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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. Implied contract
concerns noncriminal disputes between private parties
a minor - rather than the parent - must sign the release of patient information
a contract that comes about from the actions of the parties rather than words
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
2. The computer screen should have a screensaver that...
Ethical
Verification
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
comes on after a few idle seconds and the use of a privacy screen should be mandatory
3. Transmission of information between two parties fro financial or administrative activities.
Transaction
a contract that comes about from the actions of the parties rather than words
Patient rights under HIPAA
Privacy
4. HI
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.
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
malpractice
5. Protected Health Information (PHI)
Privacy
Patient Identifiable Information
Rule
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
6. Under some circumstances ...
Minimum necessary
testimony under oath
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
a minor - rather than the parent - must sign the release of patient information
7. 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 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
Covered entities
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
false and malicious writing about another
8. OIG - Office of the Inspector General
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Electronic data interchange
De-Identified Information
9. Advanced directives
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
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Health Information
Individually Identifiable Health Information
10. Computes and HIPAA
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
same legal standards apply to all patient records whether on paper or computer
law that permits a person w/ a legal age and sound mind to give their body to donation
Designated record set
11. DII
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Examples of PHI
De-Identified Information
12. Statutory
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
although medical records are confidential - there are times when they can be released w/o a patient consent.
The body of laws made by states is their own statutory laws
Invasion of Privacy Publishing
13. Medical records can be released w/o consent to...
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
Covered 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
Security
14. 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
Malfeasance
testimony under oath
law that permits a person w/ a legal age and sound mind to give their body to donation
15. Titile II of HIPAA
A written set of questions requiring written answers from a plaintiff or defendant under oath
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Malfeasance
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
16. The use of uniform electronic network protocols to transfer business information between organizations.
Code sets
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
Electronic data interchange
17. Negligence
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Health Information
have a unique password and it should be changed frequently
Covered transactions
18. Fax Machines and HIPAA
a contract that comes about from the actions of the parties rather than words
located in a secured and private space
Electronic data interchange
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
19. De-Identified Information
State preemption
comes on after a few idle seconds and the use of a privacy screen should be mandatory
A written set of questions requiring written answers from a plaintiff or defendant under oath
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
20. IIHI
Individually Identifiable Health Information
false charges and malicious oral statements about someone
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
21. 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
Portability
Regulations
22. Verify the identification of anyone requesting patient information.
testimony under oath
Verification
addresses portability of insurance coverage when employees change or lose their jobs
Covered transactions
23. Federal law protects patient records dealing with...
Standard
a contract that comes about from the actions of the parties rather than words
substance abuse treatment
Patient rights under HIPAA
24. 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.
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
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
25. All persons who will have access are required to...
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Examples of PHI
Code sets
have a unique password and it should be changed frequently
26. Key entities
addresses portability of insurance coverage when employees change or lose their jobs
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
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
law concerned with public wrongs against society
27. Slander
false charges and malicious oral statements about someone
illegal touching of another person
De-Identified Information
addresses portability of insurance coverage when employees change or lose their jobs
28. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
testimony under oath
a contract that comes about from the actions of the parties rather than words
What types of disclosures do not require patient permission?
substance abuse treatment
29. Misfeasance
improper performance of an otherwise lawful act. civil
Individually Identifiable Health Information
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
Encryption
30. Privacy Officer
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
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
comes on after a few idle seconds and the use of a privacy screen should be mandatory
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
31. Freedom from unauthorized intrusion
Privacy
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
regular - in a secure location
32. NPP
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Notice of Privacy Practices
although medical records are confidential - there are times when they can be released w/o a patient consent.
Security
33. Ethics
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.
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Limited data set
the philosophical study of moral values and rules - conducts
34. Hardware or software designed to prevent unauthorized access to electronic information.
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Covered entities
regular - in a secure location
Firewalls
35. The person recieving treatment
need to know
substance abuse treatment
Verification
Patient
36. Medical records used for health care research
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37. Releasing patient information
generally only patient can auth release of own medical record - there are a few exceptions
Electronic transmission
Health Information
improper performance of an otherwise lawful act. civil
38. Protected health information from which certain patient identifiers have been removed
Limited data set
generally only patient can auth release of own medical record - there are a few exceptions
purpose - pride - patience - persistence - perspective
a contract that comes about from the actions of the parties rather than words
39. HIPAA states...
testimony under oath
Patient Identifiable Information
only those who meed to know should have access to patient information
Electronic data interchange
40. Any set of codes use to encode health care data elements.
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
testimony under oath
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Code sets
41. Conforming to proper professional behavior
Ethical
Health Information
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
a minor - rather than the parent - must sign the release of patient information
42. Coded information that can't be read until is decoded.
Encryption
Rule
security rule
false charges and malicious oral statements about someone
43. Uniform anotomical gift act
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
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
law that permits a person w/ a legal age and sound mind to give their body to donation
44. Who regulates HIPAA?
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
concerns noncriminal disputes between private parties
U.S. goverment
addresses portability of insurance coverage when employees change or lose their jobs
45. 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.
false charges and malicious oral statements about someone
law concerned with public wrongs against society
Examples of PHI
Electronic data interchange
46. Implied consent
same legal standards apply to all patient records whether on paper or computer
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.
the philosophical study of moral values and rules - conducts
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. A reason for each use and disclosure of patient information.
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Permission
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
48. Data must be backed up at ___________ and those back-up files should be stored ________.
Firewalls
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
regular - in a secure location
Notice of Privacy Practices
49. Reportable diseases...
concerns noncriminal disputes between private parties
Patient Identifiable Information
The body of laws made by states is their own statutory laws
must be reported to authorities by law
50. 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.
law concerned with public wrongs against society
Health Information
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Treatment - payment and health care operations (TPO)