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Test your basic knowledge |
HIPAA
Start Test
Study First
Subjects
:
certifications
,
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. Statutory
Ethical
The body of laws made by states is their own statutory laws
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
addresses portability of insurance coverage when employees change or lose their jobs
2. Confidentiality
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3. Doctor release of patient
Code sets
Covered entities
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
A written set of questions requiring written answers from a plaintiff or defendant under oath
4. Misfeasance
improper performance of an otherwise lawful act. civil
Portability
De-Identified Information
Patient rights under HIPAA
5. Implied contract
Tort
regular - in a secure location
a contract that comes about from the actions of the parties rather than words
Covered transactions
6. What information do patients NOT have access to?
Electronic Protected Health Information
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Rule
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
7. Common law
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
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
false and malicious writing about another
Electronic Protected Health Information
8. Good samaritan law
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
Malfeasance
Patient
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
9. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
De-Identified Information
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Regulations
only those who meed to know should have access to patient information
10. Protected Health Information (PHI)
false charges and malicious oral statements about someone
purpose - pride - patience - persistence - perspective
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
same legal standards apply to all patient records whether on paper or computer
11. 4d's of negligence
Invasion of Privacy Publishing
same legal standards apply to all patient records whether on paper or computer
treatment - payment - & healthcare operations
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
12. Business Associate Agreements applies to...
What types of disclosures do not require patient permission?
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
Tort
Malfeasance
13. Computes and HIPAA
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
same legal standards apply to all patient records whether on paper or computer
only those who meed to know should have access to patient information
Designated record set
14. Verify the identification of anyone requesting patient 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
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Insurance portability - administrative simplification - privacy and security
Verification
15. 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.
Minimum necessary
Treatment - payment and health care operations (TPO)
should never be released w/o a patient's signed consent or court order
Security
16. Uniform anotomical gift act
Patient
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
improper performance of an otherwise lawful act. civil
law that permits a person w/ a legal age and sound mind to give their body to donation
17. Medical records used for health care research
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18. Unlawful act done without permission.
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
Electronic Protected Health Information
Malfeasance
the philosophical study of moral values and rules - conducts
19. Medical records can be released w/o consent to...
State preemption
treatment - payment - & healthcare operations
Designated record set
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
20. NPP
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
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
addresses portability of insurance coverage when employees change or lose their jobs
21. OIG - Office of the Inspector General
De-Identified Information
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
regular - in a secure location
only those who meed to know should have access to patient information
22. Criminal law
law concerned with public wrongs against society
Verification
Limited data set
generally only patient can auth release of own medical record - there are a few exceptions
23. making known - or using information relating to the private life or affairs of a person without their approval or permission
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Covered transactions
Electronic Protected Health Information
Invasion of Privacy Publishing
24. Implied consent
Examples of PHI
must be reported to authorities by law
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written 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.
25. 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
Permission
Patient rights under HIPAA
treatment - payment - & healthcare operations
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
26. Libel
Covered transactions
false and malicious writing about another
Regulations
the philosophical study of moral values and rules - conducts
27. Professional Negligence
security rule
generally only patient can auth release of own medical record - there are a few exceptions
malpractice
illegal touching of another person
28. Sending information over electronic networks.
Electronic transmission
state laws setting time limit for bringing a lawsuit
need to know
addresses portability of insurance coverage when employees change or lose their jobs
29. Releasing patient information
Security
Patient rights under HIPAA
Malfeasance
generally only patient can auth release of own medical record - there are a few exceptions
30. Clearinghouse
located in a secured and private space
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
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
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
31. A general HIPAA requirement
law that permits a person w/ a legal age and sound mind to give their body to donation
generally only patient can auth release of own medical record - there are a few exceptions
Electronic Protected Health Information
Standard
32. Bioethics
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Regulations
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
security rule
33. In order for a fax document to be HIPAA compliant...
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34. IIHI
Covered transactions
although medical records are confidential - there are times when they can be released w/o a patient consent.
Individually Identifiable Health Information
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
35. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
State preemption
Covered transactions
improper performance of an otherwise lawful act. civil
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
36. What are the 3 purposes of HIPAA?
State preemption
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Insurance portability - administrative simplification - privacy and security
37. Hardware or software designed to prevent unauthorized access to electronic information.
Health Information
Electronic Protected Health Information
Patient
Firewalls
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
state laws setting time limit for bringing a lawsuit
generally only patient can auth release of own medical record - there are a few exceptions
Covered entities
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
39. Protected health information from which certain patient identifiers have been removed
Rule
Limited data set
the philosophical study of moral values and rules - conducts
although medical records are confidential - there are times when they can be released w/o a patient consent.
40. 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.
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Rule
Examples of PHI
41. Policies and procedures use to protect electronic information from unauthorized access
although medical records are confidential - there are times when they can be released w/o a patient consent.
Notice of Privacy Practices
false charges and malicious oral statements about someone
Security
42. interrogatory
Notice of Privacy Practices (NPP)
A written set of questions requiring written answers from a plaintiff or defendant under oath
Notice of Privacy Practices
same legal standards apply to all patient records whether on paper or computer
43. Who regulates HIPAA?
U.S. goverment
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
44. TPO
testimony under oath
treatment - payment - & healthcare operations
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.
must be reported to authorities by law
45. DII
De-Identified Information
Covered entities
Security
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
46. Advanced directives
only those who meed to know should have access to patient information
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Malfeasance
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
47. Under some circumstances ...
Treatment - payment and health care operations (TPO)
a minor - rather than the parent - must sign the release of patient information
need to know
only those who meed to know should have access to patient information
48. Patient records are _____________ so not all staff will have access.
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.
need to know
substance abuse 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
49. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
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 rights under HIPAA
a minor - rather than the parent - must sign the release of patient information
Portability
50. Deposition
comes on after a few idle seconds and the use of a privacy screen should be mandatory
treatment - payment - & healthcare operations
Tort
testimony under oath