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. A reason for each use and disclosure of patient information.
should only be used when no other - more secure mode of transmission is available
improper performance of an otherwise lawful act. civil
Permission
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

2. 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
Standard
Electronic Protected Health Information
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

3. OIG - Office of the Inspector General
Limited data set
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
testimony under oath
Verification

4. Deposition
treatment - payment - & healthcare operations
concerns noncriminal disputes between private parties
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
testimony under oath

5. Titile II of HIPAA
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
regular - in a secure location
must be reported to authorities by law
Covered entities

6. HI
Health Information
treatment - payment - & healthcare operations
Designated record set
the philosophical study of moral values and rules - conducts

7. 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
U.S. goverment
Notice of Privacy Practices (NPP)
Patient rights under 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

8. Fax machines
regular - in a secure location
should only be used when no other - more secure mode of transmission is available
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
should never be released w/o a patient's signed consent or court order

9. Medical records used for health care research

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10. PII
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Patient Identifiable Information
located in a secured and private space
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

11. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
What types of disclosures do not require patient permission?
the philosophical study of moral values and rules - conducts
substance abuse treatment
Treatment - payment and health care operations (TPO)

12. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
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
purpose - pride - patience - persistence - perspective
same legal standards apply to all patient records whether on paper or computer
State preemption

13. Title I of HIPAA
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
What types of disclosures do not require patient permission?
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. Under some circumstances ...
although medical records are confidential - there are times when they can be released w/o a patient consent.
Insurance portability - administrative simplification - privacy and security
a minor - rather than the parent - must sign the release of patient 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

15. 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
Electronic Protected Health Information
purpose - pride - patience - persistence - perspective
Rule

16. Freedom from unauthorized intrusion
Encryption
Verification
Privacy
Code sets

17. Federal law protects patient records dealing with...
substance abuse treatment
What types of disclosures do not require patient permission?
testimony under oath
Insurance portability - administrative simplification - privacy and security

18. Protected Health Information (PHI)
malpractice
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

19. Uniform anotomical gift act
Malfeasance
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
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

20. Unlawful act done without permission.
Malfeasance
Electronic transmission
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
improper performance of an otherwise lawful act. civil

21. Civil law
must be reported to authorities by law
A written set of questions requiring written answers from a plaintiff or defendant under oath
U.S. goverment
concerns noncriminal disputes between private parties

22. Statue of limitations
state laws setting time limit for bringing a lawsuit
the philosophical study of moral values and rules - conducts
Insurance portability - administrative simplification - privacy and security
Code sets

23. IIHI
Individually Identifiable Health Information
should only be used when no other - more secure mode of transmission is available
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
purpose - pride - patience - persistence - perspective

24. Privacy Officer
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.
the philosophical study of moral values and rules - conducts
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
comes on after a few idle seconds and the use of a privacy screen should be mandatory

25. Reportable diseases...
same legal standards apply to all patient records whether on paper or computer
must be reported to authorities by law
Rule
Designated record set

26. The computer screen should have a screensaver that...
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
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.
Designated record set

27. Data must be backed up at ___________ and those back-up files should be stored ________.
Firewalls
Examples of PHI
regular - in a secure location
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

28. A written document detailing a health care provider's privacy practices.
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
illegal touching of another person
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Notice of Privacy Practices (NPP)

29. A general HIPAA requirement
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Standard
same legal standards apply to all patient records whether on paper or computer

30. Conforming to proper professional behavior
Ethical
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
although medical records are confidential - there are times when they can be released w/o a patient consent.
Health Information

31. Professional Negligence
Security
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
illegal touching of another person
malpractice

32. Battery
substance abuse treatment
illegal touching of another person
Limited data set
state laws setting time limit for bringing a lawsuit

33. 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)
Health Information
Transaction
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

34. Coded information that can't be read until is decoded.
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
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Encryption
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

35. Implied contract
have a unique password and it should be changed frequently
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 contract that comes about from the actions of the parties rather than words
Limited data set

36. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
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
Portability
state laws setting time limit for bringing a lawsuit

37. interrogatory
Rule
A written set of questions requiring written answers from a plaintiff or defendant under oath
generally only patient can auth release of own medical record - there are a few exceptions
must be reported to authorities by law

38. Good samaritan law
law concerned with public wrongs against society
a minor - rather than the parent - must sign the release of patient information
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Patient Identifiable Information

39. 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.
although medical records are confidential - there are times when they can be released w/o a patient consent.
should only be used when no other - more secure mode of transmission is available
have a unique password and it should be changed frequently
Examples of PHI

40. Verify the identification of anyone requesting patient information.
Verification
although medical records are confidential - there are times when they can be released w/o a patient consent.
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

41. Computes and HIPAA
same legal standards apply to all patient records whether on paper or computer
improper performance of an otherwise lawful act. civil
Permission
Covered entities

42. Who regulates HIPAA?
testimony under oath
U.S. goverment
false charges and malicious oral statements about someone
Verification

43. Criminal law
law concerned with public wrongs against society
illegal touching of another person
Code sets
Notice of Privacy Practices (NPP)

44. 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
Notice of Privacy Practices (NPP)
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
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
Covered entities

45. 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
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
Treatment - payment and health care operations (TPO)

46. What are the 3 purposes of HIPAA?
Insurance portability - administrative simplification - privacy and security
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
illegal touching of another person
law concerned with public wrongs against society

47. Releasing patient information
illegal touching of another person
false charges and malicious oral statements about someone
generally only patient can auth release of own medical record - there are a few exceptions
State preemption

48. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
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
Regulations
addresses portability of insurance coverage when employees change or lose their jobs
Standard

49. Subpoenas
A written set of questions requiring written answers from a plaintiff or defendant under oath
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.
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

50. Fax Machines and HIPAA
Electronic transmission
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.
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
should never be released w/o a patient's signed consent or court order