HIPAA Privacy & Security Quiz

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HIPAA Privacy & Security Quiz - Quiz

This quiz is based off of the HIPAA Training & Awareness Powerpoint. Please print your results for your records.


Questions and Answers
  • 1. 

    PART 1 – HIPAA PRIVACY TRAINING1. What does “HIPAA” stand for?

    • A.

      A. Health Insurance Portability and Accountability Act

    • B.

      B. Health Industry Privacy and Accountability Act

    • C.

      C. Health Insurance Privacy and Administration Act

    • D.

      D. None of the above

    Correct Answer
    A. A. Health Insurance Portability and Accountability Act
    Explanation
    HIPAA stands for Health Insurance Portability and Accountability Act. This act was enacted in 1996 and is a federal law in the United States that provides regulations and guidelines for the protection of individuals' medical information and privacy. It sets standards for the electronic exchange, privacy, and security of health information. The act aims to ensure that individuals' health information is kept confidential and secure while allowing for the portability of health insurance coverage. The correct answer is a. Health Insurance Portability and Accountability Act.

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  • 2. 

    2. The HIPAA Privacy Rule establishes national standards to protect individual’s medical records and other PHI. The Privacy Rule requires appropriate safeguards to protect the privacy of PHI, and set limits and conditions on the uses and disclosures that may be made of such information without patient authorization.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    The explanation for the given correct answer is that the HIPAA Privacy Rule indeed establishes national standards to protect individuals' medical records and other PHI (Protected Health Information). The rule requires appropriate safeguards to ensure the privacy of PHI and also sets limits and conditions on the uses and disclosures of such information without patient authorization. Therefore, the statement "The HIPAA Privacy Rule establishes national standards to protect individual's medical records and other PHI" is true.

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  • 3. 

    3. What is PHI (Protected Health Information)?

    • A.

      A. Covered transactions (eligibility, enrollment, health care claims, payment, etc.) performed electronically

    • B.

      B. Information about past or present mental or physical conditions of a patient

    • C.

      C. Information that can be used to identify a patient

    • D.

      D. All of the above

    Correct Answer
    D. D. All of the above
    Explanation
    PHI (Protected Health Information) refers to any information that is related to a patient's past or present mental or physical conditions. It also includes any information that can be used to identify a patient. Covered transactions, such as eligibility, enrollment, health care claims, and payment, that are performed electronically are also considered as PHI. Therefore, the correct answer is d, all of the above, as it encompasses all the mentioned categories of information.

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  • 4. 

    4. What does HIPAA do?

    • A.

      A. Protects the privacy and security of patient’s health information

    • B.

      B. Provides for electronic and physical security of a patient’s health information

    • C.

      C. Prevent health care fraud and abuse

    • D.

      D. All of the above

    Correct Answer
    D. D. All of the above
    Explanation
    HIPAA, which stands for the Health Insurance Portability and Accountability Act, is a federal law that aims to protect the privacy and security of patient's health information. It provides regulations for both electronic and physical security measures to ensure the confidentiality of patient data. Additionally, HIPAA also includes provisions to prevent healthcare fraud and abuse. Therefore, the correct answer is d. All of the above, as all the options listed are actions that HIPAA takes.

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  • 5. 

    5. Under the right to Access, healthcare employees have the right to access their family members’ medical records directly, utilizing job-related access such as hospital information and medical records.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    Under the right to Access, healthcare employees do not have the right to access their family members' medical records directly. While they may have access to job-related information and medical records, this does not extend to their family members' records. The privacy and confidentiality of medical records are protected by laws and regulations, and healthcare employees are required to adhere to these guidelines. Therefore, the statement is false.

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  • 6. 

    6. When can you use or disclose PHI?

    • A.

      A. For the treatment of a patient

    • B.

      B. For obtaining payment for services

    • C.

      C. When the patient has authorized, in writing to the Covered Entity, allowing the Business Associate to follow the rule of the Covered Entity as described in the Business Associate Agreement

    • D.

      D. All of the above

    • E.

      E. None of the above

    Correct Answer
    D. D. All of the above
    Explanation
    You can use or disclose PHI for the treatment of a patient, for obtaining payment for services, and when the patient has authorized, in writing, allowing the Business Associate to follow the rule of the Covered Entity as described in the Business Associate Agreement. This means that all of the options mentioned in the question (a, b, and c) are correct, so the correct answer is d. All of the above.

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  • 7. 

    7. Privacy incidents most often occur from:

    • A.

      A. Loss, damage, theft

    • B.

      B. Accidentally sending a report containing PII to a person not authorized to view the report

    • C.

      C. Discussing work related information, such as a person’s medical health record, in a public area

    • D.

