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. Conforming to proper professional behavior
Ethical
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
although medical records are confidential - there are times when they can be released w/o a patient consent.
a minor - rather than the parent - must sign the release of patient information

2. Protected Health Information (PHI)
Notice of Privacy Practices
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Malfeasance
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

3. 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
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
substance abuse treatment

4. Verify the identification of anyone requesting patient information.
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
should never be released w/o a patient's signed consent or court order
Verification

5. making known - or using information relating to the private life or affairs of a person without their approval or permission
Invasion of Privacy Publishing
illegal touching of another person
false and malicious writing about another
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

6. 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
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Security
Patient rights under HIPAA

7. 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)
Code sets
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Electronic data interchange

8. Data must be backed up at ___________ and those back-up files should be stored ________.
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
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
regular - in a secure location
law that permits a person w/ a legal age and sound mind to give their body to donation

9. Releasing patient information
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
generally only patient can auth release of own medical record - there are a few exceptions
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
Designated record set

10. Transmission of information between two parties fro financial or administrative activities.
Privacy
security rule
Transaction
Patient

11. Professional Negligence
a minor - rather than the parent - must sign the release of patient information
malpractice
Patient Identifiable Information
only those who meed to know should have access to patient information

12. Battery
illegal touching of another person
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Minimum necessary
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

13. Hardware or software designed to prevent unauthorized access to electronic information.
Electronic Protected Health Information
Firewalls
a minor - rather than the parent - must sign the release of patient information
security rule

14. HI
must be reported to authorities by law
false and malicious writing about another
A written set of questions requiring written answers from a plaintiff or defendant under oath
Health Information

15. Confidentiality

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16. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
State preemption
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Transaction
must be reported to authorities by law

17. Reportable diseases...
Patient Identifiable Information
must be reported to authorities by law
a contract that comes about from the actions of the parties rather than words
substance abuse treatment

18. 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.
testimony under oath
Patient rights under HIPAA
false and malicious writing about another

19. Disclosure without Consent
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
although medical records are confidential - there are times when they can be released w/o a patient consent.
a contract that comes about from the actions of the parties rather than words
Examples of PHI

20. Title I of HIPAA
addresses portability of insurance coverage when employees change or lose their jobs
U.S. goverment
state laws setting time limit for bringing a lawsuit
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

21. Emancipated minors

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22. A general HIPAA requirement
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Firewalls
need to know
Standard

23. Criminal law
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
Insurance portability - administrative simplification - privacy and security
law concerned with public wrongs against society
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

24. 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.
need to know
State preemption
false and malicious writing about another
Examples of PHI

25. What information do patients NOT have access to?
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.
Ethical
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

26. OIG - Office of the Inspector General
Security
malpractice
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
State preemption

27. Any wrongdoing for which an action for damages may be brought
Regulations
addresses portability of insurance coverage when employees change or lose their jobs
Tort
testimony under oath

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

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29. Statutory
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
Verification
The body of laws made by states is their own statutory laws

30. A reason for each use and disclosure of patient information.
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.
Permission
Code sets
although medical records are confidential - there are times when they can be released w/o a patient consent.

31. EPHI
Limited data set
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
the philosophical study of moral values and rules - conducts
Electronic Protected Health Information

32. Unlawful act done without permission.
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Malfeasance
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

33. Bioethics
Tort
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
treatment - payment - & healthcare operations

34. Ethics
the philosophical study of moral values and rules - conducts
Encryption
a minor - rather than the parent - must sign the release of patient information
have a unique password and it should be changed frequently

35. HIPAA
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
a minor - rather than the parent - must sign the release of patient information
should only be used when no other - more secure mode of transmission is available
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

36. HIPAA compliance mandates that computer systems must be...
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
located in a secured and private space
Regulations
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

37. Good samaritan law
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
De-Identified Information

38. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Individually Identifiable Health Information
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
addresses portability of insurance coverage when employees change or lose their jobs
Covered transactions

39. Fax Machines and HIPAA
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Invasion of Privacy Publishing
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

40. PII
generally only patient can auth release of own medical record - there are a few exceptions
Electronic Protected Health Information
should only be used when no other - more secure mode of transmission is available
Patient Identifiable Information

41. Business Associate Agreements applies to...
Security
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
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
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

42. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
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
Portability
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Verification

43. Medical records can be released w/o consent to...
Designated record set
should never be released w/o a patient's signed consent or court order
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
Covered transactions

44. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
same legal standards apply to all patient records whether on paper or computer
substance abuse treatment
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Regulations

45. The limited amount of patient information to be disclosed - depending on circumstances.
Minimum necessary
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
law concerned with public wrongs against society

46. Misfeasance
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
Treatment - payment and health care operations (TPO)
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
improper performance of an otherwise lawful act. civil

47. Sending information over electronic networks.
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.
addresses portability of insurance coverage when employees change or lose their jobs
Electronic transmission
U.S. goverment

48. Advanced directives
should never be released w/o a patient's signed consent or court order
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.
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
should only be used when no other - more secure mode of transmission is available

49. NPP
the philosophical study of moral values and rules - conducts
Notice of Privacy Practices
Encryption
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

50. De-Identified Information
The body of laws made by states is their own statutory laws
Standard
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
treatment - payment - & healthcare operations