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HIPAA

Instructions:

Answer 50 questions in 15 minutes.
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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. The ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from altercation - destruction - or loss
Limited data set
improper performance of an otherwise lawful act. civil
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
security rule

2. Includes records maintained by or for a covered entity.
improper performance of an otherwise lawful act. civil
Designated record set
Code sets
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

3. Civil law
regular - in a secure location
Tort
concerns noncriminal disputes between private parties
located in a secured and private space

4. Fax Machines and HIPAA
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
Electronic transmission
Tort
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

5. Good samaritan law
located in a secured and private space
Patient
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Patient Identifiable Information

6. interrogatory
A written set of questions requiring written answers from a plaintiff or defendant under oath
Privacy
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
need to know

7. TPO
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
treatment - payment - & healthcare operations
concerns noncriminal disputes between private parties
Individually Identifiable Health Information

8. Professional Negligence
malpractice
Individually Identifiable Health Information
concerns noncriminal disputes between private parties
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

9. Document that includes the standards
Rule
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
Health Information
Minimum necessary

10. EPHI
Electronic Protected Health Information
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
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.
Portability

11. A written document detailing a health care provider's privacy practices.
purpose - pride - patience - persistence - perspective
false and malicious writing about another
Notice of Privacy Practices (NPP)
individuals in their mid- to late teens who legally live outside of parents' or guardians' control

12. Ethics
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
the philosophical study of moral values and rules - conducts
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
security rule

13. Protected Health Information (PHI)
malpractice
Examples of PHI
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Verification

14. OIG - Office of the Inspector General
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Encryption
Regulations
safeguards health & wealthfare of Medicare/Medicaid beneficiaries & protect program integrity

15. Under some circumstances ...
purpose - pride - patience - persistence - perspective
De-Identified Information
a minor - rather than the parent - must sign the release of patient information
should never be released w/o a patient's signed consent or court order

16. HIPAA
Malfeasance
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
security rule

17. Disabilities act

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18. Title I of HIPAA
Limited data set
addresses portability of insurance coverage when employees change or lose their jobs
Privacy
Electronic transmission

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

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20. Releasing patient information
generally only patient can auth release of own medical record - there are a few exceptions
Malfeasance
Designated record set
law concerned with public wrongs against society

21. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Covered transactions
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
same legal standards apply to all patient records whether on paper or computer
Encryption

22. Some state laws specifically protect __________. A patient would need to sign a specific request.
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
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Patient rights under HIPAA

23. Data must be backed up at ___________ and those back-up files should be stored ________.
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
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
regular - in a secure location
concerns noncriminal disputes between private parties

24. Criminal law
The body of laws made by states is their own statutory laws
law concerned with public wrongs against society
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Permission

25. A reason for each use and disclosure of patient information.
Permission
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
concerns noncriminal disputes between private parties
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

26. 5P's of ethical power
purpose - pride - patience - persistence - perspective
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Notice of Privacy Practices (NPP)
state laws setting time limit for bringing a lawsuit

27. Bioethics
testimony under oath
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Encryption
Permission

28. Patient records are _____________ so not all staff will have access.
same legal standards apply to all patient records whether on paper or computer
need to know
law that permits a person w/ a legal age and sound mind to give their body to donation
treatment - payment - & healthcare operations

29. All persons who will have access are required to...
Ethical
testimony under oath
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
have a unique password and it should be changed frequently

30. A general HIPAA requirement
Health Information
security rule
Standard
addresses portability of insurance coverage when employees change or lose their jobs

31. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
Covered entities
Patient
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
Regulations

32. Reportable diseases...
Transaction
Health Information
must be reported to authorities by law
should only be used when no other - more secure mode of transmission is available

33. Privacy Officer
may be disclosed to public health agencies - patient identifiers are removed so it's covered by HIPAA
Rule
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
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

34. 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
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
security rule
Covered entities
false and malicious writing about another

35. Policies and procedures use to protect electronic information from unauthorized access
Electronic transmission
Security
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Permission

36. NPP
Notice of Privacy Practices
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Covered transactions
Transaction

37. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
same legal standards apply to all patient records whether on paper or computer
Portability
Patient Identifiable Information
a minor - rather than the parent - must sign the release of patient information

38. General exceptions for releasing patient information
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

39. Clearinghouse
Insurance portability - administrative simplification - privacy and security
generally only patient can auth release of own medical record - there are a few exceptions
Patient rights under HIPAA
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

40. PII
Patient Identifiable Information
concerns noncriminal disputes between private parties
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
State preemption

41. making known - or using information relating to the private life or affairs of a person without their approval or permission
Portability
Invasion of Privacy Publishing
concerns noncriminal disputes between private parties
U.S. goverment

42. Unlawful act done without permission.
Malfeasance
Electronic Protected Health Information
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
Transaction

43. Computes and HIPAA
although medical records are confidential - there are times when they can be released w/o a patient consent.
same legal standards apply to all patient records whether on paper or computer
Health Information
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

44. Transmission of information between two parties fro financial or administrative activities.
Code sets
Transaction
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
concerns noncriminal disputes between private parties

45. 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.
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
need to know
Covered transactions
Examples of PHI

46. Negligence
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
Limited data set
Minimum necessary
failure to act with the standard of care that a reasonable person would exercise under the same circumstances

47. Who regulates HIPAA?
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
U.S. goverment
Transaction
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

48. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
have a unique password and it should be changed frequently
State preemption
De-Identified Information
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

49. Battery
malpractice
illegal touching of another person
Health Information
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)

50. The limited amount of patient information to be disclosed - depending on circumstances.
Minimum necessary
Portability
Designated record set
although medical records are confidential - there are times when they can be released w/o a patient consent.

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HIPAA

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