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. A reason for each use and disclosure of patient information.
Permission
Portability
illegal touching of another person
improper performance of an otherwise lawful act. civil

2. De-Identified Information
Covered transactions
Ethical
Limited data set
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

3. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
Privacy
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
What types of disclosures do not require patient permission?
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.

4. Fax machines
Individually Identifiable Health Information
Malfeasance
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
should only be used when no other - more secure mode of transmission is available

5. The use of uniform electronic network protocols to transfer business information between organizations.
false charges and malicious oral statements about someone
Transaction
Electronic data interchange
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

6. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Covered transactions
Minimum necessary
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
a minor - rather than the parent - must sign the release of patient information

7. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Privacy
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Regulations
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

8. EPHI
state laws setting time limit for bringing a lawsuit
Electronic Protected Health Information
Designated record set
Ethical

9. making known - or using information relating to the private life or affairs of a person without their approval or permission
Invasion of Privacy Publishing
a minor - rather than the parent - must sign the release of patient information
must be reported to authorities by law
The body of laws made by states is their own statutory laws

10. Professional Negligence
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
malpractice
Portability
false and malicious writing about another

11. Computes and HIPAA
a minor - rather than the parent - must sign the release of patient information
Malfeasance
same legal standards apply to all patient records whether on paper or computer
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

12. Clearinghouse
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
located in a secured and private space
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Standard

13. General exceptions for releasing patient information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Health Information
should only be used when no other - more secure mode of transmission is available
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

14. NPP
Notice of Privacy Practices
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
What types of disclosures do not require patient permission?
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

15. Protected Health Information (PHI)
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
a minor - rather than the parent - must sign the release of patient information
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Malfeasance

16. 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
false and malicious writing about another
Patient rights under HIPAA
Permission
U.S. goverment

17. 5P's of ethical power
Encryption
Security
have a unique password and it should be changed frequently
purpose - pride - patience - persistence - perspective

18. Statutory
The body of laws made by states is their own statutory laws
false and malicious writing about another
state laws setting time limit for bringing a lawsuit
Malfeasance

19. Disabilities act

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20. Statue of limitations
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 laws setting time limit for bringing a lawsuit
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

21. 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
testimony under oath
Privacy
Insurance portability - administrative simplification - privacy and security
Covered entities

22. Transmission of information between two parties fro financial or administrative activities.
Rule
Portability
Patient rights under HIPAA
Transaction

23. OIG - Office of the Inspector General
should only be used when no other - more secure mode of transmission is available
the philosophical study of moral values and rules - conducts
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Invasion of Privacy Publishing

24. Civil law
De-Identified Information
need to know
concerns noncriminal disputes between private parties
Individually Identifiable Health Information

25. Hardware or software designed to prevent unauthorized access to electronic information.
Firewalls
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Treatment - payment and health care operations (TPO)
Patient Identifiable Information

26. 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)
Privacy
Electronic Protected Health Information
Firewalls

27. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Portability
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
Covered entities
Rule

28. Key entities
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Code sets
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

29. 4d's of negligence
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
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
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
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.

30. Freedom from unauthorized intrusion
Covered entities
Privacy
Security
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.

31. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
a minor - rather than the parent - must sign the release of patient information
Electronic data interchange
State preemption
Transaction

32. Subpoenas
purpose - pride - patience - persistence - perspective
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Tort
Invasion of Privacy Publishing

33. DII
De-Identified Information
false charges and malicious oral statements about someone
Minimum necessary
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

34. Emancipated minors

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35. interrogatory
Individually Identifiable Health Information
concerns noncriminal disputes between private parties
A written set of questions requiring written answers from a plaintiff or defendant under oath
the philosophical study of moral values and rules - conducts

36. Sending information over electronic networks.
have a unique password and it should be changed frequently
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Security
Electronic transmission

37. Confidentiality

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38. Releasing patient information
generally only patient can auth release of own medical record - there are a few exceptions
should only be used when no other - more secure mode of transmission is available
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

39. Any set of codes use to encode health care data elements.
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
Patient rights under HIPAA
Code sets

40. Medical records can be released w/o consent to...
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.
Covered transactions
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
Notice of Privacy Practices

41. Document that includes the standards
false charges and malicious oral statements about someone
located in a secured and private space
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.
Rule

42. What information do patients NOT have access to?
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
law that permits a person w/ a legal age and sound mind to give their body to donation
Code sets
Patient Identifiable Information

43. Title I of HIPAA
although medical records are confidential - there are times when they can be released w/o a patient consent.
Encryption
addresses portability of insurance coverage when employees change or lose their jobs
Covered entities

44. Federal law protects patient records dealing with...
false and malicious writing about another
substance abuse treatment
must be reported to authorities by law
although medical records are confidential - there are times when they can be released w/o a patient consent.

45. A general HIPAA requirement
Electronic Protected Health Information
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
substance abuse treatment
Standard

46. Ethics
Malfeasance
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
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
the philosophical study of moral values and rules - conducts

47. Advanced directives
substance abuse 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
Limited data set
Standard

48. Fax Machines and HIPAA
need to know
Portability
Limited data set
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

49. Titile II of HIPAA
Covered entities
have a unique password and it should be changed frequently
Health Information
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

50. The person recieving treatment
security rule
Patient
illegal touching of another person
testimony under oath