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. Protected health information from which certain patient identifiers have been removed
Health Information
Limited data set
illegal touching of another person
need to know

2. A written document detailing a health care provider's privacy practices.
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
illegal touching of another person
only those who meed to know should have access to patient information
Notice of Privacy Practices (NPP)

3. 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.
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)
Electronic transmission
Treatment - payment and health care operations (TPO)

4. Policies and procedures use to protect electronic information from unauthorized access
Regulations
addresses portability of insurance coverage when employees change or lose their jobs
security rule
Security

5. Patient records are _____________ so not all staff will have access.
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Malfeasance
Transaction
need to know

6. Deposition
have a unique password and it should be changed frequently
Minimum necessary
testimony under oath
U.S. goverment

7. Protected Health Information (PHI)
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
substance abuse treatment
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Insurance portability - administrative simplification - privacy and security

8. Reportable diseases...
Electronic data interchange
must be reported to authorities by law
Rule
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

9. Business Associate Agreements applies to...
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
comes on after a few idle seconds and the use of a privacy screen should be mandatory
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
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

10. 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
Covered entities
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
addresses portability of insurance coverage when employees change or lose their jobs

11. HIPAA compliance mandates that computer systems must be...
testimony under oath
State preemption
Firewalls
located in a secured and private space

12. Good samaritan law
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
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
purpose - pride - patience - persistence - perspective

13. EPHI
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Electronic Protected Health Information
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
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

14. Includes records maintained by or for a covered entity.
illegal touching of another person
Electronic Protected Health Information
State preemption
Designated record set

15. OIG - Office of the Inspector General
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Treatment - payment and health care operations (TPO)
substance abuse treatment
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

16. Bioethics
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
substance abuse treatment
Encryption
Permission

17. HIPAA
Minimum necessary
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
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
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

18. 5P's of ethical power
purpose - pride - patience - persistence - perspective
U.S. goverment
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

19. Misfeasance
improper performance of an otherwise lawful act. civil
same legal standards apply to all patient records whether on paper or computer
Covered transactions
regular - in a secure location

20. NPP
Notice of Privacy Practices
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
Treatment - payment and health care operations (TPO)
Regulations

21. Who regulates HIPAA?
Regulations
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
purpose - pride - patience - persistence - perspective
U.S. goverment

22. Transmission of information between two parties fro financial or administrative activities.
law that permits a person w/ a legal age and sound mind to give their body to donation
Transaction
only those who meed to know should have access to patient information
State preemption

23. Subpoenas
Minimum necessary
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
What types of disclosures do not require patient permission?
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

24. Ethics
Minimum necessary
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.
the philosophical study of moral values and rules - conducts
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

25. Freedom from unauthorized intrusion
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.
Privacy
Patient rights under HIPAA
a contract that comes about from the actions of the parties rather than words

26. Any set of codes use to encode health care data elements.
substance abuse treatment
Portability
Code sets
Patient

27. What information do patients NOT have access to?
U.S. goverment
false charges and malicious oral statements about someone
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

28. Slander
false charges and malicious oral statements about someone
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
Individually Identifiable Health Information
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

29. 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.
Electronic data interchange
Portability
Examples of PHI
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

30. Implied contract
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Verification
a contract that comes about from the actions of the parties rather than words
law concerned with public wrongs against society

31. Fax Machines and HIPAA
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.
Limited data set
Patient Identifiable Information

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

33. 4d's of negligence
Covered entities
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
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
only those who meed to know should have access to patient information

34. Conforming to proper professional behavior
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Individually Identifiable Health Information
treatment - payment - & healthcare operations
Ethical

35. Doctor release of patient
Notice of Privacy Practices
Patient
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

36. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
State preemption
the philosophical study of moral values and rules - conducts
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Treatment - payment and health care operations (TPO)

37. Verify the identification of anyone requesting patient information.
Verification
Insurance portability - administrative simplification - privacy and security
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
substance abuse treatment

38. The limited amount of patient information to be disclosed - depending on circumstances.
should never be released w/o a patient's signed consent or court order
Patient Identifiable Information
Minimum necessary
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

39. Federal law protects patient records dealing with...
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
state laws setting time limit for bringing a lawsuit
A written set of questions requiring written answers from a plaintiff or defendant under oath
substance abuse treatment

40. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
Permission
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
What types of disclosures do not require patient permission?
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

41. Advanced directives
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
Limited data set
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
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.

42. TPO
treatment - payment - & healthcare operations
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
Portability
should only be used when no other - more secure mode of transmission is available

43. interrogatory
A written set of questions requiring written answers from a plaintiff or defendant under oath
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
Security

44. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Regulations
Verification
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

45. The computer screen should have a screensaver that...
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
comes on after a few idle seconds and the use of a privacy screen should be mandatory
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

46. Disclosure without Consent
illegal touching of another person
state laws setting time limit for bringing a lawsuit
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
although medical records are confidential - there are times when they can be released w/o a patient consent.

47. Computes and HIPAA
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
have a unique password and it should be changed frequently
same legal standards apply to all patient records whether on paper or computer
Covered transactions

48. Civil law
concerns noncriminal disputes between private parties
Ethical
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
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.

49. Key entities
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.
U.S. goverment
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
law concerned with public wrongs against society

50. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
Limited data set
U.S. goverment
a contract that comes about from the actions of the parties rather than words
security rule