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. Misfeasance
testimony under oath
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
improper performance of an otherwise lawful act. civil
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.


2. Negligence
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
a minor - rather than the parent - must sign the release of patient information
A written set of questions requiring written answers from a plaintiff or defendant under oath
Limited data set


3. A reason for each use and disclosure of patient information.
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Permission
state laws setting time limit for bringing a lawsuit
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents


4. Federal law protects patient records dealing with...
substance abuse treatment
treatment - payment - & healthcare operations
U.S. goverment
Covered transactions


5. The use of uniform electronic network protocols to transfer business information between organizations.
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
substance abuse treatment
Notice of Privacy Practices
Electronic data interchange


6. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Encryption
Regulations
U.S. goverment
State preemption


7. What are the 3 purposes of HIPAA?
Notice of Privacy Practices
Insurance portability - administrative simplification - privacy and security
Tort
Encryption


8. Slander
state laws setting time limit for bringing a lawsuit
Electronic data interchange
false charges and malicious oral statements about someone
Regulations


9. Policies and procedures use to protect electronic information from unauthorized access
Security
state laws setting time limit for bringing a lawsuit
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.


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

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11. Professional Negligence
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
malpractice
Patient rights under HIPAA
located in a secured and private space


12. Protected health information from which certain patient identifiers have been removed
Patient Identifiable Information
Limited data set
Treatment - payment and health care operations (TPO)
same legal standards apply to all patient records whether on paper or computer


13. Reportable diseases...
concerns noncriminal disputes between private parties
Transaction
must be reported to authorities by law
Verification


14. Bioethics
regular - in a secure location
Notice of Privacy Practices (NPP)
Patient Identifiable Information
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research


15. Privacy Officer
Patient rights under HIPAA
Examples of PHI
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
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


16. Civil law
Electronic transmission
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
concerns noncriminal disputes between private parties
Patient rights under HIPAA


17. Who regulates HIPAA?
Designated record set
Patient Identifiable Information
the philosophical study of moral values and rules - conducts
U.S. goverment


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.
false charges and malicious oral statements about someone
purpose - pride - patience - persistence - perspective
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training


19. What information do patients NOT have access to?
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Malfeasance
Notice of Privacy Practices (NPP)
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research


20. Common law
Notice of Privacy Practices
a contract that comes about from the actions of the parties rather than words
substance abuse treatment
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents


21. Releasing patient information
Electronic Protected Health Information
generally only patient can auth release of own medical record - there are a few exceptions
Permission
only those who meed to know should have access to patient information


22. Any set of codes use to encode health care data elements.
Individually Identifiable Health Information
Limited data set
Code sets
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.


23. Implied contract
State preemption
a contract that comes about from the actions of the parties rather than words
Notice of Privacy Practices (NPP)
Insurance portability - administrative simplification - privacy and security


24. Emancipated minors

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25. EPHI
should only be used when no other - more secure mode of transmission is available
Electronic Protected Health Information
A written set of questions requiring written answers from a plaintiff or defendant under oath
a minor - rather than the parent - must sign the release of patient information


26. HIPAA compliance mandates that computer systems must be...
Standard
located in a secured and private space
Covered entities
U.S. goverment


27. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
the philosophical study of moral values and rules - conducts
security rule
treatment - payment - & healthcare operations
Portability


28. HI
Verification
Health Information
Electronic transmission
Malfeasance


29. Hardware or software designed to prevent unauthorized access to electronic information.
De-Identified Information
Notice of Privacy Practices (NPP)
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Firewalls


30. Unlawful act done without permission.
Individually Identifiable Health Information
Designated record set
substance abuse treatment
Malfeasance


31. 5P's of ethical power
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Covered transactions
purpose - pride - patience - persistence - perspective
should never be released w/o a patient's signed consent or court order


32. Freedom from unauthorized intrusion
Privacy
Health Information
Verification
A written set of questions requiring written answers from a plaintiff or defendant under oath


33. DII
De-Identified Information
Covered transactions
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.
Regulations


34. 4d's of negligence
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
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
U.S. goverment
comes on after a few idle seconds and the use of a privacy screen should be mandatory


35. Disabilities act

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36. Confidentiality

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37. 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.
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)
should never be released w/o a patient's signed consent or court order
Limited data set


38. Medical records used for health care research

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39. Good samaritan law
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
same legal standards apply to all patient records whether on paper or computer
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training


40. PII
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
De-Identified Information
Patient Identifiable Information
Tort


41. 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
Ethical
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Patient


42. HIPAA states...
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
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Electronic transmission


43. HIPAA
Rule
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Individually Identifiable Health Information
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA


44. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Covered transactions
Security
only those who meed to know should have access to patient information
same legal standards apply to all patient records whether on paper or computer


45. Doctor release of patient
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
addresses portability of insurance coverage when employees change or lose their jobs
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
What types of disclosures do not require patient permission?


46. Coded information that can't be read until is decoded.
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Encryption
Regulations
Invasion of Privacy Publishing


47. Includes records maintained by or for a covered entity.
Patient rights under 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
The body of laws made by states is their own statutory laws
Designated record set


48. Deposition
testimony under oath
only those who meed to know should have access to 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.
regular - in a secure location


49. Business Associate Agreements applies to...
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
only those who meed to know should have access to patient information
Electronic Protected Health Information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)


50. Disclosure without Consent
Firewalls
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
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