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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. A reason for each use and disclosure of patient information.
Tort
Patient Identifiable Information
improper performance of an otherwise lawful act. civil
Permission

2. Freedom from unauthorized intrusion
Privacy
Verification
Portability
law concerned with public wrongs against society

3. interrogatory
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
A written set of questions requiring written answers from a plaintiff or defendant under oath
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
located in a secured and private space

4. Document that includes the standards
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Rule
Transaction

5. Under some circumstances ...
a minor - rather than the parent - must sign the release of patient information
law concerned with public wrongs against society
Permission
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

6. Unlawful act done without permission.
Malfeasance
Permission
generally only patient can auth release of own medical record - there are a few exceptions
false and malicious writing about another

7. Confidentiality

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8. All persons who will have access are required to...
must be reported to authorities by law
have a unique password and it should be changed frequently
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
Verification

9. Policies and procedures use to protect electronic information from unauthorized access
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
The body of laws made by states is their own statutory laws
Regulations
Security

10. Any wrongdoing for which an action for damages may be brought
Tort
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
addresses portability of insurance coverage when employees change or lose their jobs
State preemption

11. The use of uniform electronic network protocols to transfer business information between organizations.
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Electronic data interchange
Rule
Security

12. 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.
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
illegal touching of another person
Firewalls

13. HIPAA
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
addresses portability of insurance coverage when employees change or lose their jobs
although medical records are confidential - there are times when they can be released w/o a patient consent.

14. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Portability
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.
Security
Malfeasance

15. Misfeasance
improper performance of an otherwise lawful act. civil
Encryption
Health Information
comes on after a few idle seconds and the use of a privacy screen should be mandatory

16. Protected health information from which certain patient identifiers have been removed
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Patient
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Limited data set

17. Titile II of HIPAA
should only be used when no other - more secure mode of transmission is available
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Standard
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

18. Emancipated minors

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19. Clearinghouse
Code sets
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 only be used when no other - more secure mode of transmission is available
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

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

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21. Reportable diseases...
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Health Information
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
must be reported to authorities by law

22. Good samaritan law
Insurance portability - administrative simplification - privacy and security
illegal touching of another person
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Electronic data interchange

23. Conforming to proper professional behavior
Ethical
a minor - rather than the parent - must sign the release of patient information
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Limited data set

24. Computes and HIPAA
same legal standards apply to all patient records whether on paper or computer
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
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
located in a secured and private space

25. HI
false charges and malicious oral statements about someone
addresses portability of insurance coverage when employees change or lose their jobs
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Health Information

26. Professional Negligence
a minor - rather than the parent - must sign the release of patient information
Covered entities
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
malpractice

27. Negligence
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
located in a secured and private space
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

28. TPO
treatment - payment - & healthcare operations
Covered transactions
Limited data set
A written set of questions requiring written answers from a plaintiff or defendant under oath

29. 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 laws setting time limit for bringing a lawsuit
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 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)

30. Civil law
Patient Identifiable Information
a contract that comes about from the actions of the parties rather than words
Invasion of Privacy Publishing
concerns noncriminal disputes between private parties

31. making known - or using information relating to the private life or affairs of a person without their approval or permission
Covered transactions
same legal standards apply to all patient records whether on paper or computer
Invasion of Privacy Publishing
Individually Identifiable Health Information

32. A general HIPAA requirement
Treatment - payment and health care operations (TPO)
Standard
Permission
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

33. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
Security
same legal standards apply to all patient records whether on paper or computer
treatment - payment - & healthcare operations
State preemption

34. 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
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
Ethical
Covered entities
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

35. Releasing patient information
Invasion of Privacy Publishing
Privacy
generally only patient can auth release of own medical record - there are a few exceptions
Treatment - payment and health care operations (TPO)

36. A written document detailing a health care provider's privacy practices.
Permission
Individually Identifiable Health Information
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
Notice of Privacy Practices (NPP)

37. What information do patients NOT have access to?
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.
a minor - rather than the parent - must sign the release of patient information
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Firewalls

38. Who regulates HIPAA?
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
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
false charges and malicious oral statements about someone
U.S. goverment

39. Any set of codes use to encode health care data elements.
substance abuse treatment
Individually Identifiable 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
Code sets

40. Protected Health Information (PHI)
Examples of PHI
should only be used when no other - more secure mode of transmission is available
substance abuse treatment
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

41. Medical records can be released w/o consent to...
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
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?
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

42. Fax machines
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Privacy
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
should only be used when no other - more secure mode of transmission is available

43. NPP
Notice of Privacy Practices
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
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
U.S. goverment

44. General exceptions for releasing patient information
malpractice
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
only those who meed to know should have access to patient information
Malfeasance

45. What are the 3 purposes of HIPAA?
Insurance portability - administrative simplification - privacy and security
Code sets
should never be released w/o a patient's signed consent or court order
Electronic Protected Health Information

46. Medical records used for health care research

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47. Some state laws specifically protect __________. A patient would need to sign a specific request.
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Covered entities
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
treatment - payment - & healthcare operations

48. Battery
Verification
illegal touching of another person
Security
purpose - pride - patience - persistence - perspective

49. Deposition
testimony under oath
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
only those who meed to know should have access to patient information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

50. Title I of HIPAA
must be reported to authorities by law
Encryption
addresses portability of insurance coverage when employees change or lose their jobs
Treatment - payment and health care operations (TPO)

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HIPAA

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