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
Invasion of Privacy Publishing
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
Designated record set
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

2. Policies and procedures use to protect electronic information from unauthorized access
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
treatment - payment - & healthcare operations
Security
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

3. Implied contract
improper performance of an otherwise lawful act. civil
should only be used when no other - more secure mode of transmission is available
a contract that comes about from the actions of the parties rather than words
illegal touching of another person

4. Medical records can be released w/o consent to...
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 that permits a person w/ a legal age and sound mind to give their body to donation
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Health Information

5. Protected health information from which certain patient identifiers have been removed
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.
Limited data set
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
state laws setting time limit for bringing a lawsuit

6. 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
Malfeasance
substance abuse treatment
Verification
Patient rights under HIPAA

7. Releasing patient information
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
generally only patient can auth release of own medical record - there are a few exceptions
malpractice
a contract that comes about from the actions of the parties rather than words

8. HIPAA compliance mandates that computer systems must be...
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.
have a unique password and it should be changed frequently
What types of disclosures do not require patient permission?
located in a secured and private space

9. Privacy Officer
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.
must be reported to authorities by law
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
addresses portability of insurance coverage when employees change or lose their jobs

10. HI
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
Health Information
false charges and malicious oral statements about someone
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

11. Includes records maintained by or for a covered entity.
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.
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Designated record set
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

12. Negligence
Insurance portability - administrative simplification - privacy and security
Invasion of Privacy Publishing
Limited data set
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

13. Document that includes the standards
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Rule
should never be released w/o a patient's signed consent or court order
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

14. A reason for each use and disclosure of patient information.
addresses portability of insurance coverage when employees change or lose their jobs
purpose - pride - patience - persistence - perspective
What types of disclosures do not require patient permission?
Permission

15. Data must be backed up at ___________ and those back-up files should be stored ________.
What types of disclosures do not require patient permission?
Security
malpractice
regular - in a secure location

16. All persons who will have access are required to...
have a unique password and it should be changed frequently
Patient Identifiable Information
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
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.

17. Titile II of HIPAA
Regulations
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
located in a secured and private space
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

18. 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
Patient
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
De-Identified Information

19. 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
substance abuse treatment
Covered entities
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Tort

20. 5P's of ethical power
Notice of Privacy Practices (NPP)
Insurance portability - administrative simplification - privacy and security
purpose - pride - patience - persistence - perspective
A written set of questions requiring written answers from a plaintiff or defendant under oath

21. Business Associate Agreements applies to...
malpractice
should only be used when no other - more secure mode of transmission is available
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
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

22. Emancipated minors

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23. TPO
treatment - payment - & healthcare operations
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
Insurance portability - administrative simplification - privacy and security
Health Information

24. Advanced directives
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
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
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
Individually Identifiable Health Information

25. Fax Machines and HIPAA
security rule
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

26. Reportable diseases...
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Firewalls
must be reported to authorities by law
Examples of PHI

27. 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.
Privacy
the philosophical study of moral values and rules - conducts
Examples of PHI
Treatment - payment and health care operations (TPO)

28. Doctor release of patient
a contract that comes about from the actions of the parties rather than words
Malfeasance
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

29. IIHI
Individually Identifiable Health Information
Notice of Privacy Practices (NPP)
malpractice
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.

30. HIPAA
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.
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
generally only patient can auth release of own medical record - there are a few exceptions
malpractice

31. Any wrongdoing for which an action for damages may be brought
Invasion of Privacy Publishing
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
Tort
Electronic Protected Health Information

32. Battery
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
illegal touching of another person
Covered entities
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

33. HIPAA states...
security rule
a contract that comes about from the actions of the parties rather than words
only those who meed to know should have access to patient information
law that permits a person w/ a legal age and sound mind to give their body to donation

34. The limited amount of patient information to be disclosed - depending on circumstances.
located in a secured and private space
Standard
Minimum necessary
a contract that comes about from the actions of the parties rather than words

35. OIG - Office of the Inspector General
De-Identified Information
Health Information
Invasion of Privacy Publishing
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

36. Coded information that can't be read until is decoded.
Limited data set
Encryption
Designated record set
comes on after a few idle seconds and the use of a privacy screen should be mandatory

37. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
What types of disclosures do not require patient permission?
Rule
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

38. Libel
illegal touching of another person
false and malicious writing about another
need to know
law concerned with public wrongs against society

39. Sending information over electronic networks.
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
State preemption
Invasion of Privacy Publishing
Electronic transmission

40. Key entities
Patient rights under HIPAA
Electronic transmission
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
should only be used when no other - more secure mode of transmission is available

41. Computes and HIPAA
same legal standards apply to all patient records whether on paper or computer
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
the philosophical study of moral values and rules - conducts
Electronic Protected Health Information

42. Bioethics
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Firewalls
testimony under oath
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

43. The person recieving treatment
regular - in a secure location
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Patient
State preemption

44. Protected Health Information (PHI)
What types of disclosures do not require patient permission?
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Minimum necessary
false charges and malicious oral statements about someone

45. Professional Negligence
What types of disclosures do not require patient permission?
state laws setting time limit for bringing a lawsuit
should never be released w/o a patient's signed consent or court order
malpractice

46. Slander
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
false charges and malicious oral statements about someone
a contract that comes about from the actions of the parties rather than words
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

47. Disabilities act

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48. Unlawful act done without permission.
Malfeasance
Electronic Protected Health Information
U.S. goverment
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

49. Patient records are _____________ so not all staff will have access.
need to know
Privacy
Firewalls
only those who meed to know should have access to patient information

50. Statue of limitations
state laws setting time limit for bringing a lawsuit
generally only patient can auth release of own medical record - there are a few exceptions
State preemption
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment