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. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Covered transactions
a contract that comes about from the actions of the parties rather than words
treatment - payment - & healthcare operations
improper performance of an otherwise lawful act. civil

2. Unlawful act done without permission.
Notice of Privacy Practices
Malfeasance
need to know
Verification

3. HIPAA states...
generally only patient can auth release of own medical record - there are a few exceptions
only those who meed to know should have access to patient information
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
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.

4. TPO
The body of laws made by states is their own statutory laws
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
treatment - payment - & healthcare operations
law concerned with public wrongs against society

5. Uniform anotomical gift act
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.
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
should never be released w/o a patient's signed consent or court order

6. Statutory
Individually Identifiable Health Information
The body of laws made by states is their own statutory laws
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

7. 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
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Covered entities
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
concerns noncriminal disputes between private parties

8. Sending information over electronic networks.
Electronic transmission
Privacy
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
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

9. Patient records are _____________ so not all staff will have access.
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
need to know
state laws setting time limit for bringing a lawsuit
U.S. goverment

10. Data must be backed up at ___________ and those back-up files should be stored ________.
Firewalls
The body of laws made by states is their own statutory laws
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
regular - in a secure location

11. Transmission of information between two parties fro financial or administrative activities.
Ethical
a contract that comes about from the actions of the parties rather than words
law concerned with public wrongs against society
Transaction

12. All persons who will have access are required to...
have a unique password and it should be changed frequently
Rule
Examples of PHI
should only be used when no other - more secure mode of transmission is available

13. Doctor release of patient
same legal standards apply to all patient records whether on paper or computer
Electronic transmission
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
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

14. Implied consent
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 minor - rather than the parent - must sign the release of patient information
malpractice
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.

15. NPP
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Notice of Privacy Practices
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
concerns noncriminal disputes between private parties

16. Any wrongdoing for which an action for damages may be brought
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.
regular - in a secure location
Tort
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

17. DII
U.S. goverment
Verification
De-Identified Information
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

18. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
false and malicious writing about another
What types of disclosures do not require patient permission?
Permission

19. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
the philosophical study of moral values and rules - conducts
Regulations
generally only patient can auth release of own medical record - there are a few exceptions
Portability

20. Verify the identification of anyone requesting patient information.
Verification
Designated record set
improper performance of an otherwise lawful act. civil
although medical records are confidential - there are times when they can be released w/o a patient consent.

21. Hardware or software designed to prevent unauthorized access to electronic information.
Patient Identifiable Information
Firewalls
should only be used when no other - more secure mode of transmission is available
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

22. Freedom from unauthorized intrusion
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
testimony under oath
Privacy
only those who meed to know should have access to patient information

23. Some state laws specifically protect __________. A patient would need to sign a specific request.
A written set of questions requiring written answers from a plaintiff or defendant under oath
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
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

24. Key entities
Individually Identifiable Health Information
Limited data set
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
have a unique password and it should be changed frequently

25. Coded information that can't be read until is decoded.
Encryption
law concerned with public wrongs against society
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Insurance portability - administrative simplification - privacy and security

26. Good samaritan law
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
What types of disclosures do not require patient permission?
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
concerns noncriminal disputes between private parties

27. interrogatory
A written set of questions requiring written answers from a plaintiff or defendant under oath
Notice of Privacy Practices (NPP)
Invasion of Privacy Publishing
state laws setting time limit for bringing a lawsuit

28. 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.
law concerned with public wrongs against society
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Code sets
Examples of PHI

29. Protected health information from which certain patient identifiers have been removed
treatment - payment - & healthcare operations
concerns noncriminal disputes between private parties
Covered transactions
Limited data set

30. 4d's of negligence
De-Identified Information
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
Electronic Protected Health Information
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

31. The use of uniform electronic network protocols to transfer business information between organizations.
Firewalls
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.
Electronic data interchange
Permission

32. Common law
illegal touching of another person
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
security rule

33. 5P's of ethical power
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
purpose - pride - patience - persistence - perspective
generally only patient can auth release of own medical record - there are a few exceptions
Firewalls

34. The person recieving treatment
Firewalls
regular - in a secure location
Patient
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

35. Battery
testimony under oath
Permission
Individually Identifiable Health Information
illegal touching of another person

36. Implied contract
Electronic data interchange
a contract that comes about from the actions of the parties rather than words
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
law concerned with public wrongs against society

37. Any set of codes use to encode health care data elements.
Minimum necessary
Patient Identifiable Information
Code sets
should never be released w/o a patient's signed consent or court order

38. Privacy Officer
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
Notice of Privacy Practices (NPP)
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
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

39. Conforming to proper professional behavior
illegal touching of another person
Encryption
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Ethical

40. HI
addresses portability of insurance coverage when employees change or lose their jobs
Tort
Notice of Privacy Practices
Health Information

41. Medical records can be released w/o consent to...
Treatment - payment and health care operations (TPO)
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
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
concerns noncriminal disputes between private parties

42. Emancipated minors

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43. Professional Negligence
a minor - rather than the parent - must sign the release of patient information
Health Information
malpractice
concerns noncriminal disputes between private parties

44. De-Identified Information
the philosophical study of moral values and rules - conducts
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
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
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

45. EPHI
Rule
Electronic Protected Health Information
comes on after a few idle seconds and the use of a privacy screen should be mandatory
De-Identified Information

46. Who regulates HIPAA?
Transaction
U.S. goverment
Electronic data interchange
a contract that comes about from the actions of the parties rather than words

47. 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.
should never be released w/o a patient's signed consent or court order
Covered transactions
Notice of Privacy Practices (NPP)
Treatment - payment and health care operations (TPO)

48. Computes and HIPAA
generally only patient can auth release of own medical record - there are a few exceptions
Invasion of Privacy Publishing
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

49. Business Associate Agreements applies to...
Privacy
Health Information
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
Patient rights under HIPAA

50. Deposition
the philosophical study of moral values and rules - conducts
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
testimony under oath
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research