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. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
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
a minor - rather than the parent - must sign the release of patient information
U.S. goverment
Regulations

2. Negligence
Regulations
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)
must be reported to authorities by law

3. Medical records can be released w/o consent to...
Patient Identifiable Information
located in a secured and private space
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
Examples of PHI

4. Emancipated minors

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5. PII
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Patient Identifiable Information
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.
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

6. General exceptions for releasing patient information
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Firewalls

7. Data must be backed up at ___________ and those back-up files should be stored ________.
regular - in a secure location
A written set of questions requiring written answers from a plaintiff or defendant under oath
Ethical
law concerned with public wrongs against society

8. Disabilities act

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9. HIPAA
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
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
Insurance portability - administrative simplification - privacy and security
improper performance of an otherwise lawful act. civil

10. 5P's of ethical power
malpractice
a contract that comes about from the actions of the parties rather than words
treatment - payment - & healthcare operations
purpose - pride - patience - persistence - perspective

11. Who regulates HIPAA?
generally only patient can auth release of own medical record - there are a few exceptions
U.S. goverment
same legal standards apply to all patient records whether on paper or computer
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

12. Any set of codes use to encode health care data elements.
Code sets
Examples of PHI
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

13. Hardware or software designed to prevent unauthorized access to electronic information.
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Notice of Privacy Practices
Firewalls
law that permits a person w/ a legal age and sound mind to give their body to donation

14. IIHI
Covered transactions
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
Individually Identifiable Health Information
Patient rights under HIPAA

15. Battery
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
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
illegal touching of another person

16. All persons who will have access are required to...
Electronic Protected Health Information
De-Identified Information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
have a unique password and it should be changed frequently

17. HIPAA states...
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
only those who meed to know should have access to patient information
Verification
Treatment - payment and health care operations (TPO)

18. Key entities
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Invasion of Privacy Publishing
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 minor - rather than the parent - must sign the release of patient information

19. Bioethics
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
security rule
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Limited data set

20. A general HIPAA requirement
must be reported to authorities by law
Standard
Patient Identifiable Information
Security

21. Verify the identification of anyone requesting patient information.
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Security
Verification

22. Confidentiality

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23. Patient records are _____________ so not all staff will have access.
need to know
must be reported to authorities by law
a minor - rather than the parent - must sign the release of patient information
Notice of Privacy Practices

24. Document that includes the standards
although medical records are confidential - there are times when they can be released w/o a patient consent.
Tort
Rule
Security

25. Advanced directives
a contract that comes about from the actions of the parties rather than words
Electronic data interchange
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
Standard

26. Freedom from unauthorized intrusion
substance abuse treatment
Privacy
De-Identified Information
Patient

27. Protected health information from which certain patient identifiers have been removed
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Patient Identifiable Information
Invasion of Privacy Publishing
Limited data set

28. Includes records maintained by or for a covered entity.
Designated record set
Individually Identifiable Health Information
Limited data set
Privacy

29. De-Identified Information
Minimum necessary
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
purpose - pride - patience - persistence - perspective
law concerned with public wrongs against society

30. Title I of HIPAA
addresses portability of insurance coverage when employees change or lose their jobs
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Tort

31. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
Notice of Privacy Practices
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
Malfeasance
What types of disclosures do not require patient permission?

32. Common law
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Transaction
A written set of questions requiring written answers from a plaintiff or defendant under oath
state laws setting time limit for bringing a lawsuit

33. A reason for each use and disclosure of patient information.
Permission
substance abuse treatment
Treatment - payment and health care operations (TPO)
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

34. Some state laws specifically protect __________. A patient would need to sign a specific request.
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
should only be used when no other - more secure mode of transmission is available
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
A written set of questions requiring written answers from a plaintiff or defendant under oath

35. Transmission of information between two parties fro financial or administrative activities.
have a unique password and it should be changed frequently
generally only patient can auth release of own medical record - there are a few exceptions
Transaction
regular - in a secure location

36. Unlawful act done without permission.
Minimum necessary
Malfeasance
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Privacy

37. Policies and procedures use to protect electronic information from unauthorized access
have a unique password and it should be changed frequently
Standard
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Security

38. EPHI
Electronic transmission
should never be released w/o a patient's signed consent or court order
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 Protected Health Information

39. Fax Machines and HIPAA
false and malicious writing about another
comes on after a few idle seconds and the use of a privacy screen should be mandatory
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.

40. Clearinghouse
only those who meed to know should have access to patient information
the philosophical study of moral values and rules - conducts
Standard
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

41. Business Associate Agreements applies to...
Patient
Regulations
Insurance portability - administrative simplification - privacy and security
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

42. Sending information over electronic networks.
Electronic transmission
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
Electronic data interchange

43. TPO
treatment - payment - & healthcare operations
improper performance of an otherwise lawful act. civil
a contract that comes about from the actions of the parties rather than words
generally only patient can auth release of own medical record - there are a few exceptions

44. NPP
Code sets
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Notice of Privacy Practices
Verification

45. Professional Negligence
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
malpractice
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
located in a secured and private space

46. Disclosure without Consent
although medical records are confidential - there are times when they can be released w/o a patient consent.
Invasion of Privacy Publishing
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
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

47. Libel
false and malicious writing about another
Health Information
illegal touching of another person
De-Identified Information

48. 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.
Designated record set
Limited data set
Tort
Treatment - payment and health care operations (TPO)

49. Implied contract
Designated record set
Transaction
Covered transactions
a contract that comes about from the actions of the parties rather than words

50. Slander
need to know
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
false charges and malicious oral statements about someone
treatment - payment - & healthcare operations