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. Title I of HIPAA
Tort
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
addresses portability of insurance coverage when employees change or lose their jobs
Invasion of Privacy Publishing

2. Releasing patient information
generally only patient can auth release of own medical record - there are a few exceptions
Patient
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
De-Identified Information

3. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Regulations
Portability
Electronic Protected Health Information
Rule

4. 5P's of ethical power
Privacy
false charges and malicious oral statements about someone
Covered entities
purpose - pride - patience - persistence - perspective

5. Protected health information from which certain patient identifiers have been removed
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
generally only patient can auth release of own medical record - there are a few exceptions
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Limited data set

6. Criminal law
Notice of Privacy Practices (NPP)
Patient rights under HIPAA
law concerned with public wrongs against society
Encryption

7. Bioethics
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
should only be used when no other - more secure mode of transmission is available
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.
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

8. Doctor release of patient
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Verification
Designated record set

9. Policies and procedures use to protect electronic information from unauthorized access
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
A written set of questions requiring written answers from a plaintiff or defendant under oath
treatment - payment - & healthcare operations
Security

10. Protected Health Information (PHI)
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Insurance portability - administrative simplification - privacy and security
Rule

11. Patient records are _____________ so not all staff will have access.
need to know
Electronic Protected Health Information
a minor - rather than the parent - must sign the release of patient information
Privacy

12. NPP
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Encryption
Notice of Privacy Practices

13. Subpoenas
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
improper performance of an otherwise lawful act. civil
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

14. Confidentiality

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15. Libel
false and malicious writing about another
law that permits a person w/ a legal age and sound mind to give their body to donation
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Insurance portability - administrative simplification - privacy and security

16. Disclosure without Consent
Code sets
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
although medical records are confidential - there are times when they can be released w/o a patient consent.
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

17. Medical records used for health care research

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18. Medical records can be released w/o consent to...
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
U.S. goverment
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
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

19. Misfeasance
Verification
only those who meed to know should have access to patient information
Insurance portability - administrative simplification - privacy and security
improper performance of an otherwise lawful act. civil

20. DII
De-Identified Information
malpractice
A written set of questions requiring written answers from a plaintiff or defendant under oath
improper performance of an otherwise lawful act. civil

21. Data must be backed up at ___________ and those back-up files should be stored ________.
law concerned with public wrongs against society
Covered entities
regular - in a secure location
only those who meed to know should have access to patient information

22. 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
Code sets
U.S. goverment
Covered entities
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

23. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Covered transactions
Health Information
Firewalls
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

24. Implied contract
a contract that comes about from the actions of the parties rather than words
improper performance of an otherwise lawful act. civil
Designated record set
located in a secured and private space

25. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
security rule
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Patient rights under 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

26. Privacy Officer
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
Electronic Protected Health Information
Privacy

27. The computer screen should have a screensaver that...
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Electronic transmission
Standard
comes on after a few idle seconds and the use of a privacy screen should be mandatory

28. 4d's of negligence
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Notice of Privacy Practices (NPP)
Malfeasance
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

29. Document that includes the standards
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Rule
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
What types of disclosures do not require patient permission?

30. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
What types of disclosures do not require patient permission?
should never be released w/o a patient's signed consent or court order
illegal touching of another person
Individually Identifiable Health Information

31. Verify the identification of anyone requesting patient information.
a contract that comes about from the actions of the parties rather than words
Individually Identifiable Health Information
Verification
addresses portability of insurance coverage when employees change or lose their jobs

32. Disabilities act

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33. Fax Machines and HIPAA
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
U.S. goverment
Verification
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

34. Any wrongdoing for which an action for damages may be brought
addresses portability of insurance coverage when employees change or lose their jobs
Privacy
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Tort

35. HIPAA compliance mandates that computer systems must be...
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.
located in a secured and private space
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

36. Business Associate Agreements applies to...
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Patient
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

37. The person recieving treatment
treatment - payment - & healthcare operations
Patient
generally only patient can auth release of own medical record - there are a few exceptions
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

38. Federal law protects patient records dealing with...
Examples of PHI
substance abuse treatment
Encryption
a minor - rather than the parent - must sign the release of patient information

39. Slander
false charges and malicious oral statements about someone
Designated record set
De-Identified Information
Health Information

40. Computes and HIPAA
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
substance abuse treatment
Minimum necessary
same legal standards apply to all patient records whether on paper or computer

41. Freedom from unauthorized intrusion
Encryption
Privacy
Tort
De-Identified Information

42. A written document detailing a health care provider's privacy practices.
Portability
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.
Notice of Privacy Practices (NPP)
Individually Identifiable Health Information

43. Includes records maintained by or for a covered entity.
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
concerns noncriminal disputes between private parties
Designated record set
law concerned with public wrongs against society

44. PII
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Examples of PHI
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
Patient Identifiable Information

45. Sending information over electronic networks.
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
Security
substance abuse treatment
Electronic transmission

46. Some state laws specifically protect __________. A patient would need to sign a specific request.
Designated record set
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
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

47. What are the 3 purposes of HIPAA?
Insurance portability - administrative simplification - privacy and security
Privacy
Health Information
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

48. All persons who will have access are required to...
Permission
have a unique password and it should be changed frequently
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
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

49. Emancipated minors

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50. HIPAA states...
Treatment - payment and health care operations (TPO)
Patient
only those who meed to know should have access to patient information
a contract that comes about from the actions of the parties rather than words