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. Transmission of information between two parties fro financial or administrative activities.
Portability
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
Transaction
Treatment - payment and health care operations (TPO)

2. Any set of codes use to encode health care data elements.
treatment - payment - & healthcare operations
The body of laws made by states is their own statutory laws
Code sets
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

3. Statutory
Limited data set
The body of laws made by states is their own statutory laws
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

4. HI
Code sets
state laws setting time limit for bringing a lawsuit
although medical records are confidential - there are times when they can be released w/o a patient consent.
Health Information

5. TPO
Rule
treatment - payment - & healthcare operations
addresses portability of insurance coverage when employees change or lose their jobs
Patient rights under HIPAA

6. Reportable diseases...
Minimum necessary
Encryption
must be reported to authorities by law
Security

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

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8. Professional Negligence
malpractice
Privacy
Portability
treatment - payment - & healthcare operations

9. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Portability
although medical records are confidential - there are times when they can be released w/o a patient consent.
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
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

10. Titile II of HIPAA
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Individually Identifiable Health Information
false and malicious writing about another
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

11. Fax Machines and HIPAA
Verification
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
Individually Identifiable Health Information
security rule

12. 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
Patient rights under HIPAA
Insurance portability - administrative simplification - privacy and security
Covered entities
Electronic transmission

13. DII
De-Identified 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
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

14. Subpoenas
Transaction
must be reported to authorities by law
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
improper performance of an otherwise lawful act. civil

15. Business Associate Agreements applies to...
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
law concerned with public wrongs against society
A written set of questions requiring written answers from a plaintiff or defendant under oath
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

16. Negligence
Treatment - payment and health care operations (TPO)
a contract that comes about from the actions of the parties rather than words
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
substance abuse treatment

17. 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.
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
only those who meed to know should have access to patient information
should never be released w/o a patient's signed consent or court order
Examples of PHI

18. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
regular - in a secure location
Electronic transmission
Covered transactions
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

19. Disclosure without Consent
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
although medical records are confidential - there are times when they can be released w/o a patient consent.
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Encryption

20. A general HIPAA requirement
Permission
located in a secured and private space
Standard
law concerned with public wrongs against society

21. Statue of limitations
Security
state laws setting time limit for bringing a lawsuit
Malfeasance
Portability

22. 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
addresses portability of insurance coverage when employees change or lose their jobs
Covered entities
law concerned with public wrongs against society
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

23. 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
Designated record set
although medical records are confidential - there are times when they can be released w/o a patient consent.
Invasion of Privacy Publishing

24. Some state laws specifically protect __________. A patient would need to sign a specific request.
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
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
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.

25. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Regulations
a contract that comes about from the actions of the parties rather than words
malpractice
Invasion of Privacy Publishing

26. Medical records can be released w/o consent to...
Security
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)
although medical records are confidential - there are times when they can be released w/o a patient consent.

27. Federal law protects patient records dealing with...
addresses portability of insurance coverage when employees change or lose their jobs
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
a contract that comes about from the actions of the parties rather than words
substance abuse treatment

28. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
should only be used when no other - more secure mode of transmission is available
security rule
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

29. Under some circumstances ...
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
a minor - rather than the parent - must sign the release of patient information
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

30. Criminal law
law concerned with public wrongs against society
What types of disclosures do not require patient permission?
although medical records are confidential - there are times when they can be released w/o a patient consent.
purpose - pride - patience - persistence - perspective

31. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
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
What types of disclosures do not require patient permission?
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
treatment - payment - & healthcare operations

32. Slander
false charges and malicious oral statements about someone
should never be released w/o a patient's signed consent or court order
State preemption
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

33. Clearinghouse
Invasion of Privacy Publishing
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
state laws setting time limit for bringing a lawsuit
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

34. A reason for each use and disclosure of patient information.
addresses portability of insurance coverage when employees change or lose their jobs
Permission
Privacy
concerns noncriminal disputes between private parties

35. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
the philosophical study of moral values and rules - conducts
Portability
A written set of questions requiring written answers from a plaintiff or defendant under oath
State preemption

36. The use of uniform electronic network protocols to transfer business information between organizations.
State preemption
Electronic data interchange
Invasion of Privacy Publishing
Standard

37. Medical records used for health care research

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38. All persons who will have access are required to...
although medical records are confidential - there are times when they can be released w/o a patient consent.
Covered transactions
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
have a unique password and it should be changed frequently

39. 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
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Firewalls
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

40. Includes records maintained by or for a covered entity.
Patient Identifiable Information
Invasion of Privacy Publishing
Designated record set
should only be used when no other - more secure mode of transmission is available

41. Privacy Officer
same legal standards apply to all patient records whether on paper or computer
comes on after a few idle seconds and the use of a privacy screen should be mandatory
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

42. interrogatory
have a unique password and it should be changed frequently
Verification
A written set of questions requiring written answers from a plaintiff or defendant under oath
Invasion of Privacy Publishing

43. Deposition
testimony under oath
Malfeasance
Notice of Privacy Practices
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

44. Battery
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
illegal touching of another person
Security
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

45. Key entities
substance abuse treatment
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 contract that comes about from the actions of the parties rather than words
State preemption

46. Unlawful act done without permission.
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Security
Malfeasance
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

47. Releasing patient information
generally only patient can auth release of own medical record - there are a few exceptions
the philosophical study of moral values and rules - conducts
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

48. HIPAA states...
Regulations
addresses portability of insurance coverage when employees change or lose their jobs
only those who meed to know should have access to patient information
illegal touching of another person

49. The limited amount of patient information to be disclosed - depending on circumstances.
Designated record set
Minimum necessary
Covered entities
Electronic Protected Health Information

50. Confidentiality

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