Which of the following are common causes of breaches?

All of the above

- 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

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

All of the above

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

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

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

Health information stored on paper in a file cabinet

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

Within 1 hours of discovery

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

True

Which of the following are breach prevention best practices?

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

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

True

The minimum necessary standard:

All of the above

- 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

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

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

True

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

All of the above

- 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

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

All of the above

- Specify routine uses (how the information will be used)
- Be republished if a new routine use is created
- Be provided to Office of Management and Budget (OMB) and Congress and published in the Federal Register before the system is operational

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

All of the above

- Social Security number
- Home address
- Telephone

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

All of the above

- Criminal penalties
- Civil money penalties
- Sanctions

Technical safeguards are:

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

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

The HIPAA Security Rule applies to which of the following:

PHI transmitted electronically

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

- DHA Privacy Office
- HHS Secretary
- MTF HIPAA Privacy Officer

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)