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Test your basic knowledge |
HIPAA
Start Test
Study First
Subjects
:
certifications
,
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. De-Identified Information
the philosophical study of moral values and rules - conducts
U.S. goverment
law that permits a person w/ a legal age and sound mind to give their body to donation
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
2. PII
Malfeasance
Patient Identifiable Information
Insurance portability - administrative simplification - privacy and security
improper performance of an otherwise lawful act. civil
3. 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
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Covered entities
Minimum necessary
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
4. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
Patient
What types of disclosures do not require patient permission?
De-Identified Information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
5. Releasing patient information
only those who meed to know should have access to patient information
Individually Identifiable Health Information
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
generally only patient can auth release of own medical record - there are a few exceptions
6. Under some circumstances ...
Privacy
a minor - rather than the parent - must sign the release of patient information
Notice of Privacy Practices
Patient rights under HIPAA
7. Privacy Officer
have a unique password and it should be changed frequently
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
Covered transactions
malpractice
8. Clearinghouse
law concerned with public wrongs against society
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
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
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
9. interrogatory
Regulations
Limited data set
A written set of questions requiring written answers from a plaintiff or defendant under oath
concerns noncriminal disputes between private parties
10. A reason for each use and disclosure of patient information.
Permission
Electronic data interchange
De-Identified Information
regular - in a secure location
11. Subpoenas
Portability
although medical records are confidential - there are times when they can be released w/o a patient consent.
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
false and malicious writing about another
12. Advanced directives
Standard
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
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
testimony under oath
13. Key entities
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
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Health Information
Security
14. Good samaritan law
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Treatment - payment and health care operations (TPO)
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
substance abuse treatment
15. What are the 3 purposes of HIPAA?
law that permits a person w/ a legal age and sound mind to give their body to donation
Insurance portability - administrative simplification - privacy and security
Malfeasance
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
16. Coded information that can't be read until is decoded.
Verification
Electronic data interchange
Encryption
the philosophical study of moral values and rules - conducts
17. Misfeasance
improper performance of an otherwise lawful act. civil
Portability
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
must be reported to authorities by law
18. The person recieving treatment
State preemption
Patient
should only be used when no other - more secure mode of transmission is available
Ethical
19. Hardware or software designed to prevent unauthorized access to electronic information.
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
a minor - rather than the parent - must sign the release of patient information
purpose - pride - patience - persistence - perspective
Firewalls
20. Any set of codes use to encode health care data elements.
Electronic Protected Health Information
Code sets
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
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
21. TPO
law concerned with public wrongs against society
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
treatment - payment - & healthcare operations
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
22. EPHI
addresses portability of insurance coverage when employees change or lose their jobs
Encryption
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Electronic Protected Health Information
23. Implied contract
The body of laws made by states is their own statutory laws
State preemption
a contract that comes about from the actions of the parties rather than words
a minor - rather than the parent - must sign the release of patient information
24. Freedom from unauthorized intrusion
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
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Privacy
25. DII
only those who meed to know should have access to patient information
De-Identified Information
have a unique password and it should be changed frequently
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
26. Implied consent
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
the philosophical study of moral values and rules - conducts
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.
same legal standards apply to all patient records whether on paper or computer
27. OIG - Office of the Inspector General
Privacy
law that permits a person w/ a legal age and sound mind to give their body to donation
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
a minor - rather than the parent - must sign the release of patient information
28. Disabilities act
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29. HI
located in a secured and private space
state laws setting time limit for bringing a lawsuit
illegal touching of another person
Health Information
30. Any wrongdoing for which an action for damages may be brought
Tort
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
must be reported to authorities by law
Standard
31. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
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)
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
State preemption
32. Criminal law
concerns noncriminal disputes between private parties
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
law concerned with public wrongs against society
33. Titile II of HIPAA
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
located in a secured and private space
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
need to know
34. HIPAA states...
only those who meed to know should have access to patient 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.
treatment - payment - & healthcare operations
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
35. Disclosure without Consent
Covered transactions
same legal standards apply to all patient records whether on paper or computer
although medical records are confidential - there are times when they can be released w/o a patient consent.
U.S. goverment
36. Libel
addresses portability of insurance coverage when employees change or lose their jobs
false and malicious writing about another
have a unique password and it should be changed frequently
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
37. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
Ethical
security rule
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.
38. Protected health information from which certain patient identifiers have been removed
Electronic Protected Health Information
have a unique password and it should be changed frequently
Patient Identifiable Information
Limited data set
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.
Treatment - payment and health care operations (TPO)
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
only those who meed to know should have access to patient information
Electronic Protected Health Information
40. A written document detailing a health care provider's privacy practices.
Designated record set
Standard
Notice of Privacy Practices (NPP)
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
41. NPP
Patient
Notice of Privacy Practices
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Limited data set
42. Computes and HIPAA
purpose - pride - patience - persistence - perspective
same legal standards apply to all patient records whether on paper or computer
Treatment - payment and health care operations (TPO)
generally only patient can auth release of own medical record - there are a few exceptions
43. Fax machines
must be reported to authorities by law
should only be used when no other - more secure mode of transmission is available
illegal touching of another person
Designated record set
44. Ethics
Electronic data interchange
the philosophical study of moral values and rules - conducts
false and malicious writing about another
What types of disclosures do not require patient permission?
45. Some state laws specifically protect __________. A patient would need to sign a specific request.
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Verification
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
must be reported to authorities by law
46. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Insurance portability - administrative simplification - privacy and security
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Covered transactions
Invasion of Privacy Publishing
47. Data must be backed up at ___________ and those back-up files should be stored ________.
regular - in a secure location
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Firewalls
must be reported to authorities by law
48. Reportable diseases...
Security
Patient Identifiable Information
must be reported to authorities by 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
49. Medical records used for health care research
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50. General exceptions for releasing patient information
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)
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Notice of Privacy Practices