Annual HIPAA

Question 1

In which circumstance must an individual be given the opportunity to agree or object to the use and disclosure of their PHI?

Answer 1

A. Before their information is included in a facility directory.
C. Before PHI directly relevant to a person’s involvement with the individual’s care or payment of health care is shared with that person
Answer: Both A&C

Question 2

Which of the following statements about the HIPAA Security Rule are true?

Answer 2

A. 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)
B. Protects electronic PHI (ePHI)
C. Addresses three types of safeguards - administrative, technical and physical - that must be in place to secure individuals’ ePHI
Answer: All of the above

Question 3

TRUE or FALSE: A covered entity (CE) must have an established complaint process

Answer 3

TRUE

Question 4

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

Answer 4

TRUE

Question 5

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

Answer 5

Within 1 hour of discovery

Question 6

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

Answer 6

A. Balances the privacy rights of individuals with the Government’s need to collect and maintain information.
B. Regulates how federal agencies solicit and collect personally identifiable information (PII).
C. Sets forth requirements for the maintenance, use, and disclosure of PII.
Answer: All of the above.

Question 7

What of the following are categories for punishing violations of federal health care laws?
A. Criminal penalties
B. Sanctions
C. Civil money penalties
D. All of the above

Answer 7

D. All of the above

Question 8

Which of the following are common causes of breaches?
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

Answer 8

D. All of the above

Question 9

Which of the following are fundamental objectives of information security?
Integrity
Availability
All of the above

Answer 9

D. All of the above

Question 10

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

Answer 10

D. All of the above

Question 11

Technical Safeguards are:
A. 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
B. 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
C. Information technology and the associated policies and procedures that are used to protect and control access to ePHI

Answer 11

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

Question 12

A Privacy Impact Assessment (PIA) is an analysis of how information is handled:
A. To ensure handling conforms to applicable legal, regulatory, and policy requirements regarding privacy
B. To determine the risks and effects of collecting, maintaining and disseminating information in identifiable form in an electronic information system
C. To examine and evaluate protections and alternative processes for handling information to mitigate potential privacy risks

Answer 12

D. All of the above

Question 13

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

Answer 13

TRUE

Question 14

Which of the following are breach prevention best practices?
A. Access only the minimum amount of PHI/personally identifiable information (PII) necessary
B. Logoff or lock your workstation when it is unattended
C. Promptly retrieve documents containing PHI/PHI from the printer
D. All of this above

Answer 14

D. All of the above

Question 15

An incidental use or disclosure is not a violation of the HIPAA Privacy Rule if the covered entity (CE) has:
A. Implemented the minimum necessary standard
B. Established appropriate administrative safeguards
C. Established appropriate physical and technical safeguards
D. All of the above

Answer 15

D. All of the above

Question 16

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

Answer 16

TRUE

Question 17

Which HHS Office is charged with protecting an individual patient’s health information privacy and security through the enforcement of HIPAA?
A. Office of Medicare Hearings and Appeals (OMHA)
B. Office for Civil Rights (OCR)
C. Office of the National Coordinator for Health Information Technology (ONC)
D. None of the above

Answer 17

B. Office for Civil Rights (OCR)

Question 18

Physical safeguards are:
A. 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
B. 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
C. Information technology and the associated policies and procedures that are used to protect and control access to ePHI
D. None of the above

Answer 18

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

Question 19

Which of the following would be considered PHI?
A. Individually identifiable health information (IIHI) in employment records held by a covered entity (CE) in its role as an employer
B. Results of an eye exam taken at the DMV as part of a driving test
C. An individual’s first and last name and the medical diagnosis in a physician’s progress report
D. IIHI of persons deceased more than 50 years

Answer 19

C. An individual’s first and last name and the medical diagnosis in a physician’s progress report

Question 20

The minimum necessary standard:
A. 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
B. Does not apply to exchanges between providers treating a patient
C. Does not apply to uses or disclosures made to the individual or pursuant to the individual’s authorization
D. All of the above

Answer 20

D. All of the above