HIPAA Challenge Exam

Which of the following are common causes of breaches?
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.

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

-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

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

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

The e-Government Act promotes the use of electronic government services by the public and improves the use of information technology in the government.

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

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

Technical safeguards are:
Information technology and the associated policies and procedures that are used to protect and control access to 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

-Implemented the minimum necessary standard
– Established appropriate administrative safeguards
– Established appropriate physical and technical safeguards

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

The HIPAA Security Rule applies to which of the following:
PHI transmitted electronically

Which of the following are breach prevention best practices?
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.

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

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).

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

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, and/or the MTF HIPAA Privacy Officer.

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 disclosures to, or requests by, a health care provider for treatment purposes. -does not apply to uses or disclosures made to the individual or pursuant to the individual’s authorization.

When must a breach be reported to the U.S. Computer Emergency Readiness Team?
Within 1 hour

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

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

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)

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

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

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