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. Verify the identification of anyone requesting patient information.
substance abuse treatment
Verification
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
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

2. Sending information over electronic networks.
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
false charges and malicious oral statements about someone
Electronic transmission

3. HIPAA compliance mandates that computer systems must be...
Patient
Electronic Protected Health Information
located in a secured and private space
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research

4. Misfeasance
improper performance of an otherwise lawful act. civil
need to know
The body of laws made by states is their own statutory laws
substance abuse treatment

5. Business Associate Agreements applies to...
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
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
illegal touching of another person
State preemption

6. EPHI
State preemption
Verification
Electronic Protected Health Information
generally only patient can auth release of own medical record - there are a few exceptions

7. 4d's of negligence
Treatment - payment and health care operations (TPO)
Regulations
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
concerns noncriminal disputes between private parties

8. Protected health information from which certain patient identifiers have been removed
Individually Identifiable Health Information
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
illegal touching of another person
Limited data set

9. Criminal law
law concerned with public wrongs against society
illegal touching of another person
Notice of Privacy Practices (NPP)
Encryption

10. All persons who will have access are required to...
a contract that comes about from the actions of the parties rather than words
have a unique password and it should be changed frequently
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
false and malicious writing about another

11. Medical records can be released w/o consent to...
although medical records are confidential - there are times when they can be released w/o a patient consent.
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
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
Electronic Protected Health Information

12. IIHI
Individually Identifiable Health Information
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs 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
illegal touching of another person

13. Negligence
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Patient
Privacy

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

15. Disabilities act

16. Clearinghouse
Portability
regular - in a secure location
Covered entities
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

17. Reportable diseases...
Treatment - payment and health care operations (TPO)
must be reported to authorities by law
treatment - payment - & healthcare operations
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

18. Gunshot wound - child abuse - infectious diseases - required by law - law enforcement purposes.
What types of disclosures do not require patient permission?
should never be released w/o a patient's signed consent or court order
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.
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

19. 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
should never be released w/o a patient's signed consent or court order
Ethical
Covered entities
although medical records are confidential - there are times when they can be released w/o a patient consent.

20. 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
a minor - rather than the parent - must sign the release of patient information
Patient rights under HIPAA
the philosophical study of moral values and rules - conducts
malpractice

21. Under some circumstances ...
Malfeasance
a minor - rather than the parent - must sign the release of patient information
human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS)
Covered entities

22. interrogatory
Electronic transmission
A written set of questions requiring written answers from a plaintiff or defendant under oath
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Treatment - payment and health care operations (TPO)

23. Good samaritan law
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
Code sets
A written set of questions requiring written answers from a plaintiff or defendant under oath
law that permits a person w/ a legal age and sound mind to give their body to donation

24. Deposition
Patient Identifiable Information
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
Psychotherapy notes - information for legal proceedings - information exempted from disclosure under CLIA
testimony under oath

25. Title I of HIPAA
purpose - pride - patience - persistence - perspective
addresses portability of insurance coverage when employees change or lose their jobs
a contract that comes about from the actions of the parties rather than words
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability

26. Professional Negligence
addresses portability of insurance coverage when employees change or lose their jobs
What types of disclosures do not require patient permission?
malpractice
same legal standards apply to all patient records whether on paper or computer

27. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
should only be used when no other - more secure mode of transmission is available
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Covered transactions
improper performance of an otherwise lawful act. civil

28. Releasing patient information
generally only patient can auth release of own medical record - there are a few exceptions
Firewalls
Privacy
although medical records are confidential - there are times when they can be released w/o a patient consent.

29. Any wrongdoing for which an action for damages may be brought
Designated record set
Tort
Standard
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

30. Implied consent
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.
The body of laws made by states is their own statutory laws
individuals in their mid- to late teens who legally live outside of parents' or guardians' control
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

31. 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.
false charges and malicious oral statements about someone
concerns noncriminal disputes between private parties
What types of disclosures do not require patient permission?
Examples of PHI

32. HIPAA
Invasion of Privacy Publishing
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
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
Electronic transmission

33. Privacy Officer
Examples of PHI
Notice of Privacy Practices (NPP)
substance abuse treatment
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. Unlawful act done without permission.
law concerned with public wrongs against society
illegal touching of another person
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
Malfeasance

35. The person recieving treatment
purpose - pride - patience - persistence - perspective
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Patient
the philosophical study of moral values and rules - conducts

36. Hardware or software designed to prevent unauthorized access to electronic information.
Firewalls
Patient rights under HIPAA
treatment - payment - & healthcare operations
Covered entities

37. Federal law protects patient records dealing with...
substance abuse treatment
the philosophical study of moral values and rules - conducts
false and malicious writing about another
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.

38. Protecting healthcare coverage for employees who change jobs - allowing them to continue existing plans with a new employer.
Regulations
Portability
addresses portability of insurance coverage when employees change or lose their jobs
Firewalls

39. Implied contract
Designated record set
a contract that comes about from the actions of the parties rather than words
treatment - payment - & healthcare operations
generally only patient can auth release of own medical record - there are a few exceptions

40. Medical records used for health care research

41. Who regulates HIPAA?
U.S. goverment
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Electronic Protected Health Information

42. Libel
treatment - payment - & healthcare operations
false charges and malicious oral statements about someone
false and malicious writing about another
comes on after a few idle seconds and the use of a privacy screen should be mandatory

43. The use of uniform electronic network protocols to transfer business information between organizations.
Examples of PHI
Minimum necessary
Electronic data interchange
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)

44. Guidelines and standards made by government agencies and licensing boards that have the authority to enforce compliance
it must have an accompanying disclaimer stating the fax information cannot be shared with any other party w/o patient's written consent
in order to maintain patient confidentiality - fax machines must be kept in areas not accessible to patients.
law concerned with public wrongs against society
Regulations

45. Subpoenas
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.
Notice of Privacy Practices
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
Ethical

46. The limited amount of patient information to be disclosed - depending on circumstances.
Notice of Privacy Practices (NPP)
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Minimum necessary
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

47. General exceptions for releasing patient information
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
Patient Identifiable Information
comes on after a few idle seconds and the use of a privacy screen should be mandatory
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

48. What are the 3 purposes of 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
Insurance portability - administrative simplification - privacy and security
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
substance abuse treatment

49. Emancipated minors

50. Protected Health Information (PHI)
Portability
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Patient
testimony under oath