HIPAA
Health Insurance
Health Care Systems
Health Care Agencies
Clinical Prep + 1 Random Question
100

This HIPAA rule focuses on protecting electronic PHI through encryption, secure access, and other safeguards.

What is the Security Rule?

100

The amount you must pay out of pocket each year before your insurance starts to cover expenses.

What is a deductible?

100

WVU Medicine Children's Hospital is an example of one of these.

What is a specialty hospital?

100

This agency, part of the U.S. Department of Health and Human Services, is tasked with conducting and supporting public health research.

What is the National Institutes of Health (NIH)?

100

The type of care provided by hospice agencies.

What is palliative care?

200

If a healthcare provider talks about a patient’s condition with a family member without consent, this HIPAA rule has been violated.

What is the Privacy Rule?

200

The percentage of the medical bill that you share with your insurance company after meeting your deductible, typically 20% or 30%.

What is co-insurance?

200

This type of agency provides care for people who are terminally ill. 

What is hospice?

200

This organization, part of the United Nations, is responsible for coordinating international health efforts and monitoring global health trends.

What is the World Health Organization (WHO)?

200

I'm #373 and I leave promptly at 7:05am.

What is the clinical bus number and what time it leaves?

300

HIPAA protects this type of information, which includes medical history, test results, and other personal details.

What is Protected Health Information (PHI)?

300

A type of healthcare provider that does not have a contract with your insurance plan, often resulting in higher costs to you.

What is an out-of-network provider?

300

This is another term for an outpatient clinic.

What is ambulatory care?

300

The federal agency that provides health care for veterans and their families.

What is the Veteran's Administration?

300

Shoes with holes, shoes with high heels, shoes made out of canvas, shoes made out of mesh.

What are types of shoes you can't wear at clinical?

400

HIPAA gives patients the right to request these, which must be provided within 30 days.

What are copies of their medical records?

400

A health insurance plan allows more flexibility in choosing doctors and seeing specialists without a referral, but usually comes with higher premiums.

What is a PPO?

400

Physical therapy, occupational therapy, and nursing care are services provided by this type of agency in a patient's home. 

What is a home health agency?

400

This independent, nonprofit organization is responsible for accrediting and certifying over 22,000 healthcare organizations and programs in the United States.

What is The Joint Commission?

400

Acrylic nails, gel polish, chipped regular nail polish, long natural nails.

What are type of nails you can't have in the clinical setting?

500

The minimum necessary standard states that PHI should not be used or disclosed when it is not necessary to satisfy a particular purpose or carry out a function.

What is the "need to know principle"?

500

The maximum amount you will have to pay out of pocket for covered services in a year; after you hit this limit, insurance covers 100%

What is out-of-pocket maximum?

500

When a healthcare worker does not follow the chain of command and directly reports an issue to a higher authority without first notifying their immediate superior, it is referred to as this.

What is bypassing the chain of command?

500
The agency responsible for overseeing Medicare and Medicaid. 

What is the Center for Medicare & Medicaid Services (CMS)?

500

I will haunt you.

What Mrs. McKain will do if you leave vitals machine cords in a complete mess?

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