HIPAA Challenge Exam

If an individual believes that a DOD covered entity (CE) is not complying with HIPAA, he or she ay file a complaint with the?

-DHA Privacy Office -HHC Secretary -MTF HIPAA Privacy Officer -(ALL OF THE ABOVE correct answer)

Which of the following are breach prevention best practices?

-access only the minimum amount of PHI/personally identifiable information (PII) necessary -logoff or lock your workstation when it is unattended -promptly retrieve documents containing PHI/PHI from the printer -(ALL OF THE ABOVE correct answer)

Which of the following statements about the Privacy Act are true?

-balances the privacy rights of individuals with the Government's need to collect and maintain information -regulates how federal agencies solicit and collect personally identifiable information (PII) -sets forth requirements for the maintenance, use, and disclosure of PII -(ALL OF THE ABOVE correct answer)

An incidental use or disclosure is not a violation of the HIPAA Privacy Rule if the covered entity (CE) has:

-implemented the minimum necessary standard -established appropriate administrative safeguard -established appropriate physical and technical safeguards -(ALL OF THE ABOVE correct answer)

Which of the following are common causes of breaches?

-theft and intentional unauthorized access to PHI and personally identifiable information (PII) -human error (e.g. misdirected communication containing PHI or PII) -(AL OF THE ABOVE correct answer)

A Privacy Impact Assessment (PIA) is an analysis of how information is handled:

-to ensure handling conforms to applicable legal, regulatory, and policy requirements regarding privacy -to determine the risk and effects of collecting, maintaining and disseminating information in identifiable form in an electronic information system -(ALL OF THE ABOVE correct answer)

Physical Safeguards are:

physical measures, including policies and procedures that are to protect electronic information system and related buildings and equipment

In which of the following circumstances must an individual be given the opportunity to agree or object the use of disclosure of their PHI?

A. Before their information is included in a facility directory B. Before PHI directly relevant to a person's involvement with the individual's care or payment of health care is shared with that person (A and C correct answers)

Within 1 hour of discovery

When must a breach be reported to the U.S. Computer Emergency Readiness Team?

Office of Civil Rights (OCR)

Which HHC Office is charged with protecting an individual patient's health information privacy and security through the enforcement of HIPAA?

An individual's first and last name and the medical diagnosis in a physician's progress report

Which of the following would be considered PHI

Which of the following are fundamental objectives of information security?

-confidentiality -integrity -availability -(ALL OF THE ABOVE correct answer)

Which of the following are categories of punishing violations of federal health care laws?

-criminal penalties -civil money penalties -santions -(ALL OF THE ABOVE correct answer)

Which of the following statements about the HIPAA Security Rule are true?

-established a national set of standards for the protection of PHI that is created, received, maintained, or transmitted in electronic media by a HIPAA covered entity (CE) or business associate (BA) -protects electronic PHI (ePHI) -Addresses three types of safeguards-administrative, technical and physical-that must be in place to secure individuals (ePHI) -(ALL OF THE ABOVE correct answer)

FALSE

A breach as defined by the DOD is broader than a HIPAA breach (or breach defined by HHS)

TRUE

A covered entity (CE0 must have an established complaint process

Technical safeguards are:

Information technology and the associated policies and procedures that are used to protect and control access to ePHI

TRUE

Under the Privacy Act, individuals have the right to request amendments of their records contained in a system of records.

TRUE

The e-Government Act promotes the use of electronic government services by the public and improves the use of information technology in the government

ALL OF THE ABOVE

The minimum necessary standard: -Limits uses, disclosures, and request for PHI to the minimum necessary amount of PHI needed to carry out the intended purposes of the use or disclosure -Does not apply to exchanges between providers treating a patient -Does not apply to uses or disclosures made to the individual or pursuant to the individual's authorization -ALL OF THE ABOUVE