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HIPAA

Instructions:

Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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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
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
addresses portability of insurance coverage when employees change or lose their jobs
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
De-Identified Information

2. Patient records are _____________ so not all staff will have access.
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
need to know
State preemption

3. Protected Health Information (PHI)
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Privacy
located in a secured and private space
Electronic Protected Health Information

4. Statutory
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
have a unique password and it should be changed frequently
The body of laws made by states is their own statutory laws
Electronic transmission

5. A written document detailing a health care provider's privacy practices.
Notice of Privacy Practices (NPP)
should never be released w/o a patient's signed consent or court order
Individually Identifiable 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

6. Disclosure without Consent
although medical records are confidential - there are times when they can be released w/o a patient consent.
State preemption
security rule
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

7. The person recieving treatment
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
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
Patient

8. Fax machines
addresses portability of insurance coverage when employees change or lose their jobs
Portability
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
should only be used when no other - more secure mode of transmission is available

9. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
State preemption
Privacy
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
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

10. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
law that permits a person w/ a legal age and sound mind to give their body to donation
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

11. Any wrongdoing for which an action for damages may be brought
Tort
State preemption
illegal touching of another person
Encryption

12. Key entities
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
law concerned with public wrongs against society
Ethical
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

13. Under some circumstances ...
a contract that comes about from the actions of the parties rather than words
purpose - pride - patience - persistence - perspective
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
a minor - rather than the parent - must sign the release of patient information

14. Fax Machines and HIPAA
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Firewalls
Invasion of Privacy Publishing
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

15. Confidentiality

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16. Ethics
law concerned with public wrongs against society
the philosophical study of moral values and rules - conducts
Rule
false and malicious writing about another

17. Document that includes the standards
Rule
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Electronic data interchange
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

18. Good samaritan law
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
a contract that comes about from the actions of the parties rather than words
located in a secured and private space
Regulations

19. Policies and procedures use to protect electronic information from unauthorized access
Electronic transmission
Security
Verification
Ethical

20. Statue of limitations
Notice of Privacy Practices (NPP)
state laws setting time limit for bringing a lawsuit
Covered transactions
Limited data set

21. Implied contract
Covered entities
A written set of questions requiring written answers from a plaintiff or defendant under oath
a contract that comes about from the actions of the parties rather than words
substance abuse treatment

22. Emancipated minors

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23. Who regulates HIPAA?
Verification
U.S. goverment
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Health Information

24. 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
Portability
Covered entities
Firewalls
illegal touching of another person

25. Sending information over electronic networks.
malpractice
Privacy
Electronic transmission
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

26. The use of uniform electronic network protocols to transfer business information between organizations.
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
illegal touching of another person
Electronic data interchange
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

27. What information do patients NOT have access to?
Electronic data interchange
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
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
purpose - pride - patience - persistence - perspective

28. 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.
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.
only those who meed to know should have access to patient information
Examples of PHI
Privacy

29. Battery
testimony under oath
illegal touching of another person
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
concerns noncriminal disputes between private parties

30. De-Identified Information
should never be released w/o a patient's signed consent or court order
security rule
Ethical
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

31. Subpoenas
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.
concerns noncriminal disputes between private parties
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Electronic transmission

32. EPHI
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
Individually Identifiable Health 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

33. Advanced directives
should never be released w/o a patient's signed consent or court order
treatment - payment - & healthcare operations
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 charges and malicious oral statements about someone

34. Some state laws specifically protect __________. A patient would need to sign a specific request.
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Regulations
malpractice
false charges and malicious oral statements about someone

35. DII
Regulations
testimony under oath
De-Identified Information
Electronic transmission

36. interrogatory
A written set of questions requiring written answers from a plaintiff or defendant under oath
Insurance portability - administrative simplification - privacy and security
Health Information
same legal standards apply to all patient records whether on paper or computer

37. Uniform anotomical gift act
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
law that permits a person w/ a legal age and sound mind to give their body to donation
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
Notice of Privacy Practices

38. Business Associate Agreements applies to...
Encryption
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
Standard
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

39. Implied consent
Rule
Health Information
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
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.

40. Coded information that can't be read until is decoded.
Encryption
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
Permission
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

41. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
purpose - pride - patience - persistence - perspective
concerns noncriminal disputes between private parties
a contract that comes about from the actions of the parties rather than words
Covered transactions

42. Misfeasance
Treatment - payment and health care operations (TPO)
law concerned with public wrongs against society
improper performance of an otherwise lawful act. civil
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

43. Bioethics
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
a minor - rather than the parent - must sign the release of patient information
same legal standards apply to all patient records whether on paper or computer
Ethical

44. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Covered entities
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Patient Identifiable Information
Regulations

45. PII
Patient Identifiable 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
only those who meed to know should have access to patient information
Code sets

46. A general HIPAA requirement
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
The body of laws made by states is their own statutory laws
Permission
Standard

47. NPP
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
Standard
Notice of Privacy Practices
The body of laws made by states is their own statutory laws

48. Data must be backed up at ___________ and those back-up files should be stored ________.
Rule
Transaction
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
regular - in a secure location

49. General exceptions for releasing patient information
Encryption
Covered entities
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
although medical records are confidential - there are times when they can be released w/o a patient consent.

50. Releasing patient information
Electronic transmission
generally only patient can auth release of own medical record - there are a few exceptions
What types of disclosures do not require patient permission?
Individually Identifiable Health Information

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HIPAA

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