Permission
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

30. Includes records maintained by or for a covered entity.
Designated record set
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Notice of Privacy Practices
A written set of questions requiring written answers from a plaintiff or defendant under oath

31. Under some circumstances ...
illegal touching of another person
Transaction
a minor - rather than the parent - must sign the release of patient information
Security

32. 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.
Treatment - payment and health care operations (TPO)
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.
have a unique password and it should be changed frequently
Examples of PHI

33. Common law
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
should never be released w/o a patient's signed consent or court order
need to know
Notice of Privacy Practices

34. Bioethics
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
Portability
Ethical

35. Some state laws specifically protect __________. A patient would need to sign a specific request.
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Notice of Privacy Practices
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

36. Negligence
should only be used when no other - more secure mode of transmission is available
security rule
Portability
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

37. Civil law
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
concerns noncriminal disputes between private parties
Examples of PHI
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

38. The limited amount of patient information to be disclosed - depending on circumstances.
Tort
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
Minimum necessary
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. Verify the identification of anyone requesting patient information.
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Insurance portability - administrative simplification - privacy and security
The body of laws made by states is their own statutory laws
Verification

40. Fax Machines and HIPAA
although medical records are confidential - there are times when they can be released w/o a patient consent.
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
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

41. Freedom from unauthorized intrusion
Patient Identifiable Information
improper performance of an otherwise lawful act. civil
Privacy
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

42. Title I of HIPAA
Portability
Standard
addresses portability of insurance coverage when employees change or lose their jobs
Tort

43. Ethics
the philosophical study of moral values and rules - conducts
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
generally only patient can auth release of own medical record - there are a few exceptions
State preemption

44. making known - or using information relating to the private life or affairs of a person without their approval or permission
Rule
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Invasion of Privacy Publishing
addresses portability of insurance coverage when employees change or lose their jobs

45. Computes and HIPAA
should never be released w/o a patient's signed consent or court order
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
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
same legal standards apply to all patient records whether on paper or computer

46. Business Associate Agreements applies to...
concerns noncriminal disputes between private parties
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
state laws setting time limit for bringing a lawsuit
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

47. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Portability
Privacy
Patient rights under HIPAA

48. 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
Patient
a minor - rather than the parent - must sign the release of patient information
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.

49. Misfeasance
improper performance of an otherwise lawful act. civil
addresses portability of insurance coverage when employees change or lose their jobs
substance abuse treatment
Ethical

50. Clearinghouse
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
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
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Standard