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. Who regulates HIPAA?
Treatment - payment and health care operations (TPO)
addresses portability of insurance coverage when employees change or lose their jobs
U.S. goverment
Electronic data interchange

2. 4d's of negligence
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
concerns noncriminal disputes between private parties
addresses portability of insurance coverage when employees change or lose their jobs

3. Disclosure without Consent
the philosophical study of moral values and rules - conducts
substance abuse treatment
although medical records are confidential - there are times when they can be released w/o a patient consent.
Electronic data interchange

4. Verify the identification of anyone requesting patient information.
Designated record set
located in a secured and private space
Verification
Security

5. De-Identified Information
Verification
concerns noncriminal disputes between private parties
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
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

6. Under some circumstances ...
improper performance of an otherwise lawful act. civil
a minor - rather than the parent - must sign the release of patient information
Examples of PHI
have a unique password and it should be changed frequently

7. Data must be backed up at ___________ and those back-up files should be stored ________.
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Insurance portability - administrative simplification - privacy and security
regular - in a secure location
Designated record set

8. General exceptions for releasing patient information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
the philosophical study of moral values and rules - conducts

9. Releasing patient information
false and malicious writing about another
Insurance portability - administrative simplification - privacy and security
illegal touching of another person
generally only patient can auth release of own medical record - there are a few exceptions

10. A written document detailing a health care provider's 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
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Notice of Privacy Practices (NPP)
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

11. 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
Treatment - payment and health care operations (TPO)
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.

12. Privacy Officer
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Treatment - payment and health care operations (TPO)
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
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

13. Patient records are _____________ so not all staff will have access.
regular - in a secure location
A written set of questions requiring written answers from a plaintiff or defendant under oath
need to know
although medical records are confidential - there are times when they can be released w/o a patient consent.

14. Uniform anotomical gift act
only those who meed to know should have access to patient information
Privacy
law that permits a person w/ a legal age and sound mind to give their body to donation
Individually Identifiable Health Information

15. NPP
Transaction
Notice of Privacy Practices
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Individually Identifiable Health Information

16. 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
Patient rights under HIPAA
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
addresses portability of insurance coverage when employees change or lose their jobs
Covered entities

17. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
Electronic data interchange
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Examples of PHI
State preemption

18. EPHI
concerns noncriminal disputes between private parties
Electronic Protected Health Information
Firewalls
although medical records are confidential - there are times when they can be released w/o a patient consent.

19. Negligence
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Verification
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Code sets

20. Implied contract
have a unique password and it should be changed frequently
a contract that comes about from the actions of the parties rather than words
What types of disclosures do not require patient permission?
only those who meed to know should have access to patient information

21. 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.
Limited data set
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Examples of PHI

22. Slander
Firewalls
false charges and malicious oral statements about someone
Minimum necessary
false and malicious writing about another

23. Document that includes the standards
Rule
testimony under oath
Security
U.S. goverment

24. Business Associate Agreements applies to...
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
illegal touching of another person
Tort

25. Medical records used for health care research

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26. The computer screen should have a screensaver that...
Limited data set
need to know
comes on after a few idle seconds and the use of a privacy screen should be mandatory
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

27. Includes records maintained by or for a covered entity.
Electronic Protected Health Information
Designated record set
must be reported to authorities by law
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

28. Statue of limitations
state laws setting time limit for bringing a lawsuit
Covered transactions
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
generally only patient can auth release of own medical record - there are a few exceptions

29. Coded information that can't be read until is decoded.
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
The body of laws made by states is their own statutory laws
Invasion of Privacy Publishing
Encryption

30. Title I of HIPAA
Security
malpractice
addresses portability of insurance coverage when employees change or lose their jobs
Standard

31. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Regulations
State preemption
purpose - pride - patience - persistence - perspective
Transaction

32. TPO
security rule
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
treatment - payment - & healthcare operations
false charges and malicious oral statements about someone

33. What are the 3 purposes of HIPAA?
a contract that comes about from the actions of the parties rather than words
Insurance portability - administrative simplification - privacy and security
Code sets
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

34. 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
The body of laws made by states is their own statutory laws
Electronic Protected Health Information
Health Information
Patient rights under HIPAA

35. Any set of codes use to encode health care data elements.
state laws setting time limit for bringing a lawsuit
substance abuse treatment
Code sets
Permission

36. Libel
false and malicious writing about another
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
illegal touching of another person
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

37. Doctor release of patient
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Invasion of Privacy Publishing
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Malfeasance

38. 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
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
concerns noncriminal disputes between private parties
Portability

39. Misfeasance
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Firewalls
improper performance of an otherwise lawful act. civil
purpose - pride - patience - persistence - perspective

40. Battery
concerns noncriminal disputes between private parties
illegal touching of another person
Encryption
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. Conforming to proper professional behavior
testimony under oath
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
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
Ethical

42. Federal law protects patient records dealing with...
the philosophical study of moral values and rules - conducts
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Standard
substance abuse treatment

43. Implied 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
Privacy
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
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.

44. Some state laws specifically protect __________. A patient would need to sign a specific request.
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
Portability
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
addresses portability of insurance coverage when employees change or lose their jobs

45. Any wrongdoing for which an action for damages may be brought
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
law concerned with public wrongs against society
Standard
Tort

46. Freedom from unauthorized intrusion
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
Designated record set
Privacy
a minor - rather than the parent - must sign the release of patient information

47. Good samaritan law
must be reported to authorities by law
Malfeasance
Standard
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

48. Ethics
false and malicious writing about another
the philosophical study of moral values and rules - conducts
Transaction
Invasion of Privacy Publishing

49. HIPAA
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Privacy
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
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

50. interrogatory
located in a secured and private space
A written set of questions requiring written answers from a plaintiff or defendant under oath
although medical records are confidential - there are times when they can be released w/o a patient consent.
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