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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. Medical records used for health care research

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2. HIPAA
The body of laws made by states is their own statutory laws
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
law concerned with public wrongs against society
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

3. Document that includes the standards
Rule
Designated record set
located in a secured and private space
purpose - pride - patience - persistence - perspective

4. All persons who will have access are required to...
Security
treatment - payment - & healthcare operations
have a unique password and it should be changed frequently
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

5. Advanced directives
Electronic Protected Health Information
The body of laws made by states is their own statutory laws
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
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.

6. Confidentiality

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7. 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
Electronic Protected Health Information
Ethical
Insurance portability - administrative simplification - privacy and security

8. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Code sets
Patient Identifiable Information
Covered transactions
law concerned with public wrongs against society

9. Freedom from unauthorized intrusion
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
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
false charges and malicious oral statements about someone
Privacy

10. Reportable diseases...
must be reported to authorities by law
Permission
A written set of questions requiring written answers from a plaintiff or defendant under oath
should only be used when no other - more secure mode of transmission is available

11. HIPAA states...
state laws setting time limit for bringing a lawsuit
only those who meed to know should have access to patient information
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Invasion of Privacy Publishing

12. Statutory
improper performance of an otherwise lawful act. civil
The body of laws made by states is their own statutory laws
State preemption
Electronic transmission

13. Emancipated minors

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14. Who regulates HIPAA?
U.S. goverment
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
Standard
Malfeasance

15. The limited amount of patient information to be disclosed - depending on circumstances.
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Minimum necessary
Electronic data interchange
Covered transactions

16. The person recieving treatment
Examples of PHI
Ethical
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

17. Title I of 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
Patient rights under HIPAA
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
addresses portability of insurance coverage when employees change or lose their jobs

18. What information do patients NOT have access to?
generally only patient can auth release of own medical record - there are a few exceptions
the philosophical study of moral values and rules - conducts
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Permission

19. Bioethics
Code sets
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Malfeasance
false charges and malicious oral statements about someone

20. Some state laws specifically protect __________. A patient would need to sign a specific request.
Regulations
Examples of PHI
addresses portability of insurance coverage when employees change or lose their jobs
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

21. Sending information over electronic networks.
false and malicious writing about another
Limited data set
Electronic transmission
Electronic data interchange

22. Statue of limitations
state laws setting time limit for bringing a lawsuit
located in a secured and private space
Ethical
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

23. OIG - Office of the Inspector General
U.S. goverment
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
generally only patient can auth release of own medical record - there are a few exceptions
Treatment - payment and health care operations (TPO)

24. General exceptions for releasing patient information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Ethical
testimony under oath
false and malicious writing about another

25. TPO
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
treatment - payment - & healthcare operations
Treatment - payment and health care operations (TPO)
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

26. Disabilities act

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27. NPP
Portability
Notice of Privacy Practices
concerns noncriminal disputes between private parties
security rule

28. De-Identified Information
purpose - pride - patience - persistence - perspective
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Treatment - payment and health care operations (TPO)

29. Implied consent
State preemption
although medical records are confidential - there are times when they can be released w/o a patient 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.
Encryption

30. Professional Negligence
Electronic Protected Health Information
law that permits a person w/ a legal age and sound mind to give their body to donation
a contract that comes about from the actions of the parties rather than words
malpractice

31. Conforming to proper professional behavior
State preemption
Ethical
Code sets
although medical records are confidential - there are times when they can be released w/o a patient consent.

32. Coded information that can't be read until is decoded.
What types of disclosures do not require patient permission?
Covered transactions
Encryption
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

33. 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.
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
Examples of PHI
Insurance portability - administrative simplification - privacy and security
Security

34. IIHI
Individually Identifiable Health Information
Verification
Electronic Protected Health Information
addresses portability of insurance coverage when employees change or lose their jobs

35. Titile II of HIPAA
Patient Identifiable Information
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Permission

36. Ethics
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
same legal standards apply to all patient records whether on paper or computer
State preemption
the philosophical study of moral values and rules - conducts

37. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
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
Treatment - payment and health care operations (TPO)
State preemption
false and malicious writing about another

38. Any set of codes use to encode health care data elements.
Code sets
state laws setting time limit for bringing a lawsuit
Notice of Privacy Practices
A written set of questions requiring written answers from a plaintiff or defendant under oath

39. Protected health information from which certain patient identifiers have been removed
Individually Identifiable Health Information
Limited data set
generally only patient can auth release of own medical record - there are a few exceptions
Verification

40. Battery
testimony under oath
illegal touching of another person
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
Electronic transmission

41. Negligence
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
generally only patient can auth release of own medical record - there are a few exceptions
Notice of Privacy Practices
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

42. Slander
Covered transactions
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
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)

43. Any wrongdoing for which an action for damages may be brought
Designated record set
concerns noncriminal disputes between private parties
improper performance of an otherwise lawful act. civil
Tort

44. Subpoenas
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
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
security rule
Verification

45. Unlawful act done without permission.
law that permits a person w/ a legal age and sound mind to give their body to donation
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Malfeasance
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

46. 5P's of ethical power
should never be released w/o a patient's signed consent or court order
Health Information
Electronic data interchange
purpose - pride - patience - persistence - perspective

47. Civil law
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Electronic data interchange
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
concerns noncriminal disputes between private parties

48. Deposition
have a unique password and it should be changed frequently
testimony under oath
The body of laws made by states is their own statutory laws
Tort

49. Fax machines
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.
should only be used when no other - more secure mode of transmission is available
malpractice
the philosophical study of moral values and rules - conducts

50. Under some circumstances ...
Regulations
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
a minor - rather than the parent - must sign the release of patient information
purpose - pride - patience - persistence - perspective