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. Deposition
Notice of Privacy Practices (NPP)
testimony under oath
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

2. Computes and HIPAA
Regulations
same legal standards apply to all patient records whether on paper or computer
State preemption
Insurance portability - administrative simplification - privacy and security

3. Statue of limitations
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.
purpose - pride - patience - persistence - perspective
U.S. goverment
state laws setting time limit for bringing a lawsuit

4. HIPAA states...
must be reported to authorities by law
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
law concerned with public wrongs against society
only those who meed to know should have access to patient information

5. Includes records maintained by or for a covered entity.
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Electronic transmission
Designated record set
law that permits a person w/ a legal age and sound mind to give their body to donation

6. Confidentiality

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7. HIPAA compliance mandates that computer systems must be...
Covered entities
located in a secured and private space
testimony under oath
U.S. goverment

8. Implied consent
Tort
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.
should never be released w/o a patient's signed consent or court order
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

9. IIHI
Malfeasance
comes on after a few idle seconds and the use of a privacy screen should be mandatory
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Individually Identifiable Health Information

10. Medical records can be released w/o consent to...
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
U.S. goverment
false charges and malicious oral statements about someone
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

11. Clearinghouse
law concerned with public wrongs against society
treatment - payment - & healthcare operations
De-Identified 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

12. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Portability
Health Information
Standard
security rule

13. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Covered transactions
Verification
Code sets
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

14. Disabilities act

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15. NPP
Examples of PHI
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
testimony under oath
Notice of Privacy Practices

16. Protected Health Information (PHI)
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
law concerned with public wrongs against society
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

17. Freedom from unauthorized intrusion
illegal touching of another person
false charges and malicious oral statements about someone
Privacy
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

18. PII
state laws setting time limit for bringing a lawsuit
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.
Patient Identifiable Information
Patient

19. Releasing patient information
generally only patient can auth release of own medical record - there are a few exceptions
Standard
Regulations
Electronic Protected Health Information

20. 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
generally only patient can auth release of own medical record - there are a few exceptions
illegal touching of another person
only those who meed to know should have access to patient information
Covered entities

21. Battery
illegal touching of another person
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
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

22. A general HIPAA requirement
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
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
Standard
testimony under oath

23. Sending information over electronic networks.
Electronic transmission
Portability
treatment - payment - & healthcare operations
Ethical

24. Implied contract
a contract that comes about from the actions of the parties rather than words
Standard
illegal touching of another person
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

25. Key entities
regular - in a secure location
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.
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

26. Uniform anotomical gift act
law that permits a person w/ a legal age and sound mind to give their body to donation
purpose - pride - patience - persistence - perspective
Malfeasance
Regulations

27. What are the 3 purposes of HIPAA?
state laws setting time limit for bringing a lawsuit
malpractice
Insurance portability - administrative simplification - privacy and security
illegal touching of another person

28. OIG - Office of the Inspector General
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
although medical records are confidential - there are times when they can be released w/o a patient consent.
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
false charges and malicious oral statements about someone

29. The person recieving treatment
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
Patient
Tort
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

30. Common law
Insurance portability - administrative simplification - privacy and security
Notice of Privacy Practices (NPP)
Invasion of Privacy Publishing
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

31. 4d's of negligence
regular - in a secure location
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
Code sets
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

32. Misfeasance
improper performance of an otherwise lawful act. civil
have a unique password and it should be changed frequently
concerns noncriminal disputes between private parties
Insurance portability - administrative simplification - privacy and security

33. Verify the identification of anyone requesting patient information.
state laws setting time limit for bringing a lawsuit
Covered transactions
regular - in a secure location
Verification

34. Good samaritan law
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
although medical records are confidential - there are times when they can be released w/o a patient consent.
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

35. Data must be backed up at ___________ and those back-up files should be stored ________.
Covered transactions
regular - in a secure location
Patient
U.S. goverment

36. Federal law protects patient records dealing with...
substance abuse treatment
Examples of PHI
U.S. goverment
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

37. Under some circumstances ...
testimony under oath
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 minor - rather than the parent - must sign the release of patient information
Examples of PHI

38. EPHI
Notice of Privacy Practices
Electronic Protected Health Information
Covered transactions
A written set of questions requiring written answers from a plaintiff or defendant under oath

39. Hardware or software designed to prevent unauthorized access to electronic information.
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.
Firewalls
improper performance of an otherwise lawful act. civil
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

40. Business Associate Agreements applies to...
Firewalls
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
concerns noncriminal disputes between private parties
State preemption

41. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
What types of disclosures do not require patient permission?
should only be used when no other - more secure mode of transmission is available
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
Minimum necessary

42. Coded information that can't be read until is decoded.
security rule
same legal standards apply to all patient records whether on paper or computer
Encryption
Designated record set

43. A written document detailing a health care provider's privacy practices.
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Notice of Privacy Practices (NPP)
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
malpractice

44. 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.
Examples of PHI
De-Identified Information
Code sets
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

45. interrogatory
concerns noncriminal disputes between private parties
addresses portability of insurance coverage when employees change or lose their jobs
A written set of questions requiring written answers from a plaintiff or defendant under oath
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

46. Document that includes the standards
state laws setting time limit for bringing a lawsuit
Notice of Privacy Practices
Minimum necessary
Rule

47. HI
treatment - payment - & healthcare operations
Health Information
same legal standards apply to all patient records whether on paper or computer
Firewalls

48. A reason for each use and disclosure of patient information.
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Permission
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
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

49. Emancipated minors

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50. The limited amount of patient information to be disclosed - depending on circumstances.
Minimum necessary
Portability
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Insurance portability - administrative simplification - privacy and security