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HIPAA

Instructions:

Answer 50 questions in 15 minutes.
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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 consent
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.
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
malpractice
What types of disclosures do not require patient permission?

2. DII
De-Identified Information
the philosophical study of moral values and rules - conducts
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

3. Professional Negligence
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
malpractice
Portability

4. Statutory
Standard
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
The body of laws made by states is their own statutory laws
comes on after a few idle seconds and the use of a privacy screen should be mandatory

5. Conforming to proper professional behavior
Ethical
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Malfeasance
Treatment - payment and health care operations (TPO)

6. Document that includes the standards
testimony under oath
Rule
located in a secured and private space
What types of disclosures do not require patient permission?

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

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8. Sending information over electronic networks.
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
Electronic transmission
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

9. Advanced directives
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Insurance portability - administrative simplification - privacy and security
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
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

10. Reportable diseases...
must be reported to authorities by law
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
false charges and malicious oral statements about someone

11. A reason for each use and disclosure of patient information.
Permission
although medical records are confidential - there are times when they can be released w/o a patient consent.
have a unique password and it should be changed frequently
Standard

12. Key entities
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
need to know
located in a secured and private space
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. Medical records used for health care research

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14. 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.
Treatment - payment and health care operations (TPO)
have a unique password and it should be changed frequently
Designated record set
testimony under oath

15. Deposition
Health Information
testimony under oath
Tort
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

16. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Standard
Covered transactions
should never be released w/o a patient's signed consent or court order

17. Under some circumstances ...
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
a minor - rather than the parent - must sign the release of patient information
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
treatment - payment - & healthcare operations

18. Policies and procedures use to protect electronic information from unauthorized access
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
must be reported to authorities by law
Security
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

19. 5P's of ethical power
purpose - pride - patience - persistence - perspective
Covered transactions
De-Identified Information
Portability

20. 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 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
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 court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Patient rights under HIPAA

21. The use of uniform electronic network protocols to transfer business information between organizations.
Electronic Protected Health Information
Electronic data interchange
Covered transactions
state laws setting time limit for bringing a lawsuit

22. 4d's of negligence
must be reported to authorities by law
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
security rule
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.

23. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
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
What types of disclosures do not require patient permission?
concerns noncriminal disputes between private parties
should never be released w/o a patient's signed consent or court order

24. Protected Health Information (PHI)
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
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
A written set of questions requiring written answers from a plaintiff or defendant under oath

25. Fax Machines and HIPAA
Treatment - payment and health care operations (TPO)
only those who meed to know should have access to patient 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
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

26. Bioethics
Limited data set
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Designated record set
Covered entities

27. Doctor release of patient
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
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
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

28. All persons who will have access are required to...
only those who meed to know should have access to patient information
Ethical
De-Identified Information
have a unique password and it should be changed frequently

29. What information do patients NOT have access to?
Electronic Protected Health Information
improper performance of an otherwise lawful act. civil
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
treatment - payment - & healthcare operations

30. Common law
Ethical
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
only those who meed to know should have access to patient information
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

31. Some state laws specifically protect __________. A patient would need to sign a specific request.
Treatment - payment and health care operations (TPO)
purpose - pride - patience - persistence - perspective
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
The body of laws made by states is their own statutory laws

32. The computer screen should have a screensaver that...
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Treatment - payment and health care operations (TPO)
concerns noncriminal disputes between private parties
need to know

33. HIPAA compliance mandates that computer systems must be...
Notice of Privacy Practices
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Electronic Protected Health Information
located in a secured and private space

34. IIHI
although medical records are confidential - there are times when they can be released w/o a patient consent.
Covered entities
Individually Identifiable Health Information
Notice of Privacy Practices

35. Any set of codes use to encode health care data elements.
substance abuse treatment
Code sets
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
generally only patient can auth release of own medical record - there are a few exceptions

36. Includes records maintained by or for a covered entity.
have a unique password and it should be changed frequently
Portability
Designated record set
regular - in a secure location

37. Releasing patient information
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
Notice of Privacy Practices (NPP)
should never be released w/o a patient's signed consent or court order

38. Slander
The body of laws made by states is their own statutory laws
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
should never be released w/o a patient's signed consent or court order
false charges and malicious oral statements about someone

39. Medical records can be released w/o consent to...
a contract that comes about from the actions of the parties rather than words
although medical records are confidential - there are times when they can be released w/o a patient consent.
comes on after a few idle seconds and the use of a privacy screen should be mandatory
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

40. Fax machines
Patient rights under HIPAA
law concerned with public wrongs against society
should only be used when no other - more secure mode of transmission is available
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

41. What are the 3 purposes of HIPAA?
Ethical
Insurance portability - administrative simplification - privacy and security
Electronic Protected Health Information
the philosophical study of moral values and rules - conducts

42. Ethics
Transaction
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
the philosophical study of moral values and rules - conducts
The body of laws made by states is their own statutory laws

43. Criminal law
concerns noncriminal disputes between private parties
Patient
law concerned with public wrongs against society
The body of laws made by states is their own statutory laws

44. Disclosure without Consent
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
concerns noncriminal disputes between private parties
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

45. Disabilities act

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46. Any wrongdoing for which an action for damages may be brought
law that permits a person w/ a legal age and sound mind to give their body to donation
Examples of PHI
Tort
generally only patient can auth release of own medical record - there are a few exceptions

47. Hardware or software designed to prevent unauthorized access to electronic information.
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
false and malicious writing about another
have a unique password and it should be changed frequently
Firewalls

48. Patient records are _____________ so not all staff will have access.
need to know
Malfeasance
What types of disclosures do not require patient permission?
Patient Identifiable Information

49. Clearinghouse
located in a secured and private space
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
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Covered entities

50. NPP
Notice of Privacy Practices
a minor - rather than the parent - must sign the release of patient 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
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

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HIPAA

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