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. Releasing patient information
Invasion of Privacy Publishing
same legal standards apply to all patient records whether on paper or computer
Tort
generally only patient can auth release of own medical record - there are a few exceptions

2. Common law
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
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Health Information
treatment - payment - & healthcare operations

3. Deposition
state laws setting time limit for bringing a lawsuit
testimony under oath
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Individually Identifiable Health Information

4. Verify the identification of anyone requesting patient information.
Covered transactions
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Verification
Ethical

5. Confidentiality

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6. HIPAA states...
Verification
only those who meed to know should have access to patient information
improper performance of an otherwise lawful act. civil
Malfeasance

7. What are the 3 purposes of HIPAA?
Minimum necessary
Insurance portability - administrative simplification - privacy and security
Limited data set
Treatment - payment and health care operations (TPO)

8. Implied consent
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.
have a unique password and it should be changed frequently
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Patient

9. HIPAA
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
The body of laws made by states is their own statutory laws
although medical records are confidential - there are times when they can be released w/o a patient consent.
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

10. A reason for each use and disclosure of patient information.
Permission
only those who meed to know should have access to patient information
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
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

11. OIG - Office of the Inspector General
law concerned with public wrongs against society
Minimum necessary
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
concerns noncriminal disputes between private parties

12. What information do patients NOT have access to?
The body of laws made by states is their own statutory laws
Patient
U.S. goverment
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

13. 5P's of ethical power
purpose - pride - patience - persistence - perspective
substance abuse treatment
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.

14. The person recieving treatment
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Patient
malpractice
purpose - pride - patience - persistence - perspective

15. Statue of limitations
improper performance of an otherwise lawful act. civil
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
state laws setting time limit for bringing a lawsuit
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

16. Titile II of HIPAA
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
regular - in a secure location
Electronic transmission
Transaction

17. Criminal law
law concerned with public wrongs against society
testimony under oath
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

18. Medical records used for health care research

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19. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Ethical
must be reported to authorities by law
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
Covered transactions

20. Battery
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
state laws setting time limit for bringing a lawsuit
should never be released w/o a patient's signed consent or court order
illegal touching of another person

21. Ethics
the philosophical study of moral values and rules - conducts
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
Minimum necessary

22. Conforming to proper professional behavior
improper performance of an otherwise lawful act. civil
Ethical
Notice of Privacy Practices (NPP)
malpractice

23. De-Identified Information
generally only patient can auth release of own medical record - there are a few exceptions
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
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
Covered transactions

24. Policies and procedures use to protect electronic information from unauthorized access
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
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Security
Insurance portability - administrative simplification - privacy and security

25. Protected health information from which certain patient identifiers have been removed
substance abuse treatment
Limited data set
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
generally only patient can auth release of own medical record - there are a few exceptions

26. EPHI
Electronic Protected Health Information
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Designated record set
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

27. A general HIPAA requirement
Privacy
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Standard
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

28. Disclosure without Consent
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
law that permits a person w/ a legal age and sound mind to give their body to donation
although medical records are confidential - there are times when they can be released w/o a patient consent.
U.S. goverment

29. Good samaritan law
concerns noncriminal disputes between private parties
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Portability
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

30. Includes records maintained by or for a covered entity.
Designated record set
a contract that comes about from the actions of the parties rather than words
Code sets
Security

31. Medical records can be released w/o consent to...
concerns noncriminal disputes between private parties
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
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Examples of PHI

32. The limited amount of patient information to be disclosed - depending on circumstances.
Minimum necessary
Limited data set
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
Notice of Privacy Practices (NPP)

33. Statutory
Firewalls
should never be released w/o a patient's signed consent or court order
The body of laws made by states is their own statutory laws
regular - in a secure location

34. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Minimum necessary
Regulations
Patient
Designated record set

35. Fax Machines and HIPAA
generally only patient can auth release of own medical record - there are a few exceptions
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
substance abuse treatment

36. Libel
false and malicious writing about another
What types of disclosures do not require patient permission?
must be reported to authorities by law
Notice of Privacy Practices (NPP)

37. Hardware or software designed to prevent unauthorized access to electronic information.
Firewalls
substance abuse treatment
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

38. HI
malpractice
should only be used when no other - more secure mode of transmission is available
Rule
Health Information

39. Subpoenas
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Patient rights under HIPAA
need to know

40. Under some circumstances ...
a minor - rather than the parent - must sign the release of patient information
concerns noncriminal disputes between private parties
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
The body of laws made by states is their own statutory laws

41. 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
should only be used when no other - more secure mode of transmission is available
although medical records are confidential - there are times when they can be released w/o a patient consent.
Patient rights under HIPAA
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

42. Advanced directives
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
Health Information
A written set of questions requiring written answers from a plaintiff or defendant under oath
false charges and malicious oral statements about someone

43. Unlawful act done without permission.
Malfeasance
Treatment - payment and health care operations (TPO)
false and malicious writing about another
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

44. Key entities
Invasion of Privacy Publishing
a minor - rather than the parent - must sign the release of patient information
same legal standards apply to all patient records whether on paper or computer
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

45. NPP
regular - in a secure location
addresses portability of insurance coverage when employees change or lose their jobs
generally only patient can auth release of own medical record - there are a few exceptions
Notice of Privacy Practices

46. 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
Malfeasance
generally only patient can auth release of own medical record - there are a few exceptions
Regulations

47. Any set of codes use to encode health care data elements.
Code sets
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Transaction
false and malicious writing about another

48. interrogatory
Patient
the philosophical study of moral values and rules - conducts
A written set of questions requiring written answers from a plaintiff or defendant under oath
Tort

49. 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
regular - in a secure location
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
Covered entities
Notice of Privacy Practices

50. TPO
treatment - payment - & healthcare operations
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Designated record set
Individually Identifiable Health Information