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MARYLAND (MD) PSYCHOLOGY
JURISPRUDENCE EXAM BRAND NEW
ACTUAL EXAM WITH ANSWERS.
What kind of disclosure is exempted from disclosure rules? -
correct answer -risk management, quality assurance,
medical/dental/pharmacy review committee, governed by
substance abuse record rules, governed by intellectual disability
rules, directory information; child abuse/neglect; elder
abuse/neglect
What are the parts of a valid authorization? - correct answer -in
writing, dated, signed; name of health care provider; identity of
patient; period of time authorization is valid, less than 1 year
(except for criminal justice, valid until 30 days after final
disposition, or nursing home, valid until revoked); apply only to the
medical record of the provider (unless in writing to include record
from another provider and that provider has not prohibited
redisclosure)
Workman's comp and disclosure - correct answer -can disclose
information related to workman's comp claim that includes
authorization
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How do you revoke authorization - correct answer -in writing;
efffective on day of receipt; disclosure made prior is not affected
How do you document disclosures - correct answer -medical
record should include authorization, any action taken in response;
any revocation of authorization
How do you handle requests for copies of records - correct
answer -persons of interest have right to a copy, or to see and
copy the medical record; can refuse to give it if believe it will be
injurious, but then if there is a written request, can make a
summary, keep a copy of the summary in the medical record;
permit examination and copying by another health professional
authorized to treat the individual for the same condition; inform
the patient of right to pick a new provider
Can patients ask to change their medical record - correct answer -
yes, need procedures for this: - does not include deletion. After
request, can make the change or refuse to change it (in writing to
the patient).
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If you refuse to change medical record, what do you need to do? -
correct answer -1. Tell patient, in writing, reason for refusal, and
procedures established for review of refusal 2. Shall permit to
insert a statement into medical record from patient about the
request, and a statement from you explaining refusal 3. Shall
write to anyone that was given the record in the past 6 months to
explain request for change or actual change in the record
Payments for costs of copying medical record - correct answer -
(includes medical bill, excludes x-rays) no more than 50 cents per
page plus prep fee of $15, actual cost of postage. Can require
payment in advance, except in emergencies. Cannot charge a
government agency.
What is a personal note and are they allowed - correct answer -
yes, can keep personal notes that are not part of the medical
record if only disclosed to supervisor, consulting health provider,
or your own attorney, unless you are being sued for negligence,
malpractice, or intentional tort, then they can be discoverable
Can you disclose medical record without authorization? When? -
correct answer -yes, for purposes of billing, for treatment (another
provider), for patient welfare, accredidation and such,
coordination of benefits, emergencies, to family members unless
the patient has said no, organ donation agencies, etc.
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How long must you maintain records? - correct answer -5 years
after record is made. For minors, 3 years after reaches 18, or 5
years, whichever is later.
What happens if you destroy or alter the record earlier than
allowed? - correct answer -violation of Maryland Psych Act and
act of unprofessional conduct. Fine up to $5000, prison up to 1
year, or both
If more than one patient, can you disclose medical record? -
correct answer -must have permission of all before you can
disclose
If you die, what happens to your records? - correct answer -
designee must write to the Board and arrange to forward notice of
the destruction / plan to transfer medical records, advertise in
local newspaper of plans and designtes a time that people can
retrieve them, if wanted.
MARYLAND (MD) PSYCHOLOGY
JURISPRUDENCE EXAM BRAND NEW
ACTUAL EXAM WITH ANSWERS.
What kind of disclosure is exempted from disclosure rules? -
correct answer -risk management, quality assurance,
medical/dental/pharmacy review committee, governed by
substance abuse record rules, governed by intellectual disability
rules, directory information; child abuse/neglect; elder
abuse/neglect
What are the parts of a valid authorization? - correct answer -in
writing, dated, signed; name of health care provider; identity of
patient; period of time authorization is valid, less than 1 year
(except for criminal justice, valid until 30 days after final
disposition, or nursing home, valid until revoked); apply only to the
medical record of the provider (unless in writing to include record
from another provider and that provider has not prohibited
redisclosure)
Workman's comp and disclosure - correct answer -can disclose
information related to workman's comp claim that includes
authorization
, Page | 2
How do you revoke authorization - correct answer -in writing;
efffective on day of receipt; disclosure made prior is not affected
How do you document disclosures - correct answer -medical
record should include authorization, any action taken in response;
any revocation of authorization
How do you handle requests for copies of records - correct
answer -persons of interest have right to a copy, or to see and
copy the medical record; can refuse to give it if believe it will be
injurious, but then if there is a written request, can make a
summary, keep a copy of the summary in the medical record;
permit examination and copying by another health professional
authorized to treat the individual for the same condition; inform
the patient of right to pick a new provider
Can patients ask to change their medical record - correct answer -
yes, need procedures for this: - does not include deletion. After
request, can make the change or refuse to change it (in writing to
the patient).
, Page | 3
If you refuse to change medical record, what do you need to do? -
correct answer -1. Tell patient, in writing, reason for refusal, and
procedures established for review of refusal 2. Shall permit to
insert a statement into medical record from patient about the
request, and a statement from you explaining refusal 3. Shall
write to anyone that was given the record in the past 6 months to
explain request for change or actual change in the record
Payments for costs of copying medical record - correct answer -
(includes medical bill, excludes x-rays) no more than 50 cents per
page plus prep fee of $15, actual cost of postage. Can require
payment in advance, except in emergencies. Cannot charge a
government agency.
What is a personal note and are they allowed - correct answer -
yes, can keep personal notes that are not part of the medical
record if only disclosed to supervisor, consulting health provider,
or your own attorney, unless you are being sued for negligence,
malpractice, or intentional tort, then they can be discoverable
Can you disclose medical record without authorization? When? -
correct answer -yes, for purposes of billing, for treatment (another
provider), for patient welfare, accredidation and such,
coordination of benefits, emergencies, to family members unless
the patient has said no, organ donation agencies, etc.
, Page | 4
How long must you maintain records? - correct answer -5 years
after record is made. For minors, 3 years after reaches 18, or 5
years, whichever is later.
What happens if you destroy or alter the record earlier than
allowed? - correct answer -violation of Maryland Psych Act and
act of unprofessional conduct. Fine up to $5000, prison up to 1
year, or both
If more than one patient, can you disclose medical record? -
correct answer -must have permission of all before you can
disclose
If you die, what happens to your records? - correct answer -
designee must write to the Board and arrange to forward notice of
the destruction / plan to transfer medical records, advertise in
local newspaper of plans and designtes a time that people can
retrieve them, if wanted.
