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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. Coded information that can't be read until is decoded.
Patient
Encryption
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
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.

2. Hardware or software designed to prevent unauthorized access to electronic information.
Firewalls
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
regular - in a secure location
testimony under oath

3. Sending information over electronic networks.
State preemption
Designated record set
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Electronic transmission

4. The use of uniform electronic network protocols to transfer business information between organizations.
should only be used when no other - more secure mode of transmission is available
Electronic data interchange
The body of laws made by states is their own statutory laws
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

5. 5P's of ethical power
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
Treatment - payment and health care operations (TPO)
purpose - pride - patience - persistence - perspective
illegal touching of another person

6. Protected health information from which certain patient identifiers have been removed
Encryption
Minimum necessary
Limited data set
Rule

7. Clearinghouse
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
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
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

8. Negligence
Examples of PHI
state laws setting time limit for bringing a lawsuit
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Portability

9. TPO
Covered transactions
need to know
treatment - payment - & healthcare operations
should never be released w/o a patient's signed consent or court order

10. 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
Insurance portability - administrative simplification - privacy and security
Health Information
A written set of questions requiring written answers from a plaintiff or defendant under oath

11. HI
Health Information
Transaction
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
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

12. Fax Machines and HIPAA
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Patient rights under HIPAA
Tort
should only be used when no other - more secure mode of transmission is available

13. Criminal law
Rule
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
law concerned with public wrongs against society
Electronic Protected Health Information

14. Implied contract
De-Identified Information
a contract that comes about from the actions of the parties rather than words
treatment - payment - & healthcare operations
Notice of Privacy Practices (NPP)

15. PII
Patient Identifiable Information
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
false charges and malicious oral statements about someone
Minimum necessary

16. HIPAA states...
improper performance of an otherwise lawful act. civil
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
only those who meed to know should have access to patient information
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

17. The limited amount of patient information to be disclosed - depending on circumstances.
Electronic Protected Health Information
Verification
Treatment - payment and health care operations (TPO)
Minimum necessary

18. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
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
What types of disclosures do not require patient permission?
Firewalls
Patient

19. 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
Patient Identifiable Information
Regulations
comes on after a few idle seconds and the use of a privacy screen should be mandatory

20. Implied consent
Ethical
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.
Covered transactions

21. Libel
Tort
false and malicious writing about another
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Designated record set

22. Policies and procedures use to protect electronic information from unauthorized access
generally only patient can auth release of own medical record - there are a few exceptions
Insurance portability - administrative simplification - privacy and security
Electronic Protected Health Information
Security

23. Titile II of HIPAA
only those who meed to know should have access to patient information
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
need to know
Health Information

24. The computer screen should have a screensaver that...
law that permits a person w/ a legal age and sound mind to give their body to donation
have a unique password and it should be changed frequently
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Ethical

25. Doctor release of patient
The body of laws made by states is their own statutory laws
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
Patient Identifiable Information

26. 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
Individually Identifiable Health Information
Covered entities
improper performance of an otherwise lawful act. civil
A written set of questions requiring written answers from a plaintiff or defendant under oath

27. Good samaritan law
Firewalls
same legal standards apply to all patient records whether on paper or computer
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

28. Patient records are _____________ so not all staff will have access.
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 Identifiable Information
regular - in a secure location
need to know

29. Disabilities act

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30. Confidentiality

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31. Emancipated minors

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32. Conforming to proper professional behavior
security rule
Ethical
substance abuse treatment
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

33. EPHI
State preemption
a minor - rather than the parent - must sign the release of patient information
Electronic Protected Health Information
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

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

35. Title I of HIPAA
Notice of Privacy Practices
improper performance of an otherwise lawful act. civil
addresses portability of insurance coverage when employees change or lose their jobs
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

36. Statutory
comes on after a few idle seconds and the use of a privacy screen should be mandatory
The body of laws made by states is their own statutory laws
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
security rule

37. A written document detailing a health care provider's privacy practices.
Notice of Privacy Practices (NPP)
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
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Code sets

38. Some state laws specifically protect __________. A patient would need to sign a specific request.
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
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
a contract that comes about from the actions of the parties rather than words

39. Federal law protects patient records dealing with...
substance abuse treatment
Portability
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Verification

40. Disclosure without Consent
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
De-Identified Information
although medical records are confidential - there are times when they can be released w/o a patient consent.
Electronic data interchange

41. HIPAA compliance mandates that computer systems must be...
purpose - pride - patience - persistence - perspective
located in a secured and private space
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
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

42. Medical records can be released w/o consent to...
Code sets
Verification
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
purpose - pride - patience - persistence - perspective

43. Key entities
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. 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
Malfeasance
a minor - rather than the parent - must sign the release of patient information

44. De-Identified Information
malpractice
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

45. 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.
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
substance abuse treatment
Treatment - payment and health care operations (TPO)
Encryption

46. Common law
a contract that comes about from the actions of the parties rather than words
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Individually Identifiable Health Information
Insurance portability - administrative simplification - privacy and security

47. Verify the identification of anyone requesting patient information.
Transaction
Verification
located in a secured and private space
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

48. A general HIPAA requirement
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
concerns noncriminal disputes between private parties
Standard
Electronic transmission

49. Ethics
the philosophical study of moral values and rules - conducts
should only be used when no other - more secure mode of transmission is available
Standard
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

50. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
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
purpose - pride - patience - persistence - perspective
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.
Covered transactions

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HIPAA

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