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. The person recieving treatment
same legal standards apply to all patient records whether on paper or computer
only those who meed to know should have access to patient information
Patient
law concerned with public wrongs against society

2. Implied contract
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
a contract that comes about from the actions of the parties rather than words
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

3. Professional Negligence
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Transaction
malpractice
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

4. Deposition
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
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
Verification
testimony under oath

5. 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.
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Examples of PHI
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

6. HIPAA
illegal touching of another person
Patient Identifiable Information
Permission
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

7. Emancipated minors

8. Releasing patient information
Examples of PHI
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
generally only patient can auth release of own medical record - there are a few exceptions
have a unique password and it should be changed frequently

9. Some state laws specifically protect __________. A patient would need to sign a specific request.
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
improper performance of an otherwise lawful act. civil
testimony under oath
Patient rights under HIPAA

10. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
addresses portability of insurance coverage when employees change or lose their jobs
Covered transactions
Ethical
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

11. A general HIPAA requirement
Standard
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Malfeasance
Treatment - payment and health care operations (TPO)

12. General exceptions for releasing patient information
purpose - pride - patience - persistence - perspective
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
must be reported to authorities by law
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

13. Includes records maintained by or for a covered entity.
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
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Patient
Designated record set

14. Freedom from unauthorized intrusion
Electronic data interchange
Transaction
Patient
Privacy

15. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Notice of Privacy Practices (NPP)
Regulations
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

16. making known - or using information relating to the private life or affairs of a person without their approval or permission
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
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
Minimum necessary
Invasion of Privacy Publishing

17. Transmission of information between two parties fro financial or administrative activities.
substance abuse treatment
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
concerns noncriminal disputes between private parties
Transaction

18. Sending information over electronic networks.
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
Covered entities
Electronic transmission
Insurance portability - administrative simplification - privacy and security

19. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
What types of disclosures do not require patient permission?
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
state laws setting time limit for bringing a lawsuit

20. Reportable diseases...
Treatment - payment and health care operations (TPO)
only those who meed to know should have access to patient information
must be reported to authorities by law
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

21. De-Identified Information
false and malicious writing about another
Electronic transmission
What types of disclosures do not require patient permission?
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

22. 5P's of ethical power
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
purpose - pride - patience - persistence - perspective
illegal touching of another person
should only be used when no other - more secure mode of transmission is available

23. Bioethics
Treatment - payment and health care operations (TPO)
Notice of Privacy Practices (NPP)
concerns noncriminal disputes between private parties
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

24. The computer screen should have a screensaver that...
Notice of Privacy Practices (NPP)
although medical records are confidential - there are times when they can be released w/o a patient consent.
The body of laws made by states is their own statutory laws
comes on after a few idle seconds and the use of a privacy screen should be mandatory

25. Conforming to proper professional behavior
should never be released w/o a patient's signed consent or court order
improper performance of an otherwise lawful act. civil
Ethical
a minor - rather than the parent - must sign the release of patient information

26. What information do patients NOT have access to?
improper performance of an otherwise lawful act. civil
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Code sets

27. Criminal law
law concerned with public wrongs against society
Electronic transmission
Notice of Privacy Practices
improper performance of an otherwise lawful act. civil

28. HI
law that permits a person w/ a legal age and sound mind to give their body to donation
have a unique password and it should be changed frequently
Health Information
a minor - rather than the parent - must sign the release of patient information

29. Confidentiality

30. The limited amount of patient information to be disclosed - depending on circumstances.
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Notice of Privacy Practices
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Minimum necessary

31. Disclosure without 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
treatment - payment - & healthcare operations
law concerned with public wrongs against society
although medical records are confidential - there are times when they can be released w/o a patient consent.

32. The use of uniform electronic network protocols to transfer business information between organizations.
Rule
Insurance portability - administrative simplification - privacy and security
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Electronic data interchange

33. Clearinghouse
Limited data set
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
purpose - pride - patience - persistence - perspective
only those who meed to know should have access to patient information

34. Under some circumstances ...
Firewalls
Covered entities
only those who meed to know should have access to patient information
a minor - rather than the parent - must sign the release of patient information

35. NPP
should never be released w/o a patient's signed consent or court order
must be reported to authorities by law
Notice of Privacy Practices
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

36. Protected Health Information (PHI)
Tort
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

37. EPHI
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
Designated record set
Security
Electronic Protected Health Information

38. 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
Designated record set
false and malicious writing about another
only those who meed to know should have access to patient information

39. What are the 3 purposes of HIPAA?
should only be used when no other - more secure mode of transmission is available
Code sets
Insurance portability - administrative simplification - privacy and security
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

40. Advanced directives
a minor - rather than the parent - must sign the release of patient 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
malpractice
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

41. 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
Electronic transmission
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
De-Identified Information

42. 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
Examples of PHI
The body of laws made by states is their own statutory laws
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Covered entities

43. Data must be backed up at ___________ and those back-up files should be stored ________.
regular - in a secure location
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
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
false and malicious writing about another

44. Patient records are _____________ so not all staff will have access.
law that permits a person w/ a legal age and sound mind to give their body to donation
Permission
need to know
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

45. Privacy Officer
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
Portability
Designated record set
Minimum necessary

46. Negligence
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.
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
A written set of questions requiring written answers from a plaintiff or defendant under oath
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

47. HIPAA compliance mandates that computer systems must be...
security rule
the philosophical study of moral values and rules - conducts
Individually Identifiable Health Information
located in a secured and private space

48. HIPAA states...
Notice of Privacy Practices
Code sets
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.
only those who meed to know should have access to patient information

49. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Limited data set
Portability
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

50. Common law
A written set of questions requiring written answers from a plaintiff or defendant under oath
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Code sets
malpractice