HIPAA/PA Refresher TEST

All of the above Under HIPAA, a CE is a health plan, a health care clearinghouse, or a health care provider engaged in standard electronic transactions covered by HIPAA.

All of the above The minimum necessary standard limits uses, disclosures, and requests for PHI to the minimum necessary amount of PHI needed to carry out the intended purposes of the use or disclosure. The minimum necessary standard does not apply to disclosures to, or requests by, a health care provider for treatment purposes. It also does not apply to uses or disclosures made to the individual or pursuant to the individual's authorization.

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

All of the above The HIPAA Privacy Rule applies to PHI that is transmitted or maintained by a covered entity or a business associate in any form or medium.

All of the above The HIPAA Security Rule: Established a national set of standards for the protection of PHI that is created, received, maintained, or transmitted in electronic media by a HIPAA CE or BA; protects ePHI; and addresses three types of safeguards - administrative, technical and physical - that must be in place to secure individuals' ePHI.

PHI transmitted electronically

All of the above Confidentiality, Integrity, and Availability are the fundamental objectives of health information security and the HIPAA Security Rule requires covered entities and business associates to protect against threats and hazards to these objectives.

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

All of the above If an individual believes that a DoD CE is not complying with HIPAA he or she may file a complaint with the DHA Privacy Office, HHS Secretary, and/or the MTF HIPAA Privacy Officer.

All of the above The three main categories of punishment for violating federal health care laws include: criminal penalties, civil money penalties, and sanctions.

Office for Civil Rights (OCR)

True

All of the above PII means information that can be linked to a specific individual and may include the following: Social Security Number; DoD identification number; home address; home telephone; date of birth (year included); personal medical information; or personal/private information (e.g., an individual's financial data).

True

All of the above A SORN serves as a notice to the public about a system of records and must: Specify routine uses (how the information will be used), be republished if a new routine use is created, and be provided to OMB and Congress and published in the Federal Register before the system is operational.

True

True

All of the above Breaches are commonly associated with human error at the hands of a workforce member. Improper disposal of electronic media devices containing PHI or PII is also a common cause of breaches. Theft and intentional unauthorized access to PHI and PII are also among the most common causes of privacy and security breaches. Another common cause of a breach includes lost or stolen electronic media devices containing PHI and PII such as laptop computers, smartphones and USB storage drives. Lost or stolen paper records containing PHI or PII also are a common cause of breaches.

All of the above You can help prevent a breach by accessing only the minimum amount of PHI/PII necessary and by promptly retrieving documents containing PHI/PII from the printer. You should always logoff or lock your workstation when it is unattended for any length of time.

Within 1 hour of discovery

-Theft and intentional unauthorized access to PHI and personally identifiable information (PII) -Human error (e.g. misdirected communication containing PHI or PII) -Lost or stolen electronic media devices or paper records containing PHI or PII -All of the above (correct)

-To ensure handling conforms to applicable legal, regulatory, and policy requirements regarding privacy - To determine the risks and effects of collecting, maintaining and disseminating information in identifiable form in an electronic information system -To examine and evaluate protections and alternative processes for handling information to mitigate potential privacy risks -All of the above (correct)

True (correct) False

A health plan A health care clearinghouse A health care provider engaged in standard electronic transactions covered by HIPAA All of the above (correct)

True (correct) False

Criminal penalties Civil money penalties Sanctions All of the above (correct)

-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 - 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 - Information technology and the associated policies and procedures that are used to protect and control access to ePHI (correct) -None of the above

-Implemented the minimum necessary standard -Established appropriate administrative safeguards -Established appropriate physical and technical safeguards -All of the above (correct)

False True (correct)

-PHI transmitted orally -PHI on paper - PHI transmitted electronically (correct) -All of the above

-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 this above (correct)

-Social Security number - Home address -Telephone - All of the above (correct)

-False -True (correct)

-DHA Privacy Office -HHS Secretary -MTF HIPAA Privacy Officer - All of the above (correct)

-Limits uses, disclosures, and requests 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 above (correct)

-Within 1 hour of discovery (correct) - Within 24 hours of discovery -Within 48 hours of discovery -Within 72 hours of discovery

- 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 (correct) - 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 - Information technology and the associated policies and procedures that are used to protect and control access to ePHI - None of the above

True (correct) False

- Office of Medicare Hearings and Appeals (OMHA) - Office for Civil Rights (OCR) (correct) - Office of the National Coordinator for Health Information Technology (ONC) - None of the above

- 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 - 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 (correct) - Information technology and the associated policies and procedures that are used to protect and control access to ePHI - None of the above