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. HIPAA
treatment - payment - & healthcare operations
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Notice of Privacy Practices (NPP)

2. Freedom from unauthorized intrusion
Tort
Transaction
Privacy
have a unique password and it should be changed frequently

3. interrogatory
Rule
A written set of questions requiring written answers from a plaintiff or defendant under oath
The body of laws made by states is their own statutory laws
should never be released w/o a patient's signed consent or court order

4. 5P's of ethical power
testimony under oath
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
purpose - pride - patience - persistence - perspective
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

5. Bioethics
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
have a unique password and it should be changed frequently
Health Information
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

6. Conforming to proper professional behavior
security rule
Tort
Ethical
the philosophical study of moral values and rules - conducts

7. Hardware or software designed to prevent unauthorized access to electronic information.
Firewalls
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 minor - rather than the parent - must sign the release of patient information
need to know

8. What are the 3 purposes of HIPAA?
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
addresses portability of insurance coverage when employees change or lose their jobs
Insurance portability - administrative simplification - privacy and security
Code sets

9. All persons who will have access are required to...
Limited data set
although medical records are confidential - there are times when they can be released w/o a patient consent.
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
have a unique password and it should be changed frequently

10. What information do patients NOT have access to?
Privacy
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
although medical records are confidential - there are times when they can be released w/o a patient consent.
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

11. Battery
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
Firewalls
illegal touching of another person
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.

12. Misfeasance
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
improper performance of an otherwise lawful act. civil
malpractice
Limited data set

13. General exceptions for releasing patient information
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
security rule
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
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

14. Slander
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Code sets
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
false charges and malicious oral statements about someone

15. Disabilities act

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16. EPHI
regular - in a secure location
Electronic Protected Health Information
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
only those who meed to know should have access to patient information

17. Negligence
although medical records are confidential - there are times when they can be released w/o a patient consent.
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Individually Identifiable Health Information

18. The computer screen should have a screensaver that...
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
Permission
should never be released w/o a patient's signed consent or court order
comes on after a few idle seconds and the use of a privacy screen should be mandatory

19. Sending information over electronic networks.
The body of laws made by states is their own statutory laws
law concerned with public wrongs against society
Electronic transmission
located in a secured and private space

20. Medical records can be released w/o consent to...
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
malpractice
Treatment - payment and health care operations (TPO)

21. Medical records used for health care research

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22. Good samaritan law
Code sets
a contract that comes about from the actions of the parties rather than words
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
testimony under oath

23. Common law
have a unique password and it should be changed frequently
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Rule

24. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Notice of Privacy Practices (NPP)
Ethical
Portability
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

25. Emancipated minors

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26. Verify the identification of anyone requesting patient information.
Tort
should never be released w/o a patient's signed consent or court order
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Verification

27. HIPAA states...
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
only those who meed to know should have access to patient information
Patient rights under HIPAA
Insurance portability - administrative simplification - privacy and security

28. Any set of codes use to encode health care data elements.
Health Information
Code sets
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
improper performance of an otherwise lawful act. civil

29. Releasing patient information
substance abuse treatment
Designated record set
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
generally only patient can auth release of own medical record - there are a few exceptions

30. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
security rule
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
What types of disclosures do not require patient permission?
Individually Identifiable Health Information

31. Protected health information from which certain patient identifiers have been removed
Individually Identifiable Health Information
Tort
Limited data set
Electronic Protected Health Information

32. TPO
a minor - rather than the parent - must sign the release of patient information
treatment - payment - & healthcare operations
Tort
have a unique password and it should be changed frequently

33. Deposition
testimony under oath
addresses portability of insurance coverage when employees change or lose their jobs
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
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

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
law concerned with public wrongs against society
The body of laws made by states is their own statutory laws
Covered entities
Patient rights under HIPAA

35. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Designated record set
Regulations
purpose - pride - patience - persistence - perspective
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

36. Criminal law
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Limited data set
law concerned with public wrongs against society
Regulations

37. Implied contract
a contract that comes about from the actions of the parties rather than words
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Code sets
Covered entities

38. HI
Tort
U.S. goverment
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

39. HIPAA compliance mandates that computer systems must be...
located in a secured and private space
a minor - rather than the parent - must sign the release of patient information
Minimum necessary
Electronic transmission

40. The person recieving treatment
Patient
Covered transactions
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.
Patient Identifiable Information

41. Transmission of information between two parties fro financial or administrative activities.
Covered transactions
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Regulations
Transaction

42. Includes records maintained by or for a covered entity.
Designated record set
Security
Examples of PHI
Insurance portability - administrative simplification - privacy and security

43. Libel
Code sets
false and malicious writing about another
generally only patient can auth release of own medical record - there are a few exceptions
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

44. Professional Negligence
need to know
only those who meed to know should have access to patient information
malpractice
a minor - rather than the parent - must sign the release of patient information

45. Advanced directives
comes on after a few idle seconds and the use of a privacy screen should be mandatory
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
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
false and malicious writing about another

46. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Transaction
Covered transactions

47. 4d's of negligence
although medical records are confidential - there are times when they can be released w/o a patient consent.
Electronic Protected Health Information
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
Individually Identifiable Health Information

48. Clearinghouse
state laws setting time limit for bringing a lawsuit
treatment - payment - & healthcare operations
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
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

49. Civil law
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
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
A written set of questions requiring written answers from a plaintiff or defendant under oath
concerns noncriminal disputes between private parties

50. PII
regular - in a secure location
Patient Identifiable Information
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Tort