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. Document that includes the standards
Patient rights under HIPAA
Security
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Rule

2. Who regulates HIPAA?
U.S. goverment
Health Information
Permission
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

3. Patient records are _____________ so not all staff will have access.
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
treatment - payment - & healthcare operations
need to know
Ethical

4. Any set of codes use to encode health care data elements.
improper performance of an otherwise lawful act. civil
false and malicious writing about another
a minor - rather than the parent - must sign the release of patient information
Code sets

5. PII
Patient Identifiable Information
addresses portability of insurance coverage when employees change or lose their jobs
De-Identified Information
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

6. Negligence
Electronic transmission
need to know
Insurance portability - administrative simplification - privacy and security
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

7. Disclosure without Consent
malpractice
although medical records are confidential - there are times when they can be released w/o a patient consent.
Limited data set
Insurance portability - administrative simplification - privacy and security

8. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
Malfeasance
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
The body of laws made by states is their own statutory laws
State preemption

9. Uniform anotomical gift act
located in a secured and private space
Portability
law that permits a person w/ a legal age and sound mind to give their body to donation
need to know

10. Protected health information from which certain patient identifiers have been removed
purpose - pride - patience - persistence - perspective
Limited data set
Firewalls
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

11. HIPAA
U.S. goverment
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
law concerned with public wrongs against society

12. Libel
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
a minor - rather than the parent - must sign the release of patient information
testimony under oath
false and malicious writing about another

13. Coded information that can't be read until is decoded.
Encryption
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.
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Patient Identifiable Information

14. NPP
Notice of Privacy Practices
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Designated record set
Examples of PHI

15. HI
illegal touching of another person
Security
the philosophical study of moral values and rules - conducts
Health Information

16. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
De-Identified Information
should never be released w/o a patient's signed consent or court order
What types of disclosures do not require patient permission?
malpractice

17. Emancipated minors

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18. OIG - Office of the Inspector General
state laws setting time limit for bringing a lawsuit
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Designated record set
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

19. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Regulations
should never be released w/o a patient's signed consent or court order
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
have a unique password and it should be changed frequently

20. Key entities
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
concerns noncriminal disputes between private parties
Treatment - payment and health care operations (TPO)
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

21. EPHI
Privacy
Electronic Protected Health Information
De-Identified Information
Notice of Privacy Practices (NPP)

22. General exceptions for releasing patient information
Examples of PHI
should never be released w/o a patient's signed consent or court order
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
concerns noncriminal disputes between private parties

23. Professional Negligence
located in a secured and private space
although medical records are confidential - there are times when they can be released w/o a patient consent.
malpractice
Standard

24. HIPAA compliance mandates that computer systems must be...
should never be released w/o a patient's signed consent or court order
Covered transactions
the philosophical study of moral values and rules - conducts
located in a secured and private space

25. Medical records used for health care research

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26. Titile II of HIPAA
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Electronic Protected Health Information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

27. What information do patients NOT have access to?
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Designated record set
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
treatment - payment - & healthcare operations

28. Good samaritan law
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
have a unique password and it should be changed frequently
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

29. 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 minor - rather than the parent - must sign the release of patient information
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Examples of PHI
Patient rights under HIPAA

30. 5P's of ethical power
Verification
purpose - pride - patience - persistence - perspective
Notice of Privacy Practices (NPP)
A written set of questions requiring written answers from a plaintiff or defendant under oath

31. Clearinghouse
substance abuse treatment
regular - in a secure location
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
Ethical

32. Data must be backed up at ___________ and those back-up files should be stored ________.
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
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
regular - in a secure location

33. All persons who will have access are required to...
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
located in a secured and private space
have a unique password and it should be changed frequently
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

34. Advanced directives
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
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
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.
Covered entities

35. 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
Electronic Protected Health Information
Covered entities
addresses portability of insurance coverage when employees change or lose their jobs
should only be used when no other - more secure mode of transmission is available

36. interrogatory
Standard
A written set of questions requiring written answers from a plaintiff or defendant under oath
U.S. goverment
Privacy

37. Statue of limitations
state laws setting time limit for bringing a lawsuit
generally only patient can auth release of own medical record - there are a few exceptions
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 that permits a person w/ a legal age and sound mind to give their body to donation

38. The use of uniform electronic network protocols to transfer business information between organizations.
Electronic data interchange
only those who meed to know should have access to patient information
improper performance of an otherwise lawful act. civil
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

39. Conforming to proper professional behavior
Ethical
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Standard
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

40. A general HIPAA requirement
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.
Standard
should never be released w/o a patient's signed consent or court order
concerns noncriminal disputes between private parties

41. Includes records maintained by or for a covered entity.
Treatment - payment and health care operations (TPO)
Designated record set
located in a secured and private space
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

42. 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
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Designated record set
Treatment - payment and health care operations (TPO)

43. Bioethics
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
regular - in a secure location
Covered entities
Portability

44. Privacy Officer
Electronic data interchange
Transaction
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
law that permits a person w/ a legal age and sound mind to give their body to donation

45. Statutory
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
Electronic data interchange
The body of laws made by states is their own statutory laws
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

46. Doctor release of patient
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
purpose - pride - patience - persistence - perspective
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Covered transactions

47. Transmission of information between two parties fro financial or administrative activities.
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Transaction
a contract that comes about from the actions of the parties rather than words

48. Title I of HIPAA
Designated record set
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
substance abuse treatment
addresses portability of insurance coverage when employees change or lose their jobs

49. In order for a fax document to be HIPAA compliant...

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50. Any wrongdoing for which an action for damages may be brought
Patient
Tort
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
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)