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HIPAA

Instructions:

Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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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. HIPAA states...
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
only those who meed to know should have access to patient information
Notice of Privacy Practices
Firewalls

2. Confidentiality

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3. Good samaritan law
Treatment - payment and health care operations (TPO)
Electronic Protected Health Information
testimony under oath
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training

4. Slander
The body of laws made by states is their own statutory laws
law concerned with public wrongs against society
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
false charges and malicious oral statements about someone

5. Disclosure without Consent
although medical records are confidential - there are times when they can be released w/o a patient consent.
Electronic transmission
What types of disclosures do not require patient permission?
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

6. Professional Negligence
security rule
state laws setting time limit for bringing a lawsuit
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
malpractice

7. 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.
malpractice
Limited data set
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

8. Doctor release of patient
Treatment - payment and health care operations (TPO)
the philosophical study of moral values and rules - conducts
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment
law concerned with public wrongs against society

9. HIPAA compliance mandates that computer systems must be...
comes on after a few idle seconds and the use of a privacy screen should be mandatory
Designated record set
located in a secured and private space
Tort

10. Privacy Officer
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
Notice of Privacy Practices
generally only patient can auth release of own medical record - there are a few exceptions
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

11. Computes and HIPAA
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
same legal standards apply to all patient records whether on paper or computer
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.
law that permits a person w/ a legal age and sound mind to give their body to donation

12. NPP
Notice of Privacy Practices
Ethical
failure to act with the standard of care that a reasonable person would exercise under the same circumstances
Electronic Protected Health Information

13. Document that includes the standards
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Rule
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Regulations

14. Who regulates HIPAA?
U.S. goverment
Notice of Privacy Practices (NPP)
concerned with mostly with h/c providers. It addresses fraud and abuse - administrative simplification and medical liability
although medical records are confidential - there are times when they can be released w/o a patient consent.

15. IIHI
Individually Identifiable Health Information
treatment - payment - & healthcare operations
law concerned with public wrongs against society
Notice of Privacy Practices

16. Uniform anotomical gift act
a contract that comes about from the actions of the parties rather than words
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
law that permits a person w/ a legal age and sound mind to give their body to donation
patient discharges doctor with letter - doctor formally withdraws from patient with a certified letter or patient no longer needs treatment

17. Electronic exchanges of information between two covered-entity business partners using HIPAA mandated transaction standards.
Rule
Notice of Privacy Practices (NPP)
Tort
Covered transactions

18. A reason for each use and disclosure of patient information.
The body of laws made by states is their own statutory laws
Security
Permission
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

19. The computer screen should have a screensaver that...
comes on after a few idle seconds and the use of a privacy screen should be mandatory
purpose - pride - patience - persistence - perspective
state law that protects healthcare professionals from liability when they provide emergency assistance/services within their scope of training
false and malicious writing about another

20. If a states privacy laws are stricter than HIPAA privacy standards - the state laws take precedence.
Verification
State preemption
law concerned with public wrongs against society
Electronic Protected Health Information

21. HIPAA
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Individually Identifiable Health Information
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
located in a secured and private space

22. Business Associate Agreements applies to...
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
Electronic transmission
law that permits a person w/ a legal age and sound mind to give their body to donation

23. 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 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.
state laws setting time limit for bringing a lawsuit
Patient rights under HIPAA

24. Includes records maintained by or for a covered entity.
Designated record set
have a unique password and it should be changed frequently
Patient
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents

25. Coded information that can't be read until is decoded.
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
Minimum necessary
Encryption
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

26. Clearinghouse
Limited data set
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
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 Identifiable Information

27. Protected Health Information (PHI)
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
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
have a unique password and it should be changed frequently
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.

28. DII
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.
Standard
Malfeasance
De-Identified Information

29. Implied contract
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
Limited data set
a contract that comes about from the actions of the parties rather than words

30. Ethics
false charges and malicious oral statements about someone
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)
Ethical
the philosophical study of moral values and rules - conducts

31. Statutory
Designated record set
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
The body of laws made by states is their own statutory laws
although medical records are confidential - there are times when they can be released w/o a patient consent.

32. Unlawful act done without permission.
Designated record set
Malfeasance
Transaction
a minor - rather than the parent - must sign the release of patient information

33. HI
same legal standards apply to all patient records whether on paper or computer
Verification
addresses portability of insurance coverage when employees change or lose their jobs
Health Information

34. Emancipated minors

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

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36. Hardware or software designed to prevent unauthorized access to electronic information.
have a unique password and it should be changed frequently
Code sets
Designated record set
Firewalls

37. Common law
Malfeasance
judge made law from decisions of a court - interpretation of constitution and statuatory law - often known as precedents
Encryption
What types of disclosures do not require patient permission?

38. Freedom from unauthorized intrusion
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
Electronic Protected Health Information
Privacy
Patient rights under HIPAA

39. PII
Patient Identifiable Information
purpose - pride - patience - persistence - perspective
Privacy
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

40. Subpoenas
Malfeasance
concerns noncriminal disputes between private parties
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)
A court order requiring someone to appear in court on a certain date time and reason. A medical record could be subpoenaed.

41. Disabilities act

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42. Bioethics
Designated record set
regular - in a secure location
also called biomedical ethics - the moral dilemmas and issues of advanced medicine and medical research
Any information that would identify a patient (name - add - tele - DOB - SSN - email - med. rec. number - etc)

43. De-Identified Information
have a unique password and it should be changed frequently
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
Medical data from which individual identifiers have been removed; also known as a redacted or blinded record.
need to know

44. Federal law protects patient records dealing with...
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.
substance abuse treatment
malpractice
law that permits a person w/ a legal age and sound mind to give their body to donation

45. General exceptions for releasing patient information
Limited data set
should only be used when no other - more secure mode of transmission is available
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
parent of a minor - legal guardian - Agent (patient selected on behalf in h/c power of attorney)

46. Releasing patient information
treatment - payment - & healthcare operations
Patient rights under 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
generally only patient can auth release of own medical record - there are a few exceptions

47. interrogatory
Health Insurance Portability and Accountability Act of 1996 (passed by congress because of portability problems - also to protect PHI)
A written set of questions requiring written answers from a plaintiff or defendant under oath
Code sets
U.S. goverment

48. 5P's of ethical power
purpose - pride - patience - persistence - perspective
generally only patient can auth release of own medical record - there are a few exceptions
State preemption
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

49. Transmission of information between two parties fro financial or administrative activities.
a contract that comes about from the actions of the parties rather than words
Transaction
Standard
Electronic data interchange

50. Patient records are _____________ so not all staff will have access.
Permission
Tort
need to know
Patient Identifiable Information

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HIPAA

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