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. 4d's of negligence
Covered transactions
treatment - payment - & healthcare operations
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
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

2. Disabilities act

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3. Business Associate Agreements applies to...
regular - in a secure location
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)
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

4. Statutory
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?
A written set of questions requiring written answers from a plaintiff or defendant under oath
The body of laws made by states is their own statutory laws

5. Verify the identification of anyone requesting patient information.
Electronic data interchange
Privacy
Verification
malpractice

6. Good samaritan law
Treatment - payment and health care operations (TPO)
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
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
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

7. EPHI
improper performance of an otherwise lawful act. civil
malpractice
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Electronic Protected Health Information

8. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Portability
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
the philosophical study of moral values and rules - conducts
Covered transactions

9. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
a minor - rather than the parent - must sign the release of patient information
illegal touching of another person
State preemption
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

10. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
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
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Regulations
substance abuse treatment

11. Civil law
Covered entities
comes on after a few idle seconds and the use of a privacy screen should be mandatory
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
concerns noncriminal disputes between private parties

12. interrogatory
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
A written set of questions requiring written answers from a plaintiff or defendant under oath
must be reported to authorities by law
addresses portability of insurance coverage when employees change or lose their jobs

13. Slander
Treatment - payment and health care operations (TPO)
false charges and malicious oral statements about someone
What types of disclosures do not require patient permission?
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

14. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
although medical records are confidential - there are times when they can be released w/o a patient consent.
Insurance portability - administrative simplification - privacy and security
What types of disclosures do not require patient permission?
Electronic transmission

15. Reportable diseases...
must be reported to authorities by law
Covered entities
What types of disclosures do not require patient permission?
law concerned with public wrongs against society

16. Under some circumstances ...
illegal touching of another person
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
a minor - rather than the parent - must sign the release of patient information
Notice of Privacy Practices

17. Coded information that can't be read until is decoded.
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
Encryption
Malfeasance

18. Any wrongdoing for which an action for damages may be brought
Designated record set
Tort
Patient Identifiable Information
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

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

20. TPO
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Portability
treatment - payment - & healthcare operations
state laws setting time limit for bringing a lawsuit

21. A written document detailing a health care provider's privacy practices.
need to know
Invasion of Privacy Publishing
false charges and malicious oral statements about someone
Notice of Privacy Practices (NPP)

22. Subpoenas
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Individually Identifiable Health Information

23. Medical records can be released w/o consent to...
testimony under oath
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 discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Tort

24. Deposition
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
testimony under oath
What types of disclosures do not require patient permission?
Code sets

25. Any set of codes use to encode health care data elements.
substance abuse treatment
Security
Code sets
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

26. A general HIPAA requirement
Standard
false charges and malicious oral statements about someone
have a unique password and it should be changed frequently
Covered transactions

27. Computes and HIPAA
Electronic transmission
purpose - pride - patience - persistence - perspective
Covered transactions
same legal standards apply to all patient records whether on paper or computer

28. 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
Examples of PHI
Patient Identifiable Information
Patient
Covered entities

29. Doctor release of 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
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
Individually Identifiable Health Information
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

30. Common law
Patient rights under HIPAA
illegal touching of another person
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Code sets

31. Titile II of HIPAA
Code sets
have a unique password and it should be changed frequently
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Individually Identifiable Health Information

32. The use of uniform electronic network protocols to transfer business information between organizations.
What types of disclosures do not require patient permission?
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
should only be used when no other - more secure mode of transmission is available
Electronic data interchange

33. Protected health information from which certain patient identifiers have been removed
Limited data set
Patient
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

34. 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.
Portability
Examples of PHI
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
law concerned with public wrongs against society

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

36. Uniform anotomical gift act
state laws setting time limit for bringing a lawsuit
law that permits a person w/ a legal age and sound mind to give their body to donation
a minor - rather than the parent - must sign the release of patient 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

37. Ethics
testimony under oath
regular - in a secure location
the philosophical study of moral values and rules - conducts
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

38. Protected Health Information (PHI)
purpose - pride - patience - persistence - perspective
state laws setting time limit for bringing a lawsuit
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
a minor - rather than the parent - must sign the release of patient information

39. Document that includes the standards
Rule
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
law that permits a person w/ a legal age and sound mind to give their body to donation
Covered transactions

40. Clearinghouse
Covered transactions
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
Electronic data interchange
Encryption

41. Sending information over electronic networks.
Electronic transmission
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
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.
comes on after a few idle seconds and the use of a privacy screen should be mandatory

42. DII
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
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
De-Identified Information
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

43. 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
Patient rights under HIPAA
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
regular - in a secure location
treatment - payment - & healthcare operations

44. The computer screen should have a screensaver that...
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
Individually Identifiable Health Information
Invasion of Privacy Publishing

45. A reason for each use and disclosure of patient information.
treatment - payment - & healthcare operations
Examples of PHI
Firewalls
Permission

46. HIPAA compliance mandates that computer systems must be...
Encryption
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
located in a secured and private space
De-Identified Information

47. Implied contract
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
a contract that comes about from the actions of the parties rather than words
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Insurance portability - administrative simplification - privacy and security

48. Libel
Covered transactions
false and malicious writing about another
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Portability

49. Hardware or software designed to prevent unauthorized access to electronic 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
Firewalls
law concerned with public wrongs against society
De-Identified Information

50. Negligence
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Transaction
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Treatment - payment and health care operations (TPO)