CRIS Test Questions and Complete
Solutions Graded A+
Who owns the medical record?
A. The patient
B. The physician
C. The health care facility
D. The federal government under HIPAA - Answer: C. The health care facility
The tool most often used to gather a complete medical record is the:
A. Conditions of Admission
B. Notice of Privacy Practices
C. Master Patient Index
D. Information Management Plan - Answer: C. Master Patient Index
The Purpose(s) of the medical record is/are:
A. To assist in further research and education
B. To assist in protecting the legal rights of the patient and the healthcare facility
C. To provide analysis, study and evaluate care given to the patient
D. All of the above - Answer: D. All of the above
Which of the following may be considered an improper disclosure of protected health information?
A. Releasing records to a requester for legal purposes without a signed patient authorization
B. Accidentally releasing the wrong patient's records to a requester
,C. Releasing dates of service to a requester if the treatment dates are not authorized
D. All of the above - Answer: D. All of the above
Which of the following is not required on a HIPAA compliant authorization?
A. Name or class of the healthcare provider who is disclosing records
B. Information to be disclosed
C. Fees associated with the disclosure
D. Expiration date of even - Answer: C. Fees associated with the disclosure
A patient presents to the HIM Department requesting information about a recent biopsy. The patient
says he wants to know details about the procedure and specifics regarding the specimen removed. The
patient should be advised to request a copy of the:
A. Entire record
B. Operative and Pathology Report
C. History and Physical
D. None of the above - Answer: B. Operative and Pathology Report
Some attorneys send a courtesy deposition letter prior to issuing a subpeona. Can you disclose
information without patient authorization if you have the deposition letter prior to the receiving the
subpoena?
A. Yes
B. No - Answer: B. No
A provider may put all the elements of a valid authorization on one form to cover HIPAA, chemical
dependency, HIV and genetic testing information.
A. True
, B. False - Answer: A. True
If a patient completes an authorization form, can they simply put "at the request of the patient" as a
disclosure purpose?
A. Yes
B. No - Answer: A. Yes
With a court order (signed by a judge), is an authorization signed by the patient or personal
representative generally required?
A. Yes
B. No - Answer: B. No
Which of the following does not have access to a patient's health information without authorization?
A. Nursing Unit- patient was readmitted to facility
B. Medical Staff Physician not treating the patient or consulting - she reviews because patient is a former
patient
C. Quality Management Employee - reviews for performance improvement data
D. Risk Management - reviews for a threatened lawsuit - Answer: B. Medical Staff Physician not treating
the patient or consulting - she reviews because patient is a former patient
The PRO or QIO (Peer Review Organization or Quality Improvement Organization) who is contracted
with CMS (Centers for Medicare & Medicaid Services) requests copies of medical records. Are they
allowed to receive copies without an authorization for a patient with schizophrenia (mental health
condition?)
A. Yes
B. No - Answer: A. Yes
Solutions Graded A+
Who owns the medical record?
A. The patient
B. The physician
C. The health care facility
D. The federal government under HIPAA - Answer: C. The health care facility
The tool most often used to gather a complete medical record is the:
A. Conditions of Admission
B. Notice of Privacy Practices
C. Master Patient Index
D. Information Management Plan - Answer: C. Master Patient Index
The Purpose(s) of the medical record is/are:
A. To assist in further research and education
B. To assist in protecting the legal rights of the patient and the healthcare facility
C. To provide analysis, study and evaluate care given to the patient
D. All of the above - Answer: D. All of the above
Which of the following may be considered an improper disclosure of protected health information?
A. Releasing records to a requester for legal purposes without a signed patient authorization
B. Accidentally releasing the wrong patient's records to a requester
,C. Releasing dates of service to a requester if the treatment dates are not authorized
D. All of the above - Answer: D. All of the above
Which of the following is not required on a HIPAA compliant authorization?
A. Name or class of the healthcare provider who is disclosing records
B. Information to be disclosed
C. Fees associated with the disclosure
D. Expiration date of even - Answer: C. Fees associated with the disclosure
A patient presents to the HIM Department requesting information about a recent biopsy. The patient
says he wants to know details about the procedure and specifics regarding the specimen removed. The
patient should be advised to request a copy of the:
A. Entire record
B. Operative and Pathology Report
C. History and Physical
D. None of the above - Answer: B. Operative and Pathology Report
Some attorneys send a courtesy deposition letter prior to issuing a subpeona. Can you disclose
information without patient authorization if you have the deposition letter prior to the receiving the
subpoena?
A. Yes
B. No - Answer: B. No
A provider may put all the elements of a valid authorization on one form to cover HIPAA, chemical
dependency, HIV and genetic testing information.
A. True
, B. False - Answer: A. True
If a patient completes an authorization form, can they simply put "at the request of the patient" as a
disclosure purpose?
A. Yes
B. No - Answer: A. Yes
With a court order (signed by a judge), is an authorization signed by the patient or personal
representative generally required?
A. Yes
B. No - Answer: B. No
Which of the following does not have access to a patient's health information without authorization?
A. Nursing Unit- patient was readmitted to facility
B. Medical Staff Physician not treating the patient or consulting - she reviews because patient is a former
patient
C. Quality Management Employee - reviews for performance improvement data
D. Risk Management - reviews for a threatened lawsuit - Answer: B. Medical Staff Physician not treating
the patient or consulting - she reviews because patient is a former patient
The PRO or QIO (Peer Review Organization or Quality Improvement Organization) who is contracted
with CMS (Centers for Medicare & Medicaid Services) requests copies of medical records. Are they
allowed to receive copies without an authorization for a patient with schizophrenia (mental health
condition?)
A. Yes
B. No - Answer: A. Yes
