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. Good samaritan law
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
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
the philosophical study of moral values and rules - conducts

2. Fax machines
should only be used when no other - more secure mode of transmission is available
Designated record set
should never be released w/o a patient's signed consent or court order
Privacy

3. Medical records used for health care research

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4. 5P's of ethical power
purpose - pride - patience - persistence - perspective
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Code sets
have a unique password and it should be changed frequently

5. HIPAA
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Notice of Privacy Practices (NPP)
Electronic data interchange
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

6. Includes records maintained by or for a covered entity.
Designated record set
Standard
treatment - payment - & healthcare operations
law that permits a person w/ a legal age and sound mind to give their body to donation

7. Protected Health Information (PHI)
Patient rights under HIPAA
State preemption
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
must be reported to authorities by law

8. Negligence
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
need to know
a minor - rather than the parent - must sign the release of patient information
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

9. Ethics
the philosophical study of moral values and rules - conducts
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
Security
law that permits a person w/ a legal age and sound mind to give their body to donation

10. Misfeasance
false charges and malicious oral statements about someone
State preemption
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
improper performance of an otherwise lawful act. civil

11. Confidentiality

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12. HI
must be reported to authorities by law
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Health Information
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

13. Title I of HIPAA
addresses portability of insurance coverage when employees change or lose their jobs
substance abuse treatment
Encryption
Transaction

14. Clearinghouse
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
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
Firewalls

15. Any wrongdoing for which an action for damages may be brought
Tort
regular - in a secure location
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Privacy

16. 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.
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
state laws setting time limit for bringing a lawsuit
Verification

17. IIHI
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Individually Identifiable Health Information
Standard
Tort

18. De-Identified Information
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

19. Statutory
Portability
Regulations
The body of laws made by states is their own statutory laws
state laws setting time limit for bringing a lawsuit

20. Verify the identification of anyone requesting patient 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.
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
Verification
have a unique password and it should be changed frequently

21. NPP
The body of laws made by states is their own statutory laws
Notice of Privacy Practices
Patient rights under HIPAA
Code sets

22. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Regulations
purpose - pride - patience - persistence - perspective
What types of disclosures do not require patient permission?
Covered transactions

23. The computer screen should have a screensaver that...
false charges and malicious oral statements about someone
same legal standards apply to all patient records whether on paper or computer
comes on after a few idle seconds and the use of a privacy screen should be mandatory
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

24. A written document detailing a health care provider's privacy practices.
Health Information
security rule
regular - in a secure location
Notice of Privacy Practices (NPP)

25. Disclosure without Consent
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Individually Identifiable Health Information
although medical records are confidential - there are times when they can be released w/o a patient consent.
only those who meed to know should have access to patient information

26. The person recieving treatment
should never be released w/o a patient's signed consent or court order
must be reported to authorities by law
Patient
Security

27. Patient records are _____________ so not all staff will have access.
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
need to know
the philosophical study of moral values and rules - conducts
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

28. 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
substance abuse 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
generally only patient can auth release of own medical record - there are a few exceptions

29. Who regulates HIPAA?
concerns noncriminal disputes between private parties
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
U.S. goverment
Tort

30. Emancipated minors

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31. Doctor release of patient
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Invasion of Privacy Publishing
located in a secured and private space
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

32. All persons who will have access are required to...
Electronic Protected Health Information
The body of laws made by states is their own statutory laws
have a unique password and it should be changed frequently
security rule

33. Protected health information from which certain patient identifiers have been removed
Portability
should only be used when no other - more secure mode of transmission is available
Limited data set
security rule

34. HIPAA states...
Patient rights under 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

35. Libel
false and malicious writing about another
Minimum necessary
Limited data set
improper performance of an otherwise lawful act. civil

36. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
treatment - payment - & healthcare operations
Transaction
What types of disclosures do not require patient permission?
Portability

37. Statue of limitations
Permission
Notice of Privacy Practices (NPP)
illegal touching of another person
state laws setting time limit for bringing a lawsuit

38. Sending information over electronic networks.
illegal touching of another person
Regulations
Patient
Electronic transmission

39. Subpoenas
Permission
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
should only be used when no other - more secure mode of transmission is available
security rule

40. 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)
Standard
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

41. HIPAA compliance mandates that computer systems must be...
Code sets
security rule
located in a secured and private space
only those who meed to know should have access to patient information

42. TPO
State preemption
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
treatment - payment - & healthcare operations
law concerned with public wrongs against society

43. Policies and procedures use to protect electronic information from unauthorized access
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Security
law that permits a person w/ a legal age and sound mind to give their body to donation
false charges and malicious oral statements about someone

44. Uniform anotomical gift act
law that permits a person w/ a legal age and sound mind to give their body to donation
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
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

45. Slander
false charges and malicious oral statements about someone
security rule
law that permits a person w/ a legal age and sound mind to give their body to donation
What types of disclosures do not require patient permission?

46. 4d's of negligence
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
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
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

47. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
security rule
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
have a unique password and it should be changed frequently
Patient

48. Deposition
testimony under oath
malpractice
Designated record set
law concerned with public wrongs against society

49. Medical records can be released w/o consent to...
Standard
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
Permission
improper performance of an otherwise lawful act. civil

50. Unlawful act done without permission.
purpose - pride - patience - persistence - perspective
State preemption
concerns noncriminal disputes between private parties
Malfeasance