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HIPAA

Instructions:

Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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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. Releasing patient information
addresses portability of insurance coverage when employees change or lose their jobs
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
generally only patient can auth release of own medical record - there are a few exceptions
state laws setting time limit for bringing a lawsuit

2. Common law
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
comes on after a few idle seconds and the use of a privacy screen should be mandatory
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
Tort

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

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4. interrogatory
Malfeasance
Covered transactions
A written set of questions requiring written answers from a plaintiff or defendant under oath
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

5. Under some circumstances ...
should never be released w/o a patient's signed consent or court order
a minor - rather than the parent - must sign the release of patient information
must be reported to authorities by law
The body of laws made by states is their own statutory laws

6. Deposition
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
testimony under oath
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
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

7. Statue of limitations
law concerned with public wrongs against society
only those who meed to know should have access to patient information
state laws setting time limit for bringing a lawsuit
concerns noncriminal disputes between private parties

8. The limited amount of patient information to be disclosed - depending on circumstances.
purpose - pride - patience - persistence - perspective
Minimum necessary
Privacy
concerns noncriminal disputes between private parties

9. Conforming to proper professional behavior
false and malicious writing about another
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Ethical
Firewalls

10. Doctor release of patient
Individually Identifiable Health Information
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
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

11. Verify the identification of anyone requesting patient information.
Verification
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
must be reported to authorities by law
Notice of Privacy Practices (NPP)

12. Emancipated minors

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13. Document that includes the standards
Rule
concerns noncriminal disputes between private parties
Invasion of Privacy Publishing
Portability

14. Key entities
law that permits a person w/ a legal age and sound mind to give their body to donation
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
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

15. Advanced directives
should only be used when no other - more secure mode of transmission is available
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
need to know
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

16. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
A written set of questions requiring written answers from a plaintiff or defendant under oath
Notice of Privacy Practices (NPP)
Portability
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

17. The use of uniform electronic network protocols to transfer business information between organizations.
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
a contract that comes about from the actions of the parties rather than words
Patient Identifiable Information
Electronic data interchange

18. Hardware or software designed to prevent unauthorized access to electronic information.
must be reported to authorities by law
Electronic transmission
Firewalls
a contract that comes about from the actions of the parties rather than words

19. Subpoenas
Verification
although medical records are confidential - there are times when they can be released w/o a patient consent.
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

20. Fax machines
Covered transactions
should only be used when no other - more secure mode of transmission is available
Standard
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

21. Implied contract
substance abuse treatment
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 contract that comes about from the actions of the parties rather than words
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

22. DII
De-Identified Information
Designated record set
Notice of Privacy Practices (NPP)
Firewalls

23. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
security rule
Encryption
Patient
Security

24. HIPAA
Permission
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
malpractice
state laws setting time limit for bringing a lawsuit

25. What are the 3 purposes of HIPAA?
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Electronic data interchange
Insurance portability - administrative simplification - privacy and security
false and malicious writing about another

26. Coded information that can't be read until is decoded.
Portability
generally only patient can auth release of own medical record - there are a few exceptions
Encryption
should only be used when no other - more secure mode of transmission is available

27. Freedom from unauthorized intrusion
Electronic transmission
Privacy
same legal standards apply to all patient records whether on paper or computer
law that permits a person w/ a legal age and sound mind to give their body to donation

28. Includes records maintained by or for a covered entity.
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
A written set of questions requiring written answers from a plaintiff or defendant under oath
Designated record set
Electronic transmission

29. 5P's of ethical power
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
state laws setting time limit for bringing a lawsuit
purpose - pride - patience - persistence - perspective
Patient

30. Transmission of information between two parties fro financial or administrative activities.
Transaction
Regulations
concerns noncriminal disputes between private parties
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

31. 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
Patient
located in a secured and private space
same legal standards apply to all patient records whether on paper or computer

32. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
regular - in a secure location
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.
State preemption
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

33. General exceptions for releasing patient information
A written set of questions requiring written answers from a plaintiff or defendant under oath
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
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
Tort

34. Bioethics
should only be used when no other - more secure mode of transmission is available
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Electronic transmission
Covered entities

35. TPO
substance abuse treatment
false and malicious writing about another
Firewalls
treatment - payment - & healthcare operations

36. Federal law protects patient records dealing with...
must be reported to authorities by law
substance abuse treatment
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
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

37. Medical records used for health care research

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38. 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.
have a unique password and it should be changed frequently
should only be used when no other - more secure mode of transmission is available
Standard
Examples of PHI

39. Protected Health Information (PHI)
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
comes on after a few idle seconds and the use of a privacy screen should be mandatory
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

40. Medical records can be released w/o consent to...
Electronic Protected Health Information
Invasion of Privacy Publishing
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
Privacy

41. Professional Negligence
malpractice
improper performance of an otherwise lawful act. civil
Code sets
Notice of Privacy Practices (NPP)

42. Implied consent
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.
De-Identified Information
Patient Identifiable Information

43. Unlawful act done without permission.
Limited data set
concerns noncriminal disputes between private parties
Malfeasance
state laws setting time limit for bringing a lawsuit

44. Who regulates HIPAA?
What types of disclosures do not require patient permission?
U.S. goverment
regular - in a secure location
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

45. Ethics
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
the philosophical study of moral values and rules - conducts
Verification

46. HIPAA compliance mandates that computer systems must be...
located in a secured and private space
security rule
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
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

47. making known - or using information relating to the private life or affairs of a person without their approval or permission
Insurance portability - administrative simplification - privacy and security
treatment - payment - & healthcare operations
Invasion of Privacy Publishing
have a unique password and it should be changed frequently

48. Business Associate Agreements applies to...
law that permits a person w/ a legal age and sound mind to give their body to donation
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
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
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

49. 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
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 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
Patient rights under HIPAA
Notice of Privacy Practices (NPP)

50. 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
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
Minimum necessary
Covered entities
false and malicious writing about another

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HIPAA

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