Question 1

Under the HIPAA Privacy Rule, a physician may discuss a patient's medical condition or treatment with a family member or friend only if:
A)it is necessary in discussing payment for services.
B)the patient is unconscious.
C)the patient agrees verbally, in writing, or consent is implied.
D)the patient has a terminal illness.

Accepted Answer

the patient agrees verbally, in writing, or consent is implied.

Question 2

The process of scrambling and encoding electronic data to prevent it from being read by unauthorized users is known as:
A)encryption.
B)coding.
C)translation.
D)transcription.

Accepted Answer

Encryption is the correct term used to describe the process of scrambling and encoding electronic data to prevent it from being read by unauthorized users. Coding generally refers to the process of writing computer programs, while translation and transcription have different meanings in the context of data security.

Question 3

Providers are legally obligated to disclose protected health information (PHI) to public health authorities when a:
A)particularly severe flu epidemic has occurred.
B)person may have been exposed to certain communicable diseases.
C)patient or staff member has a prison record.
D)patient has returned from a trip to a country with poor sanitation.

Accepted Answer

According to HIPAA regulations, providers are legally obligated to disclose PHI to public health authorities when a person may have been exposed to certain communicable diseases to prevent the spread of the disease to others. The other options listed do not fall under this category of disclosure.

Question 4

The document used to authorize permission for the release of protected health information (PHI) is the:
A)designation for release of medical information form.
B)designation of beneficiary form.
C)acknowledgment of informed consent form.
D)assignment of benefits form.

Accepted Answer

The designation for release of medical information form is specifically designed to authorize permission for the release of protected health information (PHI) and is required by law under HIPAA regulations. The other forms listed may be used for other purposes but are not directly related to PHI release authorization.

Question 5

HIPAA privacy protections apply to which type of healthcare data?
A)Paper and electronic records
B)Paper records only
C)Electronic records only
D)Paper and electronic records created in the last 5 years

Accepted Answer

The answer of HIPAA privacy protections apply to which type...

Question 6

Each medical practice must appoint a person to serve as its Privacy Compliance Officer, who must be familiar with federal and state privacy regulations in order to:
A)file monthly reports with the office of the state insurance commissioner.
B)respond to insurance carriers' questions and handle patient billing complaints.
C)respond to requests for medical records and handle privacy-related issues and complaints.
D)represent the practice in any lawsuits that arise over privacy issues.

Accepted Answer

The answer of Each medical practice must appoint a person...

Question 7

A provider may share patient information with an interpreter when the interpreter is:
A)a friend of the patient and the patient agrees.
B)a family member of the patient and the patient agrees.
C)a staff member, contractor, or volunteer who works for the provider.
D)all of the above.

Accepted Answer

A provider may share patient information with an interpreter under all the given conditions as long as the patient agrees (in the case of a friend or family member) or if the interpreter is a staff member, contractor, or volunteer working for the provider, which does not necessarily require explicit patient agreement as it falls under the provider's operations.

Question 8

Under HIPAA, which of the following are covered entities?
A)Health insurance plans
B)Healthcare providers
C)Clearinghouses
D)Most employers

Accepted Answer

The answer of Under HIPAA, which of the following are...

Question 9

Under the HIPAA Privacy Rule, a patient's medical record and claims history are considered:
A)protected health information.
B)managed care plan information.
C)secure medical data.
D)electronically transmitted data.

Accepted Answer

The answer of Under the HIPAA Privacy Rule, a patient's...

Question 10

In the event of a security breach in regard to protected health information (PHI), providers and other covered entities must notify both the DHHS Office for Civil Rights (OCR) and the:
A)individuals whose records were affected.
B)Centers for Medicare and Medicaid Services (CMS).
C)insurance carriers whose claims were affected.
D)Consumer Protection Agency.

Accepted Answer

The answer of In the event of a security breach...

Question 11

The overall purpose of HIPAA transactions and code set rules is to:
A)require that all claims be submitted in exactly the same electronic format.
B)limit the number of methods that can be used for file encryption.
C)standardize the electronic exchange of protected health information (PHI).
D)authorize certain organizations to act as claims clearinghouses.

Accepted Answer

The answer of The overall purpose of HIPAA transactions and...

Question 12

The provision of HIPAA that applies to the use and disclosure of protected health information is the:
A)Administrative Rule.
B)Reimbursement Rule.
C)Privacy Rule.
D)Medical Records Rule.

Accepted Answer

The answer of The provision of HIPAA that applies to...

Question 13

HIPAA guidelines grant patients the right to access their own medical records and the right to:
A)at least 10 free copies.
B)request corrections of any inaccuracies in the records.
C)designate a specific person at an insurance company who may also have access.
D)file a complaint about how long it takes to get a claim paid.

Accepted Answer

HIPAA guidelines do grant patients the right to access their own medical records, but they do not specify a specific number of free copies or designate a specific person at an insurance company who may have access. However, patients do have the right to request corrections of any inaccuracies in their records. Filing a complaint about the time it takes to get a claim paid is not related to accessing medical records.

