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EHR GO RELEASE OF INFORMATION (BACCALAUREATE)
HBK1003.3 EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED SOLUTIONS ALL WITH RATIONALES
LATEST THIS YEAR
EHR Go Release of Information (Baccalaureate) HBK1003.3 — 300 Randomized Scenario-
Based MCQs with Summarized Rationales
Question 1
A health information technician receives a faxed request from a liability insurance carrier asking
for the complete medical record of a patient involved in an automobile accident. The request
includes a signed patient authorization. What should the technician verify FIRST before
processing the release?
A. Whether the insurance company has a business associate agreement with the hospital
B. Whether the authorization contains all required core elements and is properly executed
C. Whether the patient has outstanding unpaid balances on the account
D. Whether the physician who treated the patient approves of the release
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Answer: B
Rationale: A valid HIPAA authorization must be reviewed for all required elements before any
disclosure occurs, regardless of the requestor type.
Question 2
A nurse accesses the electronic health record of a celebrity patient who was admitted to a
different unit, solely to view the patient's imaging results out of personal curiosity. This action
violates which fundamental health information principle?
A. Data portability and interoperability
B. Patient scheduling and registration accuracy
C. Appropriate access based on job responsibilities
D. Medical coding and billing accuracy
Answer: C
Rationale: Workforce members may only access protected health information when it is
necessary to perform their assigned job duties.
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Question 3
A patient submits a written request to their physician's office asking for a copy of their own
laboratory results to be sent to a specialist. Under the HIPAA Privacy Rule, what is the
appropriate response?
A. The office must deny the request because the specialist did not request the records directly
B. The office may release the records without authorization because it is for treatment purposes
C. The office must require a court order before sending records to another physician
D. The office must charge the patient a fee before releasing any information to the specialist
Answer: B
Rationale: Disclosures for treatment purposes are permitted without patient authorization under
the HIPAA Privacy Rule.
Question 4
A hospital receives a subpoena duces tecum for a patient's medical records in a malpractice
lawsuit. The subpoena was issued by the plaintiff's attorney but is not accompanied by a court
order or patient authorization. What is the most appropriate action?
A. Immediately release the complete record as subpoenas are legally binding
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B. Notify the patient or their legal representative so they can object to the release
C. Destroy the subpoena and take no further action
D. Release only the billing records and withhold clinical documentation
Answer: B
Rationale: A subpoena alone does not authorize disclosure; the patient must be given notice and
an opportunity to object unless a court order or authorization is present.
Question 5
A patient portal allows patients to view their test results, medications, and appointment history.
Which HIPAA principle supports allowing patients to access their own information without
completing a formal authorization form?
A. Minimum necessary standard
B. Right of access to protected health information
C. Accounting of disclosures requirement
D. Breach notification rule
EHR GO RELEASE OF INFORMATION (BACCALAUREATE)
HBK1003.3 EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED SOLUTIONS ALL WITH RATIONALES
LATEST THIS YEAR
EHR Go Release of Information (Baccalaureate) HBK1003.3 — 300 Randomized Scenario-
Based MCQs with Summarized Rationales
Question 1
A health information technician receives a faxed request from a liability insurance carrier asking
for the complete medical record of a patient involved in an automobile accident. The request
includes a signed patient authorization. What should the technician verify FIRST before
processing the release?
A. Whether the insurance company has a business associate agreement with the hospital
B. Whether the authorization contains all required core elements and is properly executed
C. Whether the patient has outstanding unpaid balances on the account
D. Whether the physician who treated the patient approves of the release
, Page 2 of 203
Answer: B
Rationale: A valid HIPAA authorization must be reviewed for all required elements before any
disclosure occurs, regardless of the requestor type.
Question 2
A nurse accesses the electronic health record of a celebrity patient who was admitted to a
different unit, solely to view the patient's imaging results out of personal curiosity. This action
violates which fundamental health information principle?
A. Data portability and interoperability
B. Patient scheduling and registration accuracy
C. Appropriate access based on job responsibilities
D. Medical coding and billing accuracy
Answer: C
Rationale: Workforce members may only access protected health information when it is
necessary to perform their assigned job duties.
, Page 3 of 203
Question 3
A patient submits a written request to their physician's office asking for a copy of their own
laboratory results to be sent to a specialist. Under the HIPAA Privacy Rule, what is the
appropriate response?
A. The office must deny the request because the specialist did not request the records directly
B. The office may release the records without authorization because it is for treatment purposes
C. The office must require a court order before sending records to another physician
D. The office must charge the patient a fee before releasing any information to the specialist
Answer: B
Rationale: Disclosures for treatment purposes are permitted without patient authorization under
the HIPAA Privacy Rule.
Question 4
A hospital receives a subpoena duces tecum for a patient's medical records in a malpractice
lawsuit. The subpoena was issued by the plaintiff's attorney but is not accompanied by a court
order or patient authorization. What is the most appropriate action?
A. Immediately release the complete record as subpoenas are legally binding
, Page 4 of 203
B. Notify the patient or their legal representative so they can object to the release
C. Destroy the subpoena and take no further action
D. Release only the billing records and withhold clinical documentation
Answer: B
Rationale: A subpoena alone does not authorize disclosure; the patient must be given notice and
an opportunity to object unless a court order or authorization is present.
Question 5
A patient portal allows patients to view their test results, medications, and appointment history.
Which HIPAA principle supports allowing patients to access their own information without
completing a formal authorization form?
A. Minimum necessary standard
B. Right of access to protected health information
C. Accounting of disclosures requirement
D. Breach notification rule
