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. 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
U.S. goverment
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Encryption

2. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
Limited data set
Portability
Security
State preemption

3. HI
Portability
Privacy
a minor - rather than the parent - must sign the release of patient information
Health Information

4. All persons who will have access are required to...
concerns noncriminal disputes between private parties
Health Information
have a unique password and it should be changed frequently
generally only patient can auth release of own medical record - there are a few exceptions

5. Medical records can be released w/o consent to...
Portability
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
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

6. The computer screen should have a screensaver that...
the philosophical study of moral values and rules - conducts
concerns noncriminal disputes between private parties
Malfeasance
comes on after a few idle seconds and the use of a privacy screen should be mandatory

7. Slander
Insurance portability - administrative simplification - privacy and security
false charges and malicious oral statements about someone
Portability
Verification

8. 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
Patient
Covered entities
purpose - pride - patience - persistence - perspective
Tort

9. Doctor release of patient
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
should never be released w/o a patient's signed consent or court order
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
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

10. Freedom from unauthorized intrusion
Privacy
Ethical
Health Information
regular - in a secure location

11. Negligence
Malfeasance
have a unique password and it should be changed frequently
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
security rule

12. Under some circumstances ...
Insurance portability - administrative simplification - privacy and security
a minor - rather than the parent - must sign the release of patient information
regular - in a secure location
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. 4d's of negligence
illegal touching of another person
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.
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
security rule

14. Protected health information from which certain patient identifiers have been removed
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
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.
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Limited data set

15. What are the 3 purposes of HIPAA?
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.
Firewalls
Insurance portability - administrative simplification - privacy and security
Privacy

16. HIPAA states...
only those who meed to know should have access to patient information
concerns noncriminal disputes between private parties
illegal touching of another person
Malfeasance

17. Subpoenas
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
substance abuse treatment
located in a secured and private space
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

18. Policies and procedures use to protect electronic information from unauthorized access
Security
substance abuse treatment
Patient Identifiable Information
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

19. Professional 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
malpractice
false charges and malicious oral statements about someone
improper performance of an otherwise lawful act. civil

20. DII
must be reported to authorities by law
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
De-Identified Information
Insurance portability - administrative simplification - privacy and security

21. Advanced directives
A written set of questions requiring written answers from a plaintiff or defendant under oath
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
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Patient rights under HIPAA

22. Reportable diseases...
must be reported to authorities by law
a minor - rather than the parent - must sign the release of patient information
What types of disclosures do not require patient permission?
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

23. IIHI
Encryption
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Individually Identifiable Health Information
must be reported to authorities by law

24. Transmission of information between two parties fro financial or administrative activities.
regular - in a secure location
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.
Transaction
concerns noncriminal disputes between private parties

25. Disclosure without Consent
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
State preemption
although medical records are confidential - there are times when they can be released w/o a patient consent.
The body of laws made by states is their own statutory laws

26. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Portability
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
concerns noncriminal disputes between private parties
Transaction

27. Conforming to proper professional behavior
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Tort
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
Ethical

28. Who regulates HIPAA?
Ethical
U.S. goverment
must be reported to authorities by law
treatment - payment - & healthcare operations

29. interrogatory
Regulations
treatment - payment - & healthcare operations
A written set of questions requiring written answers from a plaintiff or defendant under oath
security rule

30. EPHI
security rule
Malfeasance
Electronic data interchange
Electronic Protected Health Information

31. A written document detailing a health care provider's privacy practices.
Notice of Privacy Practices (NPP)
Malfeasance
Security
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.

32. 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)
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
regular - in a secure location

33. making known - or using information relating to the private life or affairs of a person without their approval or permission
Invasion of Privacy Publishing
Ethical
purpose - pride - patience - persistence - perspective
treatment - payment - & healthcare operations

34. Ethics
although medical records are confidential - there are times when they can be released w/o a patient consent.
the philosophical study of moral values and rules - conducts
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
illegal touching of another person

35. Any set of codes use to encode health care data elements.
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.
Code sets
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

36. 5P's of ethical power
Code sets
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
purpose - pride - patience - persistence - perspective
Rule

37. The limited amount of patient information to be disclosed - depending on circumstances.
Patient
should only be used when no other - more secure mode of transmission is available
Standard
Minimum necessary

38. Sending information over electronic networks.
addresses portability of insurance coverage when employees change or lose their jobs
Electronic transmission
Permission
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

39. PII
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Tort
Patient Identifiable Information
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

40. NPP
The body of laws made by states is their own statutory laws
Notice of Privacy Practices
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
security rule

41. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
regular - in a secure location
Covered transactions
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

42. Business Associate Agreements applies to...
addresses portability of insurance coverage when employees change or lose their jobs
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
Health Information
testimony under oath

43. Some state laws specifically protect __________. A patient would need to sign a specific request.
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
same legal standards apply to all patient records whether on paper or computer
Notice of Privacy Practices
Regulations

44. Computes and HIPAA
Minimum necessary
same legal standards apply to all patient records whether on paper or computer
treatment - payment - & healthcare operations
law that permits a person w/ a legal age and sound mind to give their body to donation

45. Implied consent
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
purpose - pride - patience - persistence - perspective
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

46. Title I of HIPAA
Limited data set
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
addresses portability of insurance coverage when employees change or lose their jobs
treatment - payment - & healthcare operations

47. Statue of limitations
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
treatment - payment - & healthcare operations
a minor - rather than the parent - must sign the release of patient information
state laws setting time limit for bringing a lawsuit

48. Criminal law
law concerned with public wrongs against society
U.S. goverment
Covered entities
Encryption

49. Titile II of HIPAA
What types of disclosures do not require patient permission?
concerns noncriminal disputes between private parties
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
substance abuse treatment

50. De-Identified Information
Tort
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
a contract that comes about from the actions of the parties rather than words