You receive a request and authorization for a deceased patient. The
authorization is signed by the patient's cousin and a Durable Power of
Attorney Authorizing the cousin to make healthcare decisions is
attatched. You review the record and see that he patient's marital
status was listed as "Married" at the time of his last visit. What should
you do?
A. Fulfill the request since the cousin is listed on the DPOA with the
right to access the patient's medical records
B. Fulfill the request since the DPOA preempts the spouse's right to
act as legal next-of-kin in this case
C. Reject the request because a DPOA cannot preempt the spouse's
right to act as legal next-of-kin
D. Reject the request because a DPOA expires when the patient dies
and the right to authorize the disclosure of records defaults back to the
executor of the estate or others per state law - ANSWERS-D. Reject
the request because a DPOA expires when the patient dies and the
right to authorize the disclosure of records defaults back to the
executor of the estate or others per state law
You receive a request form PRO/QIO that is auditing records for
compliance with Medicre regulations. There is no authorization
attached. You review the chart and note that patient is HIV positive.
What should you do?
,A. Reject the request because HIV information can never be disclosed
without the patient's consent
B. Reject the request because PRO/QIO audits are not considered part
of TPO and a valid authorization is required
C. Disclose the records because HIV information does not require an
authorization to be released
D. Disclose the records because PRO/QIO audits are exempt form
HIPAA under the TPO exceptions - ANSWERS-D. Disclose the
records because PRO/QIO audits are exempt form HIPAA under the
TPO exceptions
You recieve a request fro a US Army recruiter. The patient is applying
to join the Army and the recruiter needs to review the patient's records
for any healthcare issues that might prevent him from serving. The
authorization is valid and singed by the patient. You review the file
and note that the patient is 17 years old and still considered a minor in
yoir state. What should you do?
A. Disclose the records since the patient is almost 18 and is joining
the Army
B. Disclose the records because US Army recