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. OIG - Office of the Inspector General
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Electronic transmission
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

2. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
Firewalls
What types of disclosures do not require patient permission?
Examples of PHI
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

3. Reportable diseases...
must be reported to authorities by law
a contract that comes about from the actions of the parties rather than words
treatment - payment - & healthcare operations
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

4. Common law
generally only patient can auth release of own medical record - there are a few exceptions
De-Identified Information
law concerned with public wrongs against society
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

5. Titile II of HIPAA
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
Electronic Protected Health Information
addresses portability of insurance coverage when employees change or lose their jobs

6. Libel
false and malicious writing about another
should never be released w/o a patient's signed consent or court order
U.S. goverment
law concerned with public wrongs against society

7. The person recieving treatment
Patient Identifiable Information
substance abuse treatment
Treatment - payment and health care operations (TPO)
Patient

8. NPP
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
concerns noncriminal disputes between private parties
Rule
Notice of Privacy Practices

9. Fax Machines and HIPAA
Portability
only those who meed to know should have access to patient 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
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

10. De-Identified Information
Ethical
a contract that comes about from the actions of the parties rather than words
need to know
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

11. Transmission of information between two parties fro financial or administrative activities.
comes on after a few idle seconds and the use of a privacy screen should be mandatory
must be reported to authorities by law
Transaction
State preemption

12. Policies and procedures use to protect electronic information from unauthorized access
generally only patient can auth release of own medical record - there are a few exceptions
Security
U.S. goverment
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.

13. 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
although medical records are confidential - there are times when they can be released w/o a patient consent.
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
Portability
Covered entities

14. Includes records maintained by or for a covered entity.
Designated record set
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
same legal standards apply to all patient records whether on paper or computer
Transaction

15. Negligence
a contract that comes about from the actions of the parties rather than words
must be reported to authorities by law
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Transaction

16. PII
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Patient Identifiable Information
State preemption

17. Patient records are _____________ so not all staff will have access.
Electronic Protected Health Information
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 discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
need to know

18. Statue of limitations
should never be released w/o a patient's signed consent or court order
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
state laws setting time limit for bringing a lawsuit

19. Privacy Officer
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
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
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

20. Any wrongdoing for which an action for damages may be brought
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Tort
should only be used when no other - more secure mode of transmission is available
Verification

21. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Patient
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
Portability
Permission

22. A reason for each use and disclosure of patient information.
Permission
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

23. 5P's of ethical power
Designated record set
false and malicious writing about another
have a unique password and it should be changed frequently
purpose - pride - patience - persistence - perspective

24. Battery
treatment - payment - & healthcare operations
illegal touching of another person
Rule
Electronic Protected Health Information

25. Ethics
Patient Identifiable Information
the philosophical study of moral values and rules - conducts
should never be released w/o a patient's signed consent or court order
Verification

26. Clearinghouse
security rule
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
testimony under oath
Verification

27. Freedom from unauthorized intrusion
addresses portability of insurance coverage when employees change or lose their jobs
Ethical
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Privacy

28. HIPAA compliance mandates that computer systems must be...
Transaction
located in a secured and private space
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
testimony under oath

29. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
Invasion of Privacy Publishing
substance abuse treatment
security rule
comes on after a few idle seconds and the use of a privacy screen should be mandatory

30. Protected health information from which certain patient identifiers have been removed
Encryption
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Rule
Limited data set

31. Medical records used for health care research

32. making known - or using information relating to the private life or affairs of a person without their approval or permission
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
the philosophical study of moral values and rules - conducts
Invasion of Privacy Publishing
Code sets

33. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Covered transactions
although medical records are confidential - there are times when they can be released w/o a patient consent.
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Security

34. 4d's of negligence
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
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
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

35. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Regulations
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Covered entities

36. Conforming to proper professional behavior
Permission
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
Ethical

37. Civil law
Health Information
law concerned with public wrongs against society
concerns noncriminal disputes between private parties
Standard

38. interrogatory
Verification
A written set of questions requiring written answers from a plaintiff or defendant under oath
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
although medical records are confidential - there are times when they can be released w/o a patient consent.

39. Implied contract
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Standard
a contract that comes about from the actions of the parties rather than words
generally only patient can auth release of own medical record - there are a few exceptions

40. Disabilities act

41. Criminal law
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
treatment - payment - & healthcare operations
law concerned with public wrongs against society
Privacy

42. 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
Covered transactions
Notice of Privacy Practices (NPP)
only those who meed to know should have access to patient information

43. Disclosure without Consent
the philosophical study of moral values and rules - conducts
a minor - rather than the parent - must sign the release of patient information
although medical records are confidential - there are times when they can be released w/o a patient consent.
comes on after a few idle seconds and the use of a privacy screen should be mandatory

44. Advanced directives
false charges and malicious oral statements about someone
purpose - pride - patience - persistence - perspective
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
need to know

45. Verify the identification of anyone requesting patient information.
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
U.S. goverment
law concerned with public wrongs against society
Verification

46. A general HIPAA requirement
Rule
Standard
Malfeasance
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

47. 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
Rule
Code sets
located in a secured and private space

48. Good samaritan law
should only be used when no other - more secure mode of transmission is available
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
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

49. Professional Negligence
the philosophical study of moral values and rules - conducts
concerns noncriminal disputes between private parties
purpose - pride - patience - persistence - perspective
malpractice

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