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.
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
Limited data set
Transaction
Standard

2. HIPAA states...
Invasion of Privacy Publishing
only those who meed to know should have access to patient information
Portability
Tort

3. Misfeasance
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Permission
Security
improper performance of an otherwise lawful act. civil

4. The person recieving treatment
Patient
Individually Identifiable Health Information
Notice of Privacy Practices
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

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

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

7. A general HIPAA requirement
Health Information
only those who meed to know should have access to patient information
purpose - pride - patience - persistence - perspective
Standard

8. Disclosure without Consent
Code sets
Security
although medical records are confidential - there are times when they can be released w/o a patient consent.
Transaction

9. Key entities
A written set of questions requiring written answers from a plaintiff or defendant under oath
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
Malfeasance
Privacy

10. Any set of codes use to encode health care data elements.
Privacy
Covered transactions
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
Code sets

11. 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
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
Individually Identifiable Health Information
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

12. Criminal law
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
law that permits a person w/ a legal age and sound mind to give their body to donation
law concerned with public wrongs against society
Transaction

13. Data must be backed up at ___________ and those back-up files should be stored ________.
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
regular - in a secure location
Privacy
Permission

14. Fax machines
Limited data set
Designated record set
A written set of questions requiring written answers from a plaintiff or defendant under oath
should only be used when no other - more secure mode of transmission is available

15. Computes and HIPAA
Patient
same legal standards apply to all patient records whether on paper or computer
Standard
only those who meed to know should have access to patient information

16. The computer screen should have a screensaver that...
Notice of Privacy Practices
comes on after a few idle seconds and the use of a privacy screen should be mandatory
should never be released w/o a patient's signed consent or court order
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

17. Implied contract
a contract that comes about from the actions of the parties rather than words
Privacy
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

18. Reportable diseases...
must be reported to authorities by law
Verification
state laws setting time limit for bringing a lawsuit
Invasion of Privacy Publishing

19. General exceptions for releasing patient information
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Limited data set
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
illegal touching of another person

20. Includes records maintained by or for a covered entity.
Designated record set
Transaction
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
testimony under oath

21. Doctor release of patient
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
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
Minimum necessary
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

22. Conforming to proper professional behavior
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Ethical
law that permits a person w/ a legal age and sound mind to give their body to donation
the philosophical study of moral values and rules - conducts

23. Civil law
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
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
concerns noncriminal disputes between private parties

24. interrogatory
A written set of questions requiring written answers from a plaintiff or defendant under oath
Regulations
Electronic Protected Health Information
same legal standards apply to all patient records whether on paper or computer

25. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
State preemption
Standard
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
purpose - pride - patience - persistence - perspective

26. Patient records are _____________ so not all staff will have access.
need to know
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
What types of disclosures do not require patient permission?
Encryption

27. Uniform anotomical gift act
testimony under oath
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
law that permits a person w/ a legal age and sound mind to give their body to donation
although medical records are confidential - there are times when they can be released w/o a patient consent.

28. 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
Standard
Patient rights under HIPAA
Ethical
Patient Identifiable Information

29. Emancipated minors

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30. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Regulations
Health Information
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Notice of Privacy Practices (NPP)

31. Business Associate Agreements applies to...
security rule
state laws setting time limit for bringing a lawsuit
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
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

32. 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
Insurance portability - administrative simplification - privacy and security
Covered entities
addresses portability of insurance coverage when employees change or lose their jobs
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

33. 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.
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Health Information
Treatment - payment and health care operations (TPO)

34. Hardware or software designed to prevent unauthorized access to electronic information.
What types of disclosures do not require patient permission?
purpose - pride - patience - persistence - perspective
malpractice
Firewalls

35. Advanced directives
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
regular - in a secure location
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
Transaction

36. Confidentiality

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37. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
What types of disclosures do not require patient permission?
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.
Portability
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

38. Medical records used for health care research

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39. Ethics
need to know
the philosophical study of moral values and rules - conducts
De-Identified Information
State preemption

40. Unlawful act done without permission.
Tort
Health Information
Malfeasance
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

41. Document that includes the standards
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
should never be released w/o a patient's signed consent or court order
Rule
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

42. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
State preemption
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Privacy
Covered transactions

43. Privacy Officer
A written set of questions requiring written answers from a plaintiff or defendant under oath
Tort
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
located in a secured and private space

44. 4d's of negligence
The body of laws made by states is their own statutory laws
De-Identified Information
treatment - payment - & healthcare operations
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

45. NPP
security rule
false and malicious writing about another
Notice of Privacy Practices
Encryption

46. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
Notice of Privacy Practices
State preemption
law concerned with public wrongs against society
What types of disclosures do not require patient permission?

47. EPHI
false charges and malicious oral statements about someone
Portability
Electronic Protected Health Information
located in a secured and private space

48. 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.
Examples of PHI
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Standard
Minimum necessary

49. PII
Treatment - payment and health care operations (TPO)
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
Patient Identifiable Information
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

50. making known - or using information relating to the private life or affairs of a person without their approval or permission
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Individually Identifiable Health Information
Invasion of Privacy Publishing
security rule