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. Medical records can be released w/o consent to...
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written 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
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

2. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Ethical
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Electronic data interchange
Covered transactions

3. Under some circumstances ...
a minor - rather than the parent - must sign the release of patient information
Notice of Privacy Practices (NPP)
Verification
Rule

4. Statutory
Malfeasance
although medical records are confidential - there are times when they can be released w/o a patient consent.
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
The body of laws made by states is their own statutory laws

5. Fax Machines and HIPAA
must be reported to authorities by law
What types of disclosures do not require patient permission?
Rule
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

6. Hardware or software designed to prevent unauthorized access to electronic information.
Privacy
Firewalls
a contract that comes about from the actions of the parties rather than words
purpose - pride - patience - persistence - perspective

7. Transmission of information between two parties fro financial or administrative activities.
Malfeasance
Transaction
Code sets
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA

8. A written document detailing a health care provider's privacy practices.
law that permits a person w/ a legal age and sound mind to give their body to donation
Notice of Privacy Practices (NPP)
comes on after a few idle seconds and the use of a privacy screen should be mandatory
law concerned with public wrongs against society

9. Releasing patient information
false and malicious writing about another
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Patient Identifiable Information
generally only patient can auth release of own medical record - there are a few exceptions

10. Confidentiality

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11. 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.
State preemption
Examples of PHI
Electronic Protected Health Information
false and malicious writing about another

12. The person recieving treatment
Patient
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
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
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

13. HIPAA compliance mandates that computer systems must be...
Insurance portability - administrative simplification - privacy and security
located in a secured and private space
should never be released w/o a patient's signed consent or court order
Regulations

14. Protected health information from which certain patient identifiers have been removed
treatment - payment - & healthcare operations
Security
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
Limited data set

15. OIG - Office of the Inspector General
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
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
substance abuse treatment
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

16. 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
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
purpose - pride - patience - persistence - perspective
Standard

17. Disabilities act

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18. Document that includes the standards
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.
Invasion of Privacy Publishing
Rule
same legal standards apply to all patient records whether on paper or computer

19. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
illegal touching of another person
State preemption
Electronic transmission
a minor - rather than the parent - must sign the release of patient information

20. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Portability
U.S. goverment
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

21. TPO
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
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.
treatment - payment - & healthcare operations

22. Libel
false and malicious writing about another
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
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.
Examples of PHI

23. 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
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
comes on after a few idle seconds and the use of a privacy screen should be mandatory
concerns noncriminal disputes between private parties

24. DII
Ethical
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.
Rule
De-Identified Information

25. Data must be backed up at ___________ and those back-up files should be stored ________.
Notice of Privacy Practices (NPP)
must be reported to authorities by law
Designated record set
regular - in a secure location

26. Protected Health Information (PHI)
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
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
State preemption
Notice of Privacy Practices (NPP)

27. Slander
Firewalls
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
false charges and malicious oral statements about someone
Covered transactions

28. Subpoenas
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
What types of disclosures do not require patient permission?
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Limited data set

29. A general HIPAA requirement
state laws setting time limit for bringing a lawsuit
Standard
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Rule

30. Patient records are _____________ so not all staff will have access.
substance abuse treatment
Covered entities
need to know
Privacy

31. Deposition
U.S. goverment
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.
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
testimony under oath

32. Some state laws specifically protect __________. A patient would need to sign a specific request.
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Electronic data interchange
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
law concerned with public wrongs against society

33. Any wrongdoing for which an action for damages may be brought
State preemption
Tort
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

34. Civil law
concerns noncriminal disputes between private parties
Individually Identifiable Health Information
state laws setting time limit for bringing a lawsuit
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

35. Verify the identification of anyone requesting patient information.
treatment - payment - & healthcare operations
Code sets
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Verification

36. De-Identified Information
should never be released w/o a patient's signed consent or court order
located in a secured and private space
Health Information
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

37. Any set of codes use to encode health care data elements.
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Code sets
generally only patient can auth release of own medical record - there are a few exceptions
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.

38. Freedom from unauthorized intrusion
Privacy
Rule
Permission
Health Information

39. making known - or using information relating to the private life or affairs of a person without their approval or permission
Malfeasance
U.S. goverment
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Invasion of Privacy Publishing

40. Implied contract
a contract that comes about from the actions of the parties rather than words
Encryption
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
regular - in a secure location

41. HIPAA states...
Security
Code sets
concerns noncriminal disputes between private parties
only those who meed to know should have access to patient information

42. Battery
Covered transactions
a contract that comes about from the actions of the parties rather than words
illegal touching of another person
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

43. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
security rule
Ethical
addresses portability of insurance coverage when employees change or lose their jobs

44. Unlawful act done without permission.
Notice of Privacy Practices (NPP)
Malfeasance
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Treatment - payment and health care operations (TPO)

45. Professional Negligence
a contract that comes about from the actions of the parties rather than words
malpractice
purpose - pride - patience - persistence - perspective
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

46. 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
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 entities
law concerned with public wrongs against society
Examples of PHI

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

48. General exceptions for releasing patient information
addresses portability of insurance coverage when employees change or lose their jobs
Rule
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA

49. The limited amount of patient information to be disclosed - depending on circumstances.
Minimum necessary
need to know
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Firewalls

50. 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.
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
treatment - payment - & healthcare operations
Notice of Privacy Practices (NPP)