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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. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Insurance portability - administrative simplification - privacy and security
What types of disclosures do not require patient permission?
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.
Covered transactions
2. Professional Negligence
Tort
malpractice
What types of disclosures do not require patient permission?
Permission
3. A general HIPAA requirement
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Standard
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
4. Medical records used for health care research
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5. Ethics
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
the philosophical study of moral values and rules - conducts
should only be used when no other - more secure mode of transmission is available
regular - in a secure location
6. Policies and procedures use to protect electronic information from unauthorized access
Security
Rule
Minimum necessary
should never be released w/o a patient's signed consent or court order
7. Good samaritan law
false charges and malicious oral statements about someone
Minimum necessary
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
comes on after a few idle seconds and the use of a privacy screen should be mandatory
8. Civil law
concerns noncriminal disputes between private parties
Covered transactions
a contract that comes about from the actions of the parties rather than words
have a unique password and it should be changed frequently
9. Sending information over electronic networks.
generally only patient can auth release of own medical record - there are a few exceptions
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
The body of laws made by states is their own statutory laws
Electronic transmission
10. A written document detailing a health care provider's privacy practices.
Notice of Privacy Practices (NPP)
Invasion of Privacy Publishing
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
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
11. Verify the identification of anyone requesting patient information.
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
Verification
Ethical
security rule
12. Business Associate Agreements applies to...
treatment - payment - & healthcare operations
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
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
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
13. Any set of codes use to encode health care data elements.
the philosophical study of moral values and rules - conducts
Code sets
located in a secured and private space
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.
14. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
Individually Identifiable 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
Code sets
security rule
15. 4d's of negligence
Minimum necessary
Tort
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
Code sets
16. Disabilities act
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17. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
addresses portability of insurance coverage when employees change or lose their jobs
Regulations
must be reported to authorities by law
concerns noncriminal disputes between private parties
18. Statue of limitations
Tort
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
state laws setting time limit for bringing a lawsuit
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
19. Any wrongdoing for which an action for damages may be brought
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
treatment - payment - & healthcare operations
Tort
Treatment - payment and health care operations (TPO)
20. Reportable diseases...
Electronic transmission
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
need to know
must be reported to authorities by law
21. Privacy Officer
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
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Invasion of Privacy Publishing
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
22. Medical records can be released w/o consent to...
Portability
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
need to know
treatment - payment - & healthcare operations
23. Disclosure without Consent
Permission
only those who meed to know should have access to patient information
although medical records are confidential - there are times when they can be released w/o a patient consent.
the philosophical study of moral values and rules - conducts
24. Key entities
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
Limited data set
located in a secured and private space
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
25. Misfeasance
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
De-Identified Information
improper performance of an otherwise lawful act. civil
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
26. Who regulates HIPAA?
U.S. goverment
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Standard
27. EPHI
Electronic Protected Health Information
Examples of PHI
need to know
although medical records are confidential - there are times when they can be released w/o a patient consent.
28. The computer screen should have a screensaver that...
have a unique password and it should be changed frequently
Portability
Privacy
comes on after a few idle seconds and the use of a privacy screen should be mandatory
29. PII
Invasion of Privacy Publishing
need to know
State preemption
Patient Identifiable Information
30. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Portability
U.S. goverment
improper performance of an otherwise lawful act. civil
a minor - rather than the parent - must sign the release of patient information
31. NPP
addresses portability of insurance coverage when employees change or lose their jobs
Ethical
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Notice of Privacy Practices
32. HI
Health Information
have a unique password and it should be changed frequently
Individually Identifiable Health Information
Standard
33. The limited amount of patient information to be disclosed - depending on circumstances.
Minimum necessary
security rule
the philosophical study of moral values and rules - conducts
Limited data set
34. Under some circumstances ...
a minor - rather than the parent - must sign the release of patient information
Patient
Insurance portability - administrative simplification - privacy and security
Electronic transmission
35. Title I of HIPAA
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Security
Ethical
addresses portability of insurance coverage when employees change or lose their jobs
36. De-Identified Information
must be reported to authorities by law
Designated record set
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Minimum necessary
37. 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)
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Individually Identifiable Health Information
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
38. Freedom from unauthorized intrusion
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
concerns noncriminal disputes between private parties
Privacy
Examples of PHI
39. Bioethics
Notice of Privacy Practices (NPP)
located in a secured and private space
U.S. goverment
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
40. Protected Health Information (PHI)
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
substance abuse treatment
A written set of questions requiring written answers from a plaintiff or defendant under oath
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.
41. Emancipated minors
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42. In order for a fax document to be HIPAA compliant...
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43. Document that includes the standards
Rule
The body of laws made by states is their own statutory laws
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
44. Hardware or software designed to prevent unauthorized access to electronic information.
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
Portability
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Firewalls
45. Clearinghouse
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 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
Notice of Privacy Practices
testimony under oath
46. Includes records maintained by or for a covered entity.
same legal standards apply to all patient records whether on paper or computer
Notice of Privacy Practices
Designated record set
Ethical
47. 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
a minor - rather than the parent - must sign the release of patient information
Electronic transmission
improper performance of an otherwise lawful act. civil
Covered entities
48. General exceptions for releasing patient information
Patient Identifiable 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
illegal touching of another person
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
49. Subpoenas
Individually Identifiable Health Information
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
a minor - rather than the parent - must sign the release of patient information
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. Unlawful act done without permission.
Designated record set
Malfeasance
purpose - pride - patience - persistence - perspective
regular - in a secure location