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