      D. All of the above

    Correct Answer
    D. D. All of the above
    Explanation
    The correct answer is d. All of the above. Privacy incidents can occur from loss, damage, or theft of sensitive information. They can also occur from accidentally sending a report containing personally identifiable information (PII) to an unauthorized person. Additionally, discussing work-related information, such as a person's medical health record, in a public area can also lead to privacy incidents. Therefore, all of the options mentioned in a, b, and c can contribute to privacy incidents.

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  • 8. 

    8. What is the possible consequences of Privacy Violations?

    • A.

      A. Employee disciplinary actions

    • B.

      B. Civil Monetary Penalties/ Fines

    • C.

      C. Criminal Charges

    • D.

      D. All of the above

    Correct Answer
    D. D. All of the above
    Explanation
    Privacy violations can have various consequences, including employee disciplinary actions, civil monetary penalties or fines, and even criminal charges. When privacy is violated, it can result in disciplinary actions against the employees responsible for the violation. Additionally, organizations or individuals who violate privacy laws may face civil monetary penalties or fines as a form of punishment. In more severe cases, privacy violations can lead to criminal charges being filed against the responsible parties. Therefore, the correct answer is d. All of the above.

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  • 9. 

    9. Who at NJII must follow HIPAA Regulations?

    • A.

      A. Every NJII employee, as we are the Business Associate for Covered Entities

    • B.

      B. Only Upper Management

    • C.

      C. Only the HIPAA Privacy and Security Officers

    • D.

      D. None of the above

    Correct Answer
    A. A. Every NJII employee, as we are the Business Associate for Covered Entities
    Explanation
    Every NJII employee must follow HIPAA Regulations because NJII is the Business Associate for Covered Entities. As a Business Associate, NJII is responsible for handling protected health information (PHI) on behalf of the Covered Entities. Therefore, all employees need to adhere to HIPAA regulations to ensure the privacy and security of PHI. Upper management and the HIPAA Privacy and Security Officers may have additional responsibilities and oversight, but all employees are required to follow HIPAA regulations.

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  • 10. 

    PART 2 – HIPAA SECURITY TRAINING10. HIPAA Security Rule addresses the privacy protection of ePHI. This rule defines standards, procedures, and methods for protecting ePHI with attention to how PHI is stored, accessed, transmitted, and audited. 

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    The given statement is true. The HIPAA Security Rule indeed addresses the privacy protection of ePHI (electronic protected health information). It sets standards, procedures, and methods for safeguarding ePHI, including how it is stored, accessed, transmitted, and audited. Compliance with the HIPAA Security Rule is essential for healthcare organizations to ensure the confidentiality, integrity, and availability of ePHI, thereby protecting patient privacy.

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  • 11. 

    11. HIPAA Security Rule addresses which aspects of security

    • A.

      A. Administrative Safeguards

    • B.

      B. Physical Safeguards

    • C.

      C. Technical Safeguards

    • D.

      D. All of the Above

    • E.

      E. None of the above

    Correct Answer
    D. D. All of the Above
    Explanation
    The correct answer is d. All of the Above. The HIPAA Security Rule addresses all aspects of security, including administrative safeguards, physical safeguards, and technical safeguards. Administrative safeguards involve policies and procedures to manage the selection, development, implementation, and maintenance of security measures. Physical safeguards involve the physical protection of electronic information systems and related buildings and equipment. Technical safeguards involve the technology and the policies and procedures for its use to protect electronic information and control access to it. Therefore, all three aspects are addressed under the HIPAA Security Rule.

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  • 12. 

    13. Which workstation security safeguards are YOU responsible for using and/or protecting?

    • A.

      A. User ID

    • B.

      B. Password

    • C.

      C. Log-off / Lock security measures

    • D.

      D. All of the above

    Correct Answer
    D. D. All of the above
    Explanation
    The correct answer is "d. All of the above". As an individual user, you are responsible for using and protecting all of the mentioned workstation security safeguards, including your User ID, Password, and Log-off / Lock security measures. These safeguards are essential for maintaining the security and confidentiality of your workstation and the information stored on it. By utilizing and safeguarding these measures, you can help prevent unauthorized access and protect sensitive data from being compromised.

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  • 13. 

    14. To guard against unauthorized access to ePHI that is being sent via email, you must ensure appropriate safeguard measures are take. For example: the Email is encrypted, Word or Excel Documents are encrypted or password protected, implementing the Minimum Necessary Requirements, or De-identification of PHI is being used. 

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    To guard against unauthorized access to ePHI that is being sent via email, appropriate safeguard measures must be taken. These measures include encrypting the email and any Word or Excel documents that contain ePHI. Additionally, implementing the Minimum Necessary Requirements ensures that only the minimum amount of ePHI necessary for a specific purpose is disclosed. Another safeguard measure is the de-identification of PHI, which removes or obscures any identifying information. Therefore, the statement "True" is correct as it accurately reflects the need for safeguard measures to protect ePHI sent via email.

