Who owns the medical record?
A. The patient
B. The physician
C. The health care facility
D. The federal government under HIPAA Correct 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 Correct 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 Correct 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 Correct 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 Correct 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 Correct 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 Correct 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 Correct 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 Correct 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 Correct 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 Correct
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 Correct Answer - A. Yes
What is the difference between a request and a patient's
authorization?
A. There is no difference
B. The request is verbal and the authorization is in writing
C. The request is in writing and asks that records be disclosed; the
authorization is the patient's written permission to do so Correct
Answer - C. The request is in writing and asks that records be
disclosed; the authorization is the patient's written permission to do
so
If there is a breach of health information, which of the following
enforcement legal actions may be taken:
A. Civil Action
B. Criminal Action
C. Both
D. Neither Civil or Criminal Action Correct Answer - C. Both
Birth and death certificates may be disclosed by a hospital.
A. True
B. False Correct Answer - B. False
What records should you disclose in response to a Medicare request
for records?
A. Records specified for dates requested
B. The entire record
C. Current records only