A covered entity (CE) must have an established complaint process.
  • True
  • False
physical safeguard in the form of an access control to a secure area of the Valley Forge MTF.
  • Pursuant to the HIPAA Security Rule, covered entities must maintain secure access (for example, facility door locks) in areas where PHI is located. Allowing an unidentified individual to bypass a security entrance in this scenario violates the HIPAA Security Rule and exposes the MTF and its patients to a potential breach situation.
  • C. PHI transmitted electronically
  • 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)
  • -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 ePHIChallenge exam:-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
Fundamental objectives of information security:
  • ConfidentialityB. IntegrityC. AvailabilityD. All of the above
  • An individual's first and last name and the medical diagnosis in a physician's progress report
  • Confidentiality ## Integrity ## Availability
  • Within 1 hour of discovery
Technical safeguards are:
  • Information technology and the associated policies and procedures that are used to protect and control access to ePHI
  • An individual's first and last name and the medical diagnosis in a physician's progress report
  • -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 ePHIChallenge exam:-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 process of protecting data from unauthorized access, destruction, modification, or disruption
Which of the following are common causes of breaches?
  • All of the above (answer)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
  • All of the above (answer)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
  • All of this above (answer)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 the above (answer)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
ePHI
  • the process of protecting data from unauthorized access, destruction, modification, or disruption
  • -Office of Medicare Hearings and Appeals (OMHA) (CORRECT)Challenge exam:-Office for Civil Rights (OCR)
  • Information technology and the associated policies and procedures that are used to protect and control access to ePHI
  • ePHI is PHI that is created, received, maintained, or transmitted in electronic media by a HIPAA CE or BA.
Select the best answer. Which of the following are fundamental objectives of information security?
  • ConfidentialityB. IntegrityC. AvailabilityD. All of the above
  • Confidentiality ## Integrity ## Availability
  • All of the above (answer)Criminal penalties Civil money penalties Sanctions
  • -Office of Medicare Hearings and Appeals (OMHA) (CORRECT)Challenge exam:-Office for Civil Rights (OCR)
Which of the following are breach prevention best practices?
  • All of the above (answer)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
  • All of the above (answer)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
  • All of the above (answer)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 this above (answer)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
Which of the following statements about the HIPAA Security Rule are true?
  • All of the above (answer)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
  • All of the above (answer)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 (answer)Confidentiality Integrity Availability
  • All of the above (answer)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
In which of the following circumstances must an individual be given the opportunity to agree or object to the use and disclosure of their PHI?
  • All of the above (answer)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
  • A and C (answer)a). Before their information is included in a facility directory b). Before PHI directly relevant to a person's involvement with the individual's care or payment of health care is shared with that person
  • All of the above (answer)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 this above (answer)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
The minimum necessary standard:
  • All of the above (answer)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
  • All of the above (answer)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 (answer)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
  • All of the above (ANSWER)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
What of the following are categories for punishing violations of federal health care laws?
  • All of the above (answer)Confidentiality Integrity Availability
  • All of the above (answer)Criminal penalties Civil money penalties Sanctions
  • All of the above (answer)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
  • All of the above (answer)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
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
  • All of this above (answer)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 the above (answer)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 (answer)Confidentiality Integrity Availability
When must a breach be reported to the U.S. Computer Emergency Readiness Team?
  • All of the above (answer)Criminal penalties Civil money penalties Sanctions
  • All of the above (answer)Confidentiality Integrity Availability
  • Within 1 hour of discovery
  • Confidentiality ## Integrity ## Availability
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 (answer)Confidentiality Integrity Availability
  • All of the above (answer)Criminal penalties Civil money penalties Sanctions
  • All of the above (answer)Implemented the minimum necessary standard Established appropriate administrative safeguards Established appropriate physical and technical safeguards
  • All of the above (answer)DHA Privacy Office HHS Secretary MTF HIPAA Privacy Officer
Physical safeguards are:
  • Defining the scope of the analysis to include all ePHI the CE creates, receives, maintains and transmits, and documenting where the ePHI is locatedIdentifying and documenting reasonably anticipated and potential threats specific to the CE's operating environment and vulnerabilities which, if exploited by a threat, would create a risk of an inappropriate use or disclosure of ePHIAssessing existing security measuresDetermining and documenting the potential impact and risk to the confidentiality, integrity and availability of ePHIPeriodically reviewing and updating the risk analysis
  • Information technology and the associated policies and procedures that are used to protect and control access to ePHI
  • 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
  • -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 ePHIChallenge exam:-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
Elements of a risk analysis include:
  • 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
  • All of the above (ANSWER)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
  • Defining the scope of the analysis to include all ePHI the CE creates, receives, maintains and transmits, and documenting where the ePHI is locatedIdentifying and documenting reasonably anticipated and potential threats specific to the CE's operating environment and vulnerabilities which, if exploited by a threat, would create a risk of an inappropriate use or disclosure of ePHIAssessing existing security measuresDetermining and documenting the potential impact and risk to the confidentiality, integrity and availability of ePHIPeriodically reviewing and updating the risk analysis
  • -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 ePHIChallenge exam:-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
Which HHS Office is charged with protecting an individual patient's health information privacy and security through the enforcement of HIPAA?
  • ConfidentialityB. IntegrityC. AvailabilityD. All of the above
  • All of the above (answer)DHA Privacy Office HHS Secretary MTF HIPAA Privacy Officer
  • -Office of Medicare Hearings and Appeals (OMHA) (CORRECT)Challenge exam:-Office for Civil Rights (OCR)
  • All of the above (answer)Confidentiality Integrity Availability
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