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. Misfeasance
Electronic transmission
testimony under oath
improper performance of an otherwise lawful act. civil
a minor - rather than the parent - must sign the release of patient information

2. De-Identified Information
state laws setting time limit for bringing a lawsuit
Malfeasance
Tort
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

3. 4d's of negligence
the philosophical study of moral values and rules - conducts
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Electronic Protected 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

4. Doctor release of patient
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
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
only those who meed to know should have access to patient information

5. 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.
Malfeasance
U.S. goverment
same legal standards apply to all patient records whether on paper or computer
Examples of PHI

6. TPO
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
should only be used when no other - more secure mode of transmission is available
Verification
treatment - payment - & healthcare operations

7. Key entities
Electronic data interchange
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Insurance portability - administrative simplification - privacy and security
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

8. Protected health information from which certain patient identifiers have been removed
Limited data set
illegal touching of another person
should never be released w/o a patient's signed consent or court order
Notice of Privacy Practices

9. A reason for each use and disclosure of patient information.
Permission
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Individually Identifiable Health Information
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

10. OIG - Office of the Inspector General
De-Identified Information
security rule
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

11. Computes and HIPAA
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
false and malicious writing about another
same legal standards apply to all patient records whether on paper or computer
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

12. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Notice of Privacy Practices
Covered transactions
Verification
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

13. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
security rule
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
testimony under oath
De-Identified Information

14. Document that includes the standards
Rule
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
should never be released w/o a patient's signed consent or court order
testimony under oath

15. Common law
Electronic Protected Health Information
concerns noncriminal disputes between private parties
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Designated record set

16. What information do patients NOT have access to?
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
only those who meed to know should have access to patient information
Tort
Limited data set

17. Advanced directives
Minimum necessary
must be reported to authorities by law
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
Malfeasance

18. Statutory
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.
only those who meed to know should have access to patient information
regular - in a secure location
The body of laws made by states is their own statutory laws

19. Battery
Notice of Privacy Practices (NPP)
although medical records are confidential - there are times when they can be released w/o a patient consent.
Permission
illegal touching of another person

20. 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
Tort
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
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Covered entities

21. NPP
Notice of Privacy Practices
Ethical
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Encryption

22. DII
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c 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
Transaction
De-Identified Information

23. A written document detailing a health care provider's privacy practices.
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
must be reported to authorities by law
Notice of Privacy Practices (NPP)
De-Identified Information

24. Clearinghouse
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
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
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

25. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Code sets
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Portability

26. Good samaritan law
concerns noncriminal disputes between private parties
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

27. Libel
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
false and malicious writing about another
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

28. Implied consent
Treatment - payment and health care operations (TPO)
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.
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
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

29. Medical records used for health care research

30. Slander
false charges and malicious oral statements about someone
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
law concerned with public wrongs against society

31. Any wrongdoing for which an action for damages may be brought
Portability
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
Tort
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

32. The use of uniform electronic network protocols to transfer business information between organizations.
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Electronic data interchange
Transaction
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

33. The person recieving treatment
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Patient
illegal touching of another person

34. Federal law protects patient records dealing with...
Electronic Protected Health Information
Examples of PHI
security rule
substance abuse treatment

35. All persons who will have access are required to...
have a unique password and it should be changed frequently
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
concerns noncriminal disputes between private parties
Notice of Privacy Practices

36. Unlawful act done without permission.
a minor - rather than the parent - must sign the release of patient information
Minimum necessary
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
Malfeasance

37. 5P's of ethical power
comes on after a few idle seconds and the use of a privacy screen should be mandatory
state laws setting time limit for bringing a lawsuit
purpose - pride - patience - persistence - perspective
malpractice

38. 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
should never be released w/o a patient's signed consent or court order
testimony under oath
Ethical

39. The computer screen should have a screensaver that...
Invasion of Privacy Publishing
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Regulations
purpose - pride - patience - persistence - perspective

40. What are the 3 purposes of HIPAA?
Security
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Insurance portability - administrative simplification - privacy and 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.

41. Confidentiality

42. HIPAA states...
need to know
located in a secured and private space
only those who meed to know should have access to patient information
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

43. Subpoenas
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
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.
Ethical
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

44. 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
Firewalls
regular - in a secure location
Standard

45. Policies and procedures use to protect electronic information from unauthorized access
Invasion of Privacy Publishing
law that permits a person w/ a legal age and sound mind to give their body to donation
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Security

46. Freedom from unauthorized intrusion
Privacy
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?
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.

47. 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
Patient rights under HIPAA
Covered entities
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
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

48. Ethics
A written set of questions requiring written answers from a plaintiff or defendant under oath
illegal touching of another person
the philosophical study of moral values and rules - conducts
must be reported to authorities by law

49. HI
De-Identified Information
have a unique password and it should be changed frequently
Health Information
Verification

50. The limited amount of patient information to be disclosed - depending on circumstances.
Minimum necessary
A written set of questions requiring written answers from a plaintiff or defendant under oath
purpose - pride - patience - persistence - perspective
Insurance portability - administrative simplification - privacy and security