HIPPA and Privacy Act Training

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

True (correct)

________________________________________

2) 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)

________________________________________

3) Which of the following are fundamental objectives of information security?

Confidentiality

Integrity

Availability

All of the above (correct)

________________________________________

4) Physical 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

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

________________________________________

5) Technical safeguards are: [Remediation Accessed :N]

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

None of the above

________________________________________

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

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

________________________________________

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

Criminal penalties

Civil money penalties

Sanctions

All of the above (correct)

________________________________________

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

DHA Privacy Office

HHS Secretary

MTF HIPAA Privacy Officer

All of the above (correct)

________________________________________

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

True (correct)

False

________________________________________

10) 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)

________________________________________

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

Social Security number

Home address

Telephone

All of the above (correct)

________________________________________

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

False

True (correct)

________________________________________

13) 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 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)

________________________________________

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

False

True (correct)

________________________________________

15) 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)

Lost or stolen electronic media devices or paper records containing PHI or PII

All of the above (correct)

________________________________________

16) Which of the following would be considered PHI?

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

Individually identifiable health information (IIHI) in employment records held by a covered entity (CE) in its role as an employer

Results of an eye exam taken at the DMV as part of a driving test

IIHI of persons deceased more than 50 years

________________________________________

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

A health plan

A health care clearinghouse

A health care provider engaged in standard electronic transactions covered by HIPAA

All of the above (correct)

________________________________________

18) 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 this above (correct)

________________________________________

19) 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

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)