Question 14

If the patient is a minor, consent to the disclosure of protected health information (PHI) must be provided by a parent or:
A)grandparent.
B)legal guardian.
C)sibling.
D)teacher.

Accepted Answer

A legal guardian is appointed by a court to make decisions for a minor, including giving consent for the disclosure of protected health information. While a parent can also provide consent, not all minors have both parents actively involved in their care. Grandparents, siblings, and teachers do not have the legal authority to provide such consent.

Question 15

The advantage of using electronic data interchange standards (EDI) in the transmission of medical and claims data is:
A)improved data quality.
B)faster processing of transactions.
C)lower operating costs.
D)all of the above.

Accepted Answer

EDI standards improve data quality by reducing errors commonly found in manual data entry. Electronic transmission of data also leads to faster processing of transactions, reducing the time it takes for claims to be processed and paid. When used consistently, EDI can contribute to lower operating costs through increased efficiency and reduced administrative burden. Therefore, all of the above are advantages of using EDI standards.

Question 16

Protected health information (PHI) can be disclosed in which of the following circumstances?
A)A coroner requests it to assist in identifying a body.
B)The U.S. Food and Drug Administration requests it in relation to a product recall.
C)An organ procurement organization requests it to facilitate the donation and transplantation of organs.
D)A patient has been admitted to the emergency department and the family is trying to locate him or her.

Accepted Answer

The answer of Protected health information (PHI) can be disclosed...

Question 17

HIPAA guidelines apply to which of the following types of healthcare administrative transactions?
A)Health insurance claims
B)Claim status requests and reports
C)Eligibility requests and verifications
D)All of the above

Accepted Answer

The answer of HIPAA guidelines apply to which of the...

Question 18

A person who has a privacy complaint can file it with the:
A)Food and Drug Administration (FDA).
B)Centers for Medicare and Medicaid Services (CMS).
C)DHHS Office for Civil Rights (OCR).
D)American Medical Association (AMA).

Accepted Answer

The answer of A person who has a privacy complaint...

Question 19

The Health Insurance Portability and Accountability Act (HIPAA) was signed into law in 1996, and covered entities were required to fully implement its guidelines by:
A)2000.
B)2002.
C)2003.
D)2005.

Accepted Answer

The answer of The Health Insurance Portability and Accountability Act...

Question 20

Approximately how many different formats are currently being used for electronic health claims?
A)350
B)400
C)450
D)500

Accepted Answer

According to research, there are currently around 400 different formats being used for electronic health claims.

Quiz 4: Hipaa: Health Insurance Portability and Accountability Act of 1996

The process of scrambling and encoding electronic data to prevent it from being read by unauthorized users is known as: A)encryption. B)coding. C)translation. D)transcription.

The document used to authorize permission for the release of protected health information (PHI) is the: A)designation for release of medical information form. B)designation of beneficiary form. C)acknowledgment of informed consent form. D)assignment of benefits form.

HIPAA privacy protections apply to which type of healthcare data? A)Paper and electronic records B)Paper records only C)Electronic records only D)Paper and electronic records created in the last 5 years

A provider may share patient information with an interpreter when the interpreter is: A)a friend of the patient and the patient agrees. B)a family member of the patient and the patient agrees. C)a staff member, contractor, or volunteer who works for the provider. D)all of the above.

Under HIPAA, which of the following are covered entities? A)Health insurance plans B)Healthcare providers C)Clearinghouses D)Most employers

Under the HIPAA Privacy Rule, a patient's medical record and claims history are considered: A)protected health information. B)managed care plan information. C)secure medical data. D)electronically transmitted data.

The provision of HIPAA that applies to the use and disclosure of protected health information is the: A)Administrative Rule. B)Reimbursement Rule. C)Privacy Rule. D)Medical Records Rule.

If the patient is a minor, consent to the disclosure of protected health information (PHI) must be provided by a parent or: A)grandparent. B)legal guardian. C)sibling. D)teacher.

The advantage of using electronic data interchange standards (EDI) in the transmission of medical and claims data is: A)improved data quality. B)faster processing of transactions. C)lower operating costs. D)all of the above.

HIPAA guidelines apply to which of the following types of healthcare administrative transactions? A)Health insurance claims B)Claim status requests and reports C)Eligibility requests and verifications D)All of the above

A person who has a privacy complaint can file it with the: A)Food and Drug Administration (FDA). B)Centers for Medicare and Medicaid Services (CMS). C)DHHS Office for Civil Rights (OCR). D)American Medical Association (AMA).

The Health Insurance Portability and Accountability Act (HIPAA) was signed into law in 1996, and covered entities were required to fully implement its guidelines by: A)2000. B)2002. C)2003. D)2005.

Approximately how many different formats are currently being used for electronic health claims? A)350 B)400 C)450 D)500