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HIPAA

Instructions:

Answer 50 questions in 15 minutes.
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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. Patient records are _____________ so not all staff will have access.
Examples of PHI
need to know
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

2. interrogatory
comes on after a few idle seconds and the use of a privacy screen should be mandatory
generally only patient can auth release of own medical record - there are a few exceptions
Examples of PHI
A written set of questions requiring written answers from a plaintiff or defendant under oath

3. Libel
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
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
Electronic Protected Health Information
false and malicious writing about another

4. Ethics
Limited data set
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
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

5. Transmission of information between two parties fro financial or administrative activities.
although medical records are confidential - there are times when they can be released w/o a patient consent.
Transaction
Invasion of Privacy Publishing
Electronic data interchange

6. Medical records used for health care research

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7. Reportable diseases...
must be reported to authorities by law
Security
Malfeasance
a minor - rather than the parent - must sign the release of patient information

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

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9. Document that includes the standards
Rule
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Patient Identifiable Information
Notice of Privacy Practices (NPP)

10. NPP
Code sets
have a unique password and it should be changed frequently
Rule
Notice of Privacy Practices

11. 5P's of ethical power
security rule
illegal touching of another person
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
purpose - pride - patience - persistence - perspective

12. What information do patients NOT have access to?
only those who meed to know should have access to patient information
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
should never be released w/o a patient's signed consent or court order
Notice of Privacy Practices

13. PII
Individually Identifiable Health Information
The body of laws made by states is their own statutory laws
need to know
Patient Identifiable Information

14. Under some circumstances ...
Code sets
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
U.S. goverment

15. Negligence
regular - in a secure location
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
false charges and malicious oral statements about someone
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

16. Misfeasance
Tort
improper performance of an otherwise lawful act. civil
law that permits a person w/ a legal age and sound mind to give their body to donation
Regulations

17. Protected health information from which certain patient identifiers have been removed
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
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Health Information
Limited data set

18. All persons who will have access are required 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.
Tort
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
have a unique password and it should be changed frequently

19. EPHI
Designated record set
A written set of questions requiring written answers from a plaintiff or defendant under oath
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Electronic Protected Health Information

20. A general HIPAA requirement
treatment - payment - & healthcare operations
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Electronic data interchange
Standard

21. Hardware or software designed to prevent unauthorized access to electronic information.
purpose - pride - patience - persistence - perspective
located in a secured and private space
Firewalls
should only be used when no other - more secure mode of transmission is available

22. Key entities
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
purpose - pride - patience - persistence - perspective
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
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.

23. Verify the identification of anyone requesting patient information.
Portability
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Verification
Individually Identifiable Health Information

24. The limited amount of patient information to be disclosed - depending on circumstances.
have a unique password and it should be changed frequently
Minimum necessary
addresses portability of insurance coverage when employees change or lose their jobs
What types of disclosures do not require patient permission?

25. Subpoenas
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Electronic Protected Health Information
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

26. Title I of HIPAA
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
addresses portability of insurance coverage when employees change or lose their jobs
law concerned with public wrongs against society
illegal touching of another person

27. 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
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Patient rights under HIPAA
Notice of Privacy Practices
Rule

28. Some state laws specifically protect __________. A patient would need to sign a specific request.
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Electronic data interchange
Covered transactions

29. Professional Negligence
Examples of PHI
malpractice
addresses portability of insurance coverage when employees change or lose their jobs
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

30. 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
U.S. goverment
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

31. Privacy Officer
U.S. goverment
Privacy
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
generally only patient can auth release of own medical record - there are a few exceptions

32. The person recieving treatment
Covered entities
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.
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.
Patient

33. Emancipated minors

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34. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
have a unique password and it should be changed frequently
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
State preemption
Invasion of Privacy Publishing

35. 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.
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
Examples of PHI
Notice of Privacy Practices (NPP)
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

36. Statue of limitations
Limited data set
purpose - pride - patience - persistence - perspective
Health Information
state laws setting time limit for bringing a lawsuit

37. 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
malpractice
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
regular - in a secure location

38. OIG - Office of the Inspector General
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
security 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
What types of disclosures do not require patient permission?

39. Implied contract
must be reported to authorities by law
A written set of questions requiring written answers from a plaintiff or defendant under oath
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
a contract that comes about from the actions of the parties rather than words

40. Uniform anotomical gift act
law that permits a person w/ a legal age and sound mind to give their body to donation
a minor - rather than the parent - must sign the release of patient information
should never be released w/o a patient's signed consent or court order
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

41. General exceptions for releasing patient information
Transaction
a contract that comes about from the actions of the parties rather than words
Invasion of Privacy Publishing
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

42. Advanced directives
De-Identified Information
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
Patient Identifiable Information
Individually Identifiable Health Information

43. Criminal law
security rule
need to know
Encryption
law concerned with public wrongs against society

44. Disclosure without Consent
State preemption
although medical records are confidential - there are times when they can be released w/o a patient consent.
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
concerns noncriminal disputes between private parties

45. A reason for each use and disclosure of patient information.
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Permission
law concerned with public wrongs against society
Code sets

46. Slander
false charges and malicious oral statements about someone
Standard
Notice of Privacy Practices (NPP)
state laws setting time limit for bringing a lawsuit

47. 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
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Individually Identifiable Health Information
Rule

48. The use of uniform electronic network protocols to transfer business information between organizations.
Standard
addresses portability of insurance coverage when employees change or lose their jobs
Electronic data interchange
Treatment - payment and health care operations (TPO)

49. Freedom from unauthorized intrusion
Privacy
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
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

50. 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.
What types of disclosures do not require patient permission?
Invasion of Privacy Publishing
must be reported to authorities by law

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HIPAA

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