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. Misfeasance
a minor - rather than the parent - must sign the release of patient information
improper performance of an otherwise lawful act. civil
De-Identified Information
should only be used when no other - more secure mode of transmission is available

2. What information do patients NOT have access to?
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
addresses portability of insurance coverage when employees change or lose their jobs
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
What types of disclosures do not require patient permission?

3. Implied contract
a contract that comes about from the actions of the parties rather than words
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
have a unique password and it should be changed frequently
addresses portability of insurance coverage when employees change or lose their jobs

4. EPHI
purpose - pride - patience - persistence - perspective
Electronic Protected Health 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
a contract that comes about from the actions of the parties rather than words

5. Under some 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
Tort
a minor - rather than the parent - must sign the release of patient information
Verification

6. Civil law
Covered transactions
Insurance portability - administrative simplification - privacy and security
concerns noncriminal disputes between private parties
have a unique password and it should be changed frequently

7. Who regulates HIPAA?
purpose - pride - patience - persistence - perspective
U.S. goverment
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
a contract that comes about from the actions of the parties rather than words

8. The person recieving treatment
Examples of PHI
a contract that comes about from the actions of the parties rather than words
Notice of Privacy Practices
Patient

9. 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.
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
improper performance of an otherwise lawful act. civil
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

10. Fax machines
Notice of Privacy Practices (NPP)
comes on after a few idle seconds and the use of a privacy screen should be mandatory
should only be used when no other - more secure mode of transmission is available
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

11. HIPAA
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
should only be used when no other - more secure mode of transmission is available
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

12. The use of uniform electronic network protocols to transfer business information between organizations.
Electronic data interchange
Encryption
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

13. 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
Patient rights under HIPAA
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
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)

14. making known - or using information relating to the private life or affairs of a person without their approval or permission
Invasion of Privacy Publishing
Notice of Privacy Practices (NPP)
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
treatment - payment - & healthcare operations

15. Any set of codes use to encode health care data elements.
Code sets
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
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
same legal standards apply to all patient records whether on paper or computer

16. Titile II of HIPAA
law that permits a person w/ a legal age and sound mind to give their body to donation
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
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. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
improper performance of an otherwise lawful act. civil
Covered transactions
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

18. Common law
Permission
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
false and malicious writing about another
Regulations

19. Subpoenas
Patient Identifiable Information
should never be released w/o a patient's signed consent or court order
need to know
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

20. Libel
need to know
illegal touching of another person
only those who meed to know should have access to patient information
false and malicious writing about another

21. HIPAA states...
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
security rule
Permission
only those who meed to know should have access to patient information

22. 5P's of ethical power
false charges and malicious oral statements about someone
Privacy
a contract that comes about from the actions of the parties rather than words
purpose - pride - patience - persistence - perspective

23. Reportable diseases...
treatment - payment - & healthcare operations
must be reported to authorities by law
Patient rights under HIPAA
regular - in a secure location

24. All persons who will have access are required to...
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
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
Insurance portability - administrative simplification - privacy and security
have a unique password and it should be changed frequently

25. Computes and HIPAA
same legal standards apply to all patient records whether on paper or computer
Treatment - payment and health care operations (TPO)
Tort
concerns noncriminal disputes between private parties

26. Coded information that can't be read until is decoded.
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
purpose - pride - patience - persistence - perspective
should never be released w/o a patient's signed consent or court order
Encryption

27. Some state laws specifically protect __________. A patient would need to sign a specific request.
Patient Identifiable Information
Portability
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
regular - in a secure location

28. Criminal law
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
security rule
false and malicious writing about another
law concerned with public wrongs against society

29. 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.
Treatment - payment and health care operations (TPO)
concerns noncriminal disputes between private parties
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Standard

30. 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
Notice of Privacy Practices (NPP)
Covered entities
De-Identified Information
need to know

31. Medical records can be released w/o consent to...
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.
Firewalls
The body of laws made by states is their own statutory laws
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

32. Disabilities act

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33. 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
Individually Identifiable Health Information
Notice of Privacy Practices (NPP)
addresses portability of insurance coverage when employees change or lose their jobs

34. TPO
false and malicious writing about another
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
treatment - payment - & healthcare operations
although medical records are confidential - there are times when they can be released w/o a patient consent.

35. Verify the identification of anyone requesting patient information.
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
state laws setting time limit for bringing a lawsuit
Verification
Standard

36. Data must be backed up at ___________ and those back-up files should be stored ________.
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
regular - in a secure location
Regulations

37. 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.
purpose - pride - patience - persistence - perspective
Examples of PHI
must be reported to authorities by law
What types of disclosures do not require patient permission?

38. Slander
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
false charges and malicious oral statements about someone
Transaction
Patient

39. Medical records used for health care research

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40. Protected Health Information (PHI)
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Electronic data interchange
Electronic Protected Health Information
Privacy

41. Hardware or software designed to prevent unauthorized access to electronic information.
should only be used when no other - more secure mode of transmission is available
treatment - payment - & healthcare operations
false and malicious writing about another
Firewalls

42. Professional Negligence
malpractice
Patient rights under HIPAA
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
only those who meed to know should have access to patient information

43. Business Associate Agreements applies to...
Electronic transmission
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.
Electronic Protected Health 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

44. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Ethical
Regulations
need to know
should never be released w/o a patient's signed consent or court order

45. Disclosure without Consent
although medical records are confidential - there are times when they can be released w/o a patient consent.
Privacy
substance abuse treatment
addresses portability of insurance coverage when employees change or lose their jobs

46. Bioethics
Individually Identifiable Health 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.
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
regular - in a secure location

47. Patient records are _____________ so not all staff will have access.
need to know
Regulations
Portability
treatment - payment - & healthcare operations

48. Releasing patient information
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
should only be used when no other - more secure mode of transmission is available
Ethical

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

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50. Ethics
Examples of PHI
law that permits a person w/ a legal age and sound mind to give their body to donation
testimony under oath
the philosophical study of moral values and rules - conducts