GG MOA 160 HIPAA Exam

as workforce members, it is important for us to understand the purpose of HIPAA. furthermore, we should be able to explain the purpose of this legislation to patients. in this training HIPAA has been described as:

1. a catalyst for change in American healthcare 2. federal legislation focused on healthcare reform 3. a complex and for-reaching set of healthcare regulatory requirements

to ensure compliance with the privacy rule, the workforce member should...

1. continue adding to his/her knowledge of the privacy rule 2. focus on risk areas identified by his/her healthcare organization and the office of civil rights 3. commit to continuous improvement of all processes relating to the protection of patient privacy

the govt agency that investigates the most serious violations of the privacy rule.

dept of justice

the release, transfer, or sharing of health information with another individual or entity outside the healthcare organization holding this information is referred to as...

disclosure

if a business associate violates the privacy of an individual, it is not necessary for the covered entity to investigate or act upon knowledge of the violation. t or f

false

in determining what constitutes a reasonable safeguard for the protection of patient privacy, we should assess the risk without consideration of patient care. t or f

false

unnecessary use or disclosure of health information that could have been reasonably prevented is referred to as...

impermissible

officers of the federal, state, or local govt who have legal authority to investigate violations of the law.

law enforcement

under the privacy rule, ________guidelines restrict the amount of health information that may be used or disclosed to that needed to accomplish the purpose in question.

minimum necessary

under the privacy rule, the covered entity must provide the individual with a ______on his/her first date of service which outlines the patients rights under the rule.

notice of privacy practices

that govt agency that accepts and investigates complaints related to the privacy rule.

office of civil rights

it is essential that workforce members understand that the privacy rule applies to:

paper, electronic, and oral communications

under the privacy rule, _________may be imposed for violations of patient confidentiality.

penalties

under the privacy rule, the covered entity is obligated to implement, maintain, and provide workforce members with______ to make clear the CE's expectations and assist in protecting the privacy of its patients.

policies and procedures

under the privacy rule, the covered entity is required to appoint a _____, who will be responsible for various aspects of the rule, including assistance to workforce members in maintaining compliance.

privacy official

any piece of information that identifies or could be used to identify a specific individual is referred to in the healthcare setting as...

protected health information

a__________is an order of the court that prohibits parties from using protected health information for any purpose other than litigation or proceedings for which PHI has been requested.

qualified protective order

when you are entering the workforce of a healthcare organization, what is the best method of strengthening your knowledge of the privacy rule and how the organization expects you to protect the privacy of its patients?

reading and becoming familiar with the organizations notice of privacy practices

under the privacy rule, work force members are expected to take____________steps to safeguard protected health information.

reasonable

workforce members should understand that the privacy rule:

requires that reasonable efforts be made to eliminate incidental use or disclosure of protected health information

on detecting a privacy rule violation, the US dept of health and human services will exercise discretion to consider not only what harm has been done but also the willingness of the covered entity to achieve voluntary compliance. t or f

true

the office of civil rights, committed a strong enforcement of the privacy rule to protect patients rights, has imposed penalties on covered entities that have violated those rights as a means of encouraging others CE's to examine and improve their privacy protections. t or f

true

workforce members should be aware that under the privacy rule an individual has the right to request copies of his/her health records. the provider may deny the patient access:

under limited circumstances that must be communicated in writing to the patient

the act of accessing any health information by a workforce member for the purpose of performing a task within a health care organization is referred to as...

use

when protected health information is being used or disclosed for reasons other than treatment, payment, or healthcare operations, the authorization for the release of the PHI must be...

valid

a healthcare employee, volunteer, student, or trainee; responsible for protecting patients health information.

workforce member

monies collected under penalties imposed under the privacy rule are deposited by the________, not distributed to the complainant.

US treasury

under the privacy rule, a written authorization must be obtained when the release of information is not related to________.

TPO- treatment, payment, healthcare operations

any provider, health plan, or clearinghouse to which the privacy rule applies.

covered entity

to meet the requirements of the privacy rule, it is not necessary to hand a copy of the notice of privacy practices to the individual if it has already been posted in the waiting room. t or f

false

when state laws regarding the protection of medical records are stricter than the federal privacy rule, the workforce must follow the federal rule. t or f

false-must follow the rule that is more strict

workforce members should be aware of the greatest areas of noncompliance risk and focus their attention on these areas. according to the office of civil rights, the most frequently reported violation of the privacy rule is...

impermissible uses and disclosures of protected health information

as workforce members we must understand that if an incident of noncompliance with the privacy rule is not resolved by the covered entity in a satisfactory manner, the office of civil rights may...

impose a civil monetary penalty

the person who is seeking medical care; the person whose information we are protecting.

individual

as workforce members, we must be aware that under the privacy rule access to medical records...

is not restricted, other than psychotherapy, on the basis of diagnosis

workforce members must stay informed of enforcement activities related to the privacy rule. information on these activities may be found...

on the website of the office of civil rights-OCR

a federal official who may be requested by the covered entity to preside over a trial-type hearing and make decisions to resolve disputes.

administrative law judge

under the privacy rule, the patient has the right to request communication by______.

alternative means

the privacy rule prohibits acts of revenge, known as____, against any person filing a complaint about a privacy violation.

retaliation

under the privacy rule, the patient has the right to request_____or obtain copies of his/her health record.

review of

if a medical practice denies an individuals request for medical records, the medical practice must provide the individual with a statement of hi/her review rights and an explanation of how to complain to the secretary of the US dept of health and human services. t or f

true

if you have made your best effort to obtain a patients signature verifying that he or she has received the notice of privacy practices but the patient has refused to sign, you are required to document the reason that you are not able to obtain the signature. t or f

true

under the privacy rule, a covered entity is required to put forth its_____to obtain an individuals signature indicating receipt of the privacy practices.

best effort

an organization or person who provides services to a healthcare organization and requires protected health information to carry out that function or activity.

business associate

the privacy rule requires that all covered entities have and apply appropriate sanctions against those workforce members who fail to comply with the rule. t or f

true

viewing your own medical records in the healthcare organization you work for may be considered a violation of the organizations policy on access to medical records. t or f

true

many healthcare organizations are adopting _____policies in regard to workforce members who violate the organizations privacy policies.

zero tolerance