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. HIPAA states...
only those who meed to know should have access to patient information
state laws setting time limit for bringing a lawsuit
Insurance portability - administrative simplification - privacy and security
Notice of Privacy Practices (NPP)

2. A reason for each use and disclosure of patient information.
Permission
Individually Identifiable Health Information
Designated record set
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

3. Some state laws specifically protect __________. A patient would need to sign a specific request.
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
testimony under oath
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Patient Identifiable Information

4. Patient records are _____________ so not all staff will have access.
should never be released w/o a patient's signed consent or court order
Permission
need to know
Designated record set

5. Professional Negligence
malpractice
U.S. goverment
Covered transactions
Minimum necessary

6. 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
illegal touching of another person
Covered entities
Patient Identifiable Information
A written set of questions requiring written answers from a plaintiff or defendant under oath

7. Subpoenas
Individually Identifiable Health Information
false and malicious writing about another
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

8. Fax Machines and HIPAA
Patient Identifiable Information
Transaction
although medical records are confidential - there are times when they can be released w/o a patient consent.
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

9. TPO
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
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
Covered entities
treatment - payment - & healthcare operations

10. Business Associate Agreements applies to...
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
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
concerns noncriminal disputes between private parties
improper performance of an otherwise lawful act. civil

11. Fax machines
Patient
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
should only be used when no other - more secure mode of transmission is available
Permission

12. HIPAA
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Verification
Malfeasance

13. Computes and HIPAA
Electronic data interchange
What types of disclosures do not require patient permission?
same legal standards apply to all patient records whether on paper or computer
regular - in a secure location

14. What are the 3 purposes 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
Treatment - payment and health care operations (TPO)
treatment - payment - & healthcare operations
Insurance portability - administrative simplification - privacy and security

15. De-Identified Information
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Privacy
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

16. Good samaritan law
Privacy
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
state laws setting time limit for bringing a lawsuit
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

17. Disabilities act

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18. Includes records maintained by or for a covered entity.
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
should never be released w/o a patient's signed consent or court order
Patient rights under HIPAA
Designated record set

19. interrogatory
Electronic data interchange
Standard
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
A written set of questions requiring written answers from a plaintiff or defendant under oath

20. Any wrongdoing for which an action for damages may be brought
Notice of Privacy Practices (NPP)
Tort
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
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. Who regulates HIPAA?
testimony under oath
Privacy
the philosophical study of moral values and rules - conducts
U.S. goverment

22. The person recieving treatment
Covered transactions
Patient
Designated record set
Minimum necessary

23. Negligence
Examples of PHI
testimony under oath
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
only those who meed to know should have access to patient information

24. Conforming to proper professional behavior
Ethical
the philosophical study of moral values and rules - conducts
Invasion of Privacy Publishing
although medical records are confidential - there are times when they can be released w/o a patient consent.

25. Sending information over electronic networks.
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Malfeasance
Electronic transmission
Treatment - payment and health care operations (TPO)

26. Titile II of HIPAA
Electronic transmission
Ethical
should never be released w/o a patient's signed consent or court order
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

27. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
Regulations
Rule
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?

28. Ethics
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
U.S. goverment
the philosophical study of moral values and rules - conducts
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

29. What information do patients NOT have access to?
Malfeasance
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
only those who meed to know should have access to patient information
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

30. Federal law protects patient records dealing with...
Electronic transmission
Minimum necessary
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
substance abuse treatment

31. EPHI
Tort
generally only patient can auth release of own medical record - there are a few exceptions
Electronic Protected Health Information
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.

32. Protected Health Information (PHI)
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
treatment - payment - & healthcare operations
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

33. IIHI
Patient Identifiable Information
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Individually Identifiable Health Information
Ethical

34. Verify the identification of anyone requesting patient information.
Verification
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.
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
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

35. The computer screen should have a screensaver that...
Invasion of Privacy Publishing
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Permission
although medical records are confidential - there are times when they can be released w/o a patient consent.

36. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
Covered entities
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
State preemption

37. A general HIPAA requirement
only those who meed to know should have access to patient information
Portability
security rule
Standard

38. Unlawful act done without permission.
need to know
located in a secured and private space
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Malfeasance

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.
Examples of PHI
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
located in a secured and private space
Portability

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

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41. NPP
Regulations
Security
Verification
Notice of Privacy Practices

42. 4d's of negligence
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
The body of laws made by states is their own statutory laws
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
Portability

43. General exceptions for releasing patient information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
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
comes on after a few idle seconds and the use of a privacy screen should be mandatory
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

44. 5P's of ethical power
U.S. goverment
located in a secured and private space
purpose - pride - patience - persistence - perspective
Malfeasance

45. Data must be backed up at ___________ and those back-up files should be stored ________.
regular - in a secure location
illegal touching of another person
have a unique password and it should be changed frequently
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

46. The limited amount of patient information to be disclosed - depending on circumstances.
purpose - pride - patience - persistence - perspective
Minimum necessary
malpractice
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

47. Reportable diseases...
Minimum necessary
a minor - rather than the parent - must sign the release of patient information
generally only patient can auth release of own medical record - there are a few exceptions
must be reported to authorities by law

48. Implied contract
Covered entities
State preemption
a contract that comes about from the actions of the parties rather than words
Regulations

49. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
a contract that comes about from the actions of the parties rather than words
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
De-Identified Information
Covered transactions

50. Slander
false charges and malicious oral statements about someone
Notice of Privacy Practices (NPP)
Patient
have a unique password and it should be changed frequently