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. What are the 3 purposes of HIPAA?
Malfeasance
Insurance portability - administrative simplification - privacy and security
A written set of questions requiring written answers from a plaintiff or defendant under oath
Portability

2. Advanced directives
Limited data set
U.S. goverment
De-Identified Information
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

3. Professional Negligence
malpractice
must be reported to authorities by law
Electronic Protected Health Information
false and malicious writing about another

4. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
false and malicious writing about another
Code sets
State preemption
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

5. interrogatory
false charges and malicious oral statements about someone
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)
malpractice

6. The person recieving treatment
Patient
A written set of questions requiring written answers from a plaintiff or defendant under oath
addresses portability of insurance coverage when employees change or lose their jobs
Patient Identifiable Information

7. Verify the identification of anyone requesting patient information.
regular - in a secure location
Verification
Ethical
false and malicious writing about another

8. making known - or using information relating to the private life or affairs of a person without their approval or permission
Notice of Privacy Practices
Invasion of Privacy Publishing
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
security rule

9. Patient records are _____________ so not all staff will have access.
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.
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
need to know

10. 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
Insurance portability - administrative simplification - privacy and security
Regulations
false and malicious writing about another

11. Titile II of HIPAA
Verification
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
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
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

12. Civil law
should never be released w/o a patient's signed consent or court order
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.
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
concerns noncriminal disputes between private parties

13. Emancipated minors

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14. 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.
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Examples of PHI
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

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

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16. Confidentiality

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17. Under some circumstances ...
Patient
Malfeasance
a minor - rather than the parent - must sign the release of patient information
Notice of Privacy Practices (NPP)

18. PII
Notice of Privacy Practices
malpractice
Patient Identifiable Information
Transaction

19. Who regulates HIPAA?
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
U.S. goverment
purpose - pride - patience - persistence - perspective
generally only patient can auth release of own medical record - there are a few exceptions

20. Bioethics
need to know
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
law that permits a person w/ a legal age and sound mind to give their body to donation
Minimum necessary

21. 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
have a unique password and it should be changed frequently
concerns noncriminal disputes between private parties
Patient rights under HIPAA
although medical records are confidential - there are times when they can be released w/o a patient consent.

22. Statue of limitations
Limited data set
state laws setting time limit for bringing a lawsuit
only those who meed to know should have access to patient information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

23. Protected Health Information (PHI)
Malfeasance
De-Identified Information
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Limited data set

24. Slander
Health Information
false charges and malicious oral statements about someone
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
Code sets

25. Coded information that can't be read until is decoded.
Transaction
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
same legal standards apply to all patient records whether on paper or computer
Encryption

26. Federal law protects patient records dealing with...
Patient Identifiable Information
substance abuse treatment
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

27. EPHI
Electronic Protected Health Information
should never be released w/o a patient's signed consent or court order
regular - in a secure location
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

28. Key entities
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
only those who meed to know should have access to patient information
Standard
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

29. A general HIPAA requirement
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
state laws setting time limit for bringing a lawsuit
Standard
should never be released w/o a patient's signed consent or court order

30. OIG - Office of the Inspector General
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
should never be released w/o a patient's signed consent or court order
De-Identified Information
Encryption

31. Transmission of information between two parties fro financial or administrative activities.
Treatment - payment and health care operations (TPO)
Transaction
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

32. Sending information over electronic networks.
U.S. goverment
Individually Identifiable Health Information
should only be used when no other - more secure mode of transmission is available
Electronic transmission

33. Hardware or software designed to prevent unauthorized access to electronic information.
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Invasion of Privacy Publishing
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
Firewalls

34. De-Identified Information
the philosophical study of moral values and rules - conducts
Electronic Protected Health Information
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Transaction

35. Uniform anotomical gift act
state laws setting time limit for bringing a lawsuit
law that permits a person w/ a legal age and sound mind to give their body to donation
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Ethical

36. HIPAA
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.
Patient Identifiable Information
Electronic data interchange

37. TPO
should never be released w/o a patient's signed consent or court order
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
treatment - payment - & healthcare operations
concerns noncriminal disputes between private parties

38. DII
only those who meed to know should have access to patient information
Individually Identifiable Health Information
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
De-Identified Information

39. 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.
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
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Notice of Privacy Practices
Treatment - payment and health care operations (TPO)

40. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Security
security rule
Portability
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

41. The use of uniform electronic network protocols to transfer business information between organizations.
A written set of questions requiring written answers from a plaintiff or defendant under oath
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Verification
Electronic data interchange

42. Any wrongdoing for which an action for damages may be brought
Notice of Privacy Practices (NPP)
law that permits a person w/ a legal age and sound mind to give their body to donation
Tort
Health Information

43. Negligence
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
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Individually Identifiable Health Information

44. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Rule
Regulations
substance abuse treatment
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

45. HI
Patient Identifiable Information
Health Information
What types of disclosures do not require patient permission?
Firewalls

46. Unlawful act done without permission.
Malfeasance
generally only patient can auth release of own medical record - there are a few exceptions
law that permits a person w/ a legal age and sound mind to give their body to donation
security rule

47. All persons who will have access are required to...
Regulations
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
have a unique password and it should be changed frequently

48. Some state laws specifically protect __________. A patient would need to sign a specific request.
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
addresses portability of insurance coverage when employees change or lose their jobs
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
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

49. IIHI
Covered transactions
Individually Identifiable Health Information
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
the philosophical study of moral values and rules - conducts

50. Ethics
law concerned with public wrongs against society
the philosophical study of moral values and rules - conducts
Treatment - payment and health care operations (TPO)
U.S. goverment