PTP FINAL EXAM UPDATED QUESTIONS AND ANSWERS
SURE A+
✔✔Identify reasons for the importance of documentation. - ✔✔○ Record patient-client
management—creates and provides evidence of the episode of care
○ Communicate with others
○ Demonstrate clinical problem solving
✔✔HIPPA stands for - ✔✔the health insurance portability and accountability act
✔✔The correct goal of HIPPA is - ✔✔to establish a set of national standard for the
protection of certain health information. It addresses the use and disclosure of
individuals "health information" - called protected health information
✔✔Covered entities under HIPPA include:
Health Plans - ✔✔individuals and group plans that provide or pay the cost of medical
care. Health plans include health, dental, vision, and prescription drug insurers, health
maintenance organizations (HMOs) Medicare, Medicaid etc.
✔✔Covered entities under HIPPA include:
Health Care Providers - ✔✔Every health care provider, regardless of size, who
electronically transmits health information in connection with certain transactions, is
covered entity. These transactions include claims, benefit eligbility inquiries, referral
authorization request.
✔✔Health Care Clearing houses - ✔✔entities that process nonstandard information
they receive from another entity into a standard (i.e standard format or data content), or
vice versa
✔✔In most instances, Health care clearing houses - ✔✔will receive individually
identifiable health information, only when they are providing these processing services
to a health plan or health care provider as a business associate
✔✔Information protected under HIPPA includes: - ✔✔-all individually identifiable health
information including:
Address & phone number
Past, present or future physical or mental health condition
Provision of health care to the individual
Past, present, or future payment for the provision of health care to the individual
Other data that may be linked back to the covered individual such as birth date, SSN,
etc
✔✔De-identified health information is - ✔✔patient/client data that neither identifies nor
provides a reasonable basis to identify an individual.
, ✔✔Potential uses of de-identified health information - ✔✔research study analysis
data gathering to determine demographic information of a clinic
✔✔Allowable reasons to use and disclose protected health information without an
individuals authorization include:
To the individual - ✔✔a covered entity may disclose protected health information to the
individual who is subject of the information
✔✔Allowable reasons to use and disclose protected health information without an
individuals authorization include:
Treatment, Payment, Health care Operations - ✔✔a covered entity may use and
disclose protected health information for its own treatment, payment, and health care
operations activites
✔✔Allowable reasons to use and disclose protected health information without an
individuals authorization include:
Uses and Disclosures with opportunity to agree or object - ✔✔informal permission may
be obtained by asking the individual outright, or by circumstances that clearly give the
individual the opportunity to agree, acquiese, or object. Where the individual is
incapacitated, in an emergency room situation, or not available, covered entitied
generally may such uses and disclosures, if in the exercise of their professional
judgement, the use or disclosure is determined to be in the best interest of the individual
✔✔Allowable reasons to use and disclose protected health information without an
individuals authorization include:
Incidental use and disclosure - ✔✔The privacy rule does not require that every risk of
incidental use or disclosure of protected health information be eliminated. A use or
disclosure of this information that occurs as a result of an otherwise permitted use or
disclosure is permitted as the covered entity has adopted reasonable safeguards
✔✔Allowable reasons to use and disclose protected health information without an
individuals authorization include:
Public interest and benefit activites - ✔✔the privacy rule permits use and disclosure of
protected information, without an individuals authorization or permission as long as
limitations apply to each public interest purpose, striking the balance between the
individual privacy interest and the public interest need for this information
✔✔Allowable reasons to use and disclose protected health information without an
individuals authorization include:
Limited data set - ✔✔a limited data set is protected health information form which
certain specified direct indentifiers of an individuals and their rellatives, household
members, and employers have been removed. A limited data set may be used and
disclosed for research, health care operations, and public helath purposes, provided the
SURE A+
✔✔Identify reasons for the importance of documentation. - ✔✔○ Record patient-client
management—creates and provides evidence of the episode of care
○ Communicate with others
○ Demonstrate clinical problem solving
✔✔HIPPA stands for - ✔✔the health insurance portability and accountability act
✔✔The correct goal of HIPPA is - ✔✔to establish a set of national standard for the
protection of certain health information. It addresses the use and disclosure of
individuals "health information" - called protected health information
✔✔Covered entities under HIPPA include:
Health Plans - ✔✔individuals and group plans that provide or pay the cost of medical
care. Health plans include health, dental, vision, and prescription drug insurers, health
maintenance organizations (HMOs) Medicare, Medicaid etc.
✔✔Covered entities under HIPPA include:
Health Care Providers - ✔✔Every health care provider, regardless of size, who
electronically transmits health information in connection with certain transactions, is
covered entity. These transactions include claims, benefit eligbility inquiries, referral
authorization request.
✔✔Health Care Clearing houses - ✔✔entities that process nonstandard information
they receive from another entity into a standard (i.e standard format or data content), or
vice versa
✔✔In most instances, Health care clearing houses - ✔✔will receive individually
identifiable health information, only when they are providing these processing services
to a health plan or health care provider as a business associate
✔✔Information protected under HIPPA includes: - ✔✔-all individually identifiable health
information including:
Address & phone number
Past, present or future physical or mental health condition
Provision of health care to the individual
Past, present, or future payment for the provision of health care to the individual
Other data that may be linked back to the covered individual such as birth date, SSN,
etc
✔✔De-identified health information is - ✔✔patient/client data that neither identifies nor
provides a reasonable basis to identify an individual.
, ✔✔Potential uses of de-identified health information - ✔✔research study analysis
data gathering to determine demographic information of a clinic
✔✔Allowable reasons to use and disclose protected health information without an
individuals authorization include:
To the individual - ✔✔a covered entity may disclose protected health information to the
individual who is subject of the information
✔✔Allowable reasons to use and disclose protected health information without an
individuals authorization include:
Treatment, Payment, Health care Operations - ✔✔a covered entity may use and
disclose protected health information for its own treatment, payment, and health care
operations activites
✔✔Allowable reasons to use and disclose protected health information without an
individuals authorization include:
Uses and Disclosures with opportunity to agree or object - ✔✔informal permission may
be obtained by asking the individual outright, or by circumstances that clearly give the
individual the opportunity to agree, acquiese, or object. Where the individual is
incapacitated, in an emergency room situation, or not available, covered entitied
generally may such uses and disclosures, if in the exercise of their professional
judgement, the use or disclosure is determined to be in the best interest of the individual
✔✔Allowable reasons to use and disclose protected health information without an
individuals authorization include:
Incidental use and disclosure - ✔✔The privacy rule does not require that every risk of
incidental use or disclosure of protected health information be eliminated. A use or
disclosure of this information that occurs as a result of an otherwise permitted use or
disclosure is permitted as the covered entity has adopted reasonable safeguards
✔✔Allowable reasons to use and disclose protected health information without an
individuals authorization include:
Public interest and benefit activites - ✔✔the privacy rule permits use and disclosure of
protected information, without an individuals authorization or permission as long as
limitations apply to each public interest purpose, striking the balance between the
individual privacy interest and the public interest need for this information
✔✔Allowable reasons to use and disclose protected health information without an
individuals authorization include:
Limited data set - ✔✔a limited data set is protected health information form which
certain specified direct indentifiers of an individuals and their rellatives, household
members, and employers have been removed. A limited data set may be used and
disclosed for research, health care operations, and public helath purposes, provided the