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  • 14. 

    15. Which of these below is part of Technical Safeguards?

    • A.

      A. Access Control

    • B.

      B. Audit Control

    • C.

      C. Integrity Control

    • D.

      D. Transmission Security

    • E.

      E. A and B only

    • F.

      F. All of the above

    Correct Answer
    F. F. All of the above
    Explanation
    The correct answer is f. All of the above. Technical safeguards are measures implemented to protect the integrity, confidentiality, and availability of electronic protected health information (ePHI). Access control ensures that only authorized individuals can access ePHI, while audit control tracks and monitors access to ePHI. Integrity control ensures that ePHI remains unaltered and accurate, while transmission security safeguards protect ePHI during transmission over networks. Therefore, all of the options listed (a, b, c, and d) are part of technical safeguards.

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  • 15. 

    16. For strong password protection you should use which of the following?

    • A.

      A. Don’t use upper or capital letters or characters

    • B.

      B. Use at least 8 characters, upper and lower case letter, numbers, and characters

    • C.

      C. Use an easy and generic password so you remember it better

    • D.

      D. None of the above

    Correct Answer
    B. B. Use at least 8 characters, upper and lower case letter, numbers, and characters
    Explanation
    Using at least 8 characters, including a combination of upper and lower case letters, numbers, and special characters, is recommended for strong password protection. This combination increases the complexity of the password, making it harder for others to guess or crack. It is important to include a variety of characters to enhance the security of the password and reduce the risk of unauthorized access to personal or sensitive information.

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  • 16. 

    17. What is the goal of information security?

    • A.

      A. Ensure that employee passwords contain at last 8 characters

    • B.

      B. Eliminate all threat to information systems

    • C.

      C. Provide a lock for all file cabinets in the building

    • D.

      D. Protect the confidentiality, availability, and integrity of information and information systems

    Correct Answer
    D. D. Protect the confidentiality, availability, and integrity of information and information systems
    Explanation
    The goal of information security is to protect the confidentiality, availability, and integrity of information and information systems. This means ensuring that information is kept confidential and not accessed by unauthorized individuals, ensuring that information is available to authorized users when needed, and ensuring that information is accurate and not tampered with. This is a comprehensive approach to safeguarding information and maintaining the trust and reliability of information systems.

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  • 17. 

    PART 3 – HITECH TRAINING18. Protected information can include information in any form or medium, including electronic, paper, or verbal form. 

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    Protected information refers to any type of information that is safeguarded and kept confidential. This can include information stored electronically, on paper documents, or even information exchanged verbally. The statement "Protected information can include information in any form or medium, including electronic, paper, or verbal form" is true because protected information can exist in various formats and must be treated with the same level of confidentiality and security regardless of its form.

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  • 18. 

    20. It is acceptable to wait to report a breach or incident until you personally try to figure out what happened.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    It is not acceptable to wait to report a breach or incident until you personally try to figure out what happened. Prompt reporting of any breach or incident is crucial in order to minimize the potential damage and take appropriate actions to prevent further harm. Delaying the reporting can result in more severe consequences and hinder the timely response and resolution of the situation.

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  • 19. 

    19. We have established an Incident Management Policy & an Incident Response Team to focus on Incident Response, should a breach or incident occur. To your knowledge, what should be the first thing you do?   

    • A.

      A. Call the Police

    • B.

      B. Contact the Board of Directors

    • C.

      C. Tell the whole office staff about the situation

    • D.

      D. Immediately contact your Direct Report, contact the Incident Response Team ([email protected]), and contact the IT Department. (Be sure to complete the Incident Response Form.)

    Correct Answer
    D. D. Immediately contact your Direct Report, contact the Incident Response Team ([email protected]), and contact the IT Department. (Be sure to complete the Incident Response Form.)
    Explanation
    The correct answer is d. Immediately contact your Direct Report, contact the Incident Response Team ([email protected]), and contact the IT Department. This is the first thing you should do because it ensures that the appropriate individuals and teams are notified about the incident and can begin taking necessary actions to respond to and mitigate the breach or incident. Additionally, completing the Incident Response Form helps to document important details about the incident for future reference and analysis.

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  • 20. 

    12. It is okay for me to share my User Name and Password Credentials because I know the person. 

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    Sharing User Name and Password Credentials is never okay, even if you know the person. Sharing such sensitive information can lead to unauthorized access to personal accounts, privacy breaches, and potential misuse of personal data. It is important to keep login credentials confidential to ensure the security and privacy of online accounts. Therefore, the correct answer is false.

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