Which Of The Following Are Breach Prevention Best Practices

HIPAA and Privacy Act Training Pretest Test

HIPAA (Health Insurance Portability and Accountability Act) is a legislation that provides data privacy and security provisions for safeguarding medical information. The law has emerged into greater prominence in recent years with the many health data breaches caused by cyber attacks and ransomware attacks on health insurers and providers.

 

1). The HIPAA Privacy Rule applies to which of the following?

 

A.-          PHI transmitted orally

B.-          PHI in paper form

C.-           PHI transmitted electronically

D.-          All of the above (correct)

 

2) Select all that apply: 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?

 

A.-          Before their information is included in a facility directory (correct)

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 (correct)

C.-           Prior to disclosure to a business associate

 

 

3) 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 (correct)

 

4) Which of the following would be considered PHI?

 

A.-          An individual’s first and last name and the medical diagnosis in a physician’s progress report (correct)

B.-          Individually identifiable health information (IIHI) in employment records held by a covered entity (CE) in its role as an employer

C.-           Results of an eye exam taken at the DMV as part of a driving test

D.-          IIHI of persons deceased more than 50 years

 

5) The HIPAA Security Rule applies to which of the following:

 

A.-          PHI transmitted orally

B.-          PHI on paper

C.-           PHI transmitted electronically (correct)

D.-          All of the above

 

6) Administrative 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 (correct)

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

 

7) 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 (correct)

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

D.-          None of the above

 

8) 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 (correct)

D.-          None of the above

 

9) 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) (correct)

C.-           Office of the National Coordinator for Health Information Technology (ONC)

D.-          None of the above

 

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

 

A.-          Criminal penalties

B.-          Civil money penalties

C.-           Sanctions

D.-          All of the above (correct)

 

11) If an individual believes that a DoD covered entity (CE) is not complying with HIPAA, he or she may file a complaint with the:

 

A.-          DHA Privacy Office

B.-          HHS Secretary

C.-           MTF HIPAA Privacy Officer

D.-          All of the above (correct)

 

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

 

A.-          False

B.-          True (correct)

 

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

 

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

D.-          All of the above (correct)

 

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

 

A.-          Social Security number

B.-          Home address

C.-           Telephone

D.-          All of the above (correct)

 

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

 

A.-          Specify routine uses (how the information will be used)

B.-          Be republished if a new routine use is created

C.-           Be provided to Office of Management and Budget (OMB) and Congress and published in the Federal Register before the system is operational

D.-          All of the above (correct)

 

16) 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

D.-          All of the above (correct)

 

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

 

A.-          True (correct)

B.-          False

 

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

 

A.-          Within 1 hours of discovery (correct)

B.-          Within 24 hours of discovery

C.-           Within 48 hours of discovery

D.-          Within 72 hours of discovery

 

19) Which of the following are common causes of breaches?

 

A.-          Theft and intentional unauthorized access to PHI and personally identifiable information (PII)

B.-          Human error (e.g. misdirected communication containing PHI or PII)

C.-           Lost or stolen electronic media devices or paper records containing PHI or PII

D.-          All of the above (correct)

 

20) 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 (correct)

 

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