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. Medical records used for health care research

2. Titile II of HIPAA
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Privacy
concerns noncriminal disputes between private parties
Treatment - payment and health care operations (TPO)

3. HIPAA
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Minimum necessary
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
same legal standards apply to all patient records whether on paper or computer

4. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
State preemption
should never be released w/o a patient's signed consent or court order
false charges and malicious oral statements about someone
substance abuse treatment

5. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
security rule
Ethical

6. interrogatory
should never be released w/o a patient's signed consent or court order
A written set of questions requiring written answers from a plaintiff or defendant under oath
need to know
comes on after a few idle seconds and the use of a privacy screen should be mandatory

7. Includes records maintained by or for a covered entity.
Designated record set
substance abuse treatment
should only be used when no other - more secure mode of transmission is available
malpractice

8. Professional Negligence
Firewalls
need to know
malpractice
Individually Identifiable Health Information

9. Federal law protects patient records dealing with...
Insurance portability - administrative simplification - privacy and security
security rule
comes on after a few idle seconds and the use of a privacy screen should be mandatory
substance abuse treatment

10. What information do patients NOT have access to?
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
should never be released w/o a patient's signed consent or court order
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
Rule

11. Computes and HIPAA
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Electronic transmission
same legal standards apply to all patient records whether on paper or computer
need to know

12. The person recieving treatment
a contract that comes about from the actions of the parties rather than words
Treatment - payment and health care operations (TPO)
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Patient

13. Implied consent
Security
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.
improper performance of an otherwise lawful act. civil
Verification

14. De-Identified Information
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
improper performance of an otherwise lawful act. civil
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Rule

15. HI
Health Information
although medical records are confidential - there are times when they can be released w/o a patient consent.
Notice of Privacy Practices (NPP)
Rule

16. Protected health information from which certain patient identifiers have been removed
State preemption
Electronic transmission
Limited data set
Privacy

17. Unlawful act done without permission.
Malfeasance
The body of laws made by states is their own statutory laws
should only be used when no other - more secure mode of transmission is available
Tort

18. Statutory
Health Information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Code sets
The body of laws made by states is their own statutory laws

19. Any set of codes use to encode health care data elements.
Examples of PHI
Insurance portability - administrative simplification - privacy and security
U.S. goverment
Code sets

20. What are the 3 purposes of HIPAA?
Patient
security rule
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
Insurance portability - administrative simplification - privacy and security

21. Doctor release of patient
A written set of questions requiring written answers from a plaintiff or defendant under oath
Limited data set
only those who meed to know should have access to patient information
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

22. The use of uniform electronic network protocols to transfer business information between organizations.
purpose - pride - patience - persistence - perspective
Malfeasance
Electronic data interchange
Encryption

23. Deposition
Regulations
Firewalls
regular - in a secure location
testimony under oath

24. 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
a contract that comes about from the actions of the parties rather than words
Covered entities
regular - in a secure location
Patient rights under HIPAA

25. Slander
Examples of PHI
although medical records are confidential - there are times when they can be released w/o a patient consent.
false charges and malicious oral statements about someone
law that permits a person w/ a legal age and sound mind to give their body to donation

26. Misfeasance
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Privacy
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
improper performance of an otherwise lawful act. civil

27. Key entities
law that permits a person w/ a legal age and sound mind to give their body to donation
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
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
Minimum necessary

28. The limited amount of patient information to be disclosed - depending on circumstances.
Minimum necessary
a contract that comes about from the actions of the parties rather than words
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

29. Conforming to proper professional behavior
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
state laws setting time limit for bringing a lawsuit
Ethical
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

30. IIHI
Notice of Privacy Practices (NPP)
located in a secured and private space
testimony under oath
Individually Identifiable Health Information

31. HIPAA states...
state laws setting time limit for bringing a lawsuit
only those who meed to know should have access to patient information
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
generally only patient can auth release of own medical record - there are a few exceptions

32. Patient records are _____________ so not all staff will have access.
Rule
need to know
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
generally only patient can auth release of own medical record - there are a few exceptions

33. Protected Health Information (PHI)
Electronic Protected Health Information
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
treatment - payment - & healthcare operations
malpractice

34. The computer screen should have a screensaver that...
Electronic data interchange
illegal touching of another person
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
comes on after a few idle seconds and the use of a privacy screen should be mandatory

35. Data must be backed up at ___________ and those back-up files should be stored ________.
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
false and malicious writing about another
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
regular - in a secure location

36. Reportable diseases...
have a unique password and it should be changed frequently
must be reported to authorities by law
Permission
Electronic transmission

37. Subpoenas
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Portability
false and malicious writing about another
state laws setting time limit for bringing a lawsuit

38. 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.
Electronic data interchange
Treatment - payment and health care operations (TPO)
addresses portability of insurance coverage when employees change or lose their jobs
Individually Identifiable Health Information

39. 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
although medical records are confidential - there are times when they can be released w/o a patient consent.
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Privacy

40. Clearinghouse
Treatment - payment and health care operations (TPO)
improper performance of an otherwise lawful act. civil
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
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

41. DII
same legal standards apply to all patient records whether on paper or computer
generally only patient can auth release of own medical record - there are a few exceptions
illegal touching of another person
De-Identified Information

42. 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
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
false and malicious writing about another
need to know
Covered entities

43. Some state laws specifically protect __________. A patient would need to sign a specific request.
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Permission

44. Under some circumstances ...
Transaction
Patient
a minor - rather than the parent - must sign the release of patient information
Permission

45. 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
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.
State preemption
concerns noncriminal disputes between private parties

46. General exceptions for releasing patient information
the philosophical study of moral values and rules - conducts
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Electronic Protected Health Information
should only be used when no other - more secure mode of transmission is available

47. HIPAA compliance mandates that computer systems must be...
Code sets
located in a secured and private space
illegal touching of another person
Examples of PHI

48. Civil law
Treatment - payment and health care operations (TPO)
concerns noncriminal disputes between private parties
The body of laws made by states is their own statutory laws
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

49. A general HIPAA requirement
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Standard
Security
law that permits a person w/ a legal age and sound mind to give their body to donation

50. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
testimony under oath
What types of disclosures do not require patient permission?
State preemption