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. OIG - Office of the Inspector General
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Individually Identifiable Health Information
substance abuse treatment

2. IIHI
Code sets
Individually Identifiable Health Information
Electronic data interchange
Treatment - payment and health care operations (TPO)

3. Implied consent
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
same legal standards apply to all patient records whether on paper or computer
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.
law concerned with public wrongs against society

4. 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.
law that permits a person w/ a legal age and sound mind to give their body to donation
Limited data set
Electronic transmission
Treatment - payment and health care operations (TPO)

5. Includes records maintained by or for a covered entity.
security rule
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Designated record set
Electronic data interchange

6. What are the 3 purposes of HIPAA?
Invasion of Privacy Publishing
Insurance portability - administrative simplification - privacy and security
law concerned with public wrongs against society
Regulations

7. Disabilities act

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8. Advanced directives
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
substance abuse treatment
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
state laws setting time limit for bringing a lawsuit

9. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
Portability
have a unique password and it should be changed frequently
security rule
Health Information

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

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11. Hardware or software designed to prevent unauthorized access to electronic information.
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Notice of Privacy Practices (NPP)
improper performance of an otherwise lawful act. civil
Firewalls

12. Policies and procedures use to protect electronic information from unauthorized access
Security
Patient Identifiable Information
Firewalls
Electronic data interchange

13. A written document detailing a health care provider's privacy practices.
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Notice of Privacy Practices (NPP)
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
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.

14. Good samaritan law
Patient
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.
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Notice of Privacy Practices

15. Bioethics
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
U.S. goverment
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent

16. What information do patients NOT have access to?
Patient Identifiable Information
a minor - rather than the parent - must sign the release of patient information
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
What types of disclosures do not require patient permission?

17. Doctor release of patient
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
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
State preemption

18. All persons who will have access are required to...
have a unique password and it should be changed frequently
Treatment - payment and health care operations (TPO)
Security
treatment - payment - & healthcare operations

19. HIPAA
should only be used when no other - more secure mode of transmission is available
De-Identified Information
need to know
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

20. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
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
Portability
A written set of questions requiring written answers from a plaintiff or defendant under oath
Health Information

21. Reportable diseases...
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
must be reported to authorities by law
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

22. Common law
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
state laws setting time limit for bringing a lawsuit
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
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

23. Protected Health Information (PHI)
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.
law concerned with public wrongs against society
substance abuse treatment
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

24. Some state laws specifically protect __________. A patient would need to sign a specific request.
Electronic Protected Health Information
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
regular - in a secure location
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

25. The computer screen should have a screensaver that...
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
located in a secured and private space
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Covered entities

26. Criminal law
illegal touching of another person
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
law concerned with public wrongs against society
need to know

27. Protected health information from which certain patient identifiers have been removed
law concerned with public wrongs against society
Limited data set
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
although medical records are confidential - there are times when they can be released w/o a patient consent.

28. HI
comes on after a few idle seconds and the use of a privacy screen should be mandatory
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
Health Information
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

29. Unlawful act done without permission.
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity
Malfeasance
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
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

30. 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.
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
Invasion of Privacy Publishing
Examples of PHI

31. Any set of codes use to encode health care data elements.
Code sets
Privacy
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
illegal touching of another person

32. HIPAA compliance mandates that computer systems must be...
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
Designated record set
located in a secured and private space
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

33. 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
should only be used when no other - more secure mode of transmission is available
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

34. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Regulations
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Rule
generally only patient can auth release of own medical record - there are a few exceptions

35. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
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.
Transaction
Tort
State preemption

36. Freedom from unauthorized intrusion
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
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
Privacy
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

37. A general HIPAA requirement
Standard
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
illegal touching of another person
Portability

38. Data must be backed up at ___________ and those back-up files should be stored ________.
Rule
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
regular - in a secure location
Standard

39. Implied contract
Insurance portability - administrative simplification - privacy and security
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)
addresses portability of insurance coverage when employees change or lose their jobs

40. Civil law
Tort
concerns noncriminal disputes between private parties
should only be used when no other - more secure mode of transmission is available
Standard

41. HIPAA states...
only those who meed to know should have access to patient information
What types of disclosures do not require patient permission?
Standard
Regulations

42. Libel
false and malicious writing about another
improper performance of an otherwise lawful act. civil
have a unique password and it should be changed frequently
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

43. Computes and HIPAA
same legal standards apply to all patient records whether on paper or computer
treatment - payment - & healthcare operations
Tort
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

44. The person recieving treatment
Patient
Minimum necessary
treatment - payment - & healthcare operations
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

45. Emancipated minors

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46. Verify the identification of anyone requesting patient information.
The body of laws made by states is their own statutory laws
security rule
need to know
Verification

47. Document that includes the standards
should never be released w/o a patient's signed consent or court order
Rule
a minor - rather than the parent - must sign the release of patient information
Regulations

48. Any wrongdoing for which an action for damages may be brought
concerns noncriminal disputes between private parties
Tort
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

49. Ethics
only those who meed to know should have access to patient information
the philosophical study of moral values and rules - conducts
comes on after a few idle seconds and the use of a privacy screen should be mandatory
should only be used when no other - more secure mode of transmission is available

50. Releasing patient information
comes on after a few idle seconds and the use of a privacy screen should be mandatory
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
generally only patient can auth release of own medical record - there are a few exceptions
Examples of PHI