HIPAA and Privacy Act Training (2022)

Which of the following is NOT electronic PHI (ePHI)?

Health information stored on paper in a file cabinet

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

True - It is a process which assists organizations in identifying and managing the privacy risks arising from new projects, initiatives, systems, processes, strategies, policies, business relationships etc.

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

A and C

Administrative safeguards are:

Administrative actions, and policies and procedures that are used to manage the selection, development, implementation and maintenance of security measures to protect electronic PHI (ePHI). These safeguards also outline how to manage the conduct of the workforce in relation to the protection of ePHI

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

All of the above

If an individual believes that a DoD covered entity (CE) is not complying with HIPAA, he or she may file a complaint with the:

All of the above

The minimum necessary standard:

All of the above

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

All of the above

Which of the following are common causes of breaches?

All of the above

Which of the following are examples of personally identifiable information (PII)?

All of the above

Which of the following are fundamental objectives of information security?

All of the above

Which of the following are true statements about limited data sets?

All of the above

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

All of the above

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

All of the above

Select all that apply: The HIPAA Privacy Rule permits use or disclosure of a patient's PHI in accordance with an individual's authorization that:

-Is written and signed by the patient -Includes core elements and required statements set forth in the HIPAA Privacy Rule and DoD's implementing issuance

True or False? "Use" is defined under HIPAA as the release of information containing PHI outside of the covered entity (CE).

False

Which of the following are breach prevention best practices?

All of this above

Which types of information would be considered PHI?

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

Under HIPAA, a covered entity (CE) is defined as:

Covered entities are defined in the HIPAA rules as (1) health plans, (2) health care clearinghouses, and (3) health care providers who electronically transmit any health information in connection with transactions for which HHS has adopted standards.

Technical safeguards are:

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

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

Office for Civil Rights (OCR)

The HIPAA Security Rule applies to which of the following:

PHI transmitted electronically

Physical safeguards are:

Physical measures, including policies and procedures that are used to protect electronic information systems and related buildings and equipment, from natural and environmental hazards, and unauthorized intrusion

A Systems of Records Notice (SORN) serves as a notice to the public about a system of records and must:

To provide public notice of the records it maintains about individuals which are retrieved by personal identifier.

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

True

A covered entity (CE) must have an established complaint process.

True

HIPAA allows the use and disclosure of PHI for treatment, payment, and health care operations (TPO) without the patient's consent or authorization.

True

HIPAA provides individuals with the right to request an accounting of disclosures of their PHI.

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.

True

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

True - The Privacy Act of 1974 - allows individuals to gain access to their own personal records subject to certain exemptions, and to seek correction or amendment of records maintained by Federal agencies that are inaccurate, incomplete, untimely, or irrelevant.

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

Within 1 hours of discovery

The HIPAA Privacy Rule applies to which of the following?

protect individuals' medical records and other individually identifiable health information (collectively defined as "protected health information") and applies to Health Plans, Health Care Clearinghouses, and Those Health Care Providers that conduct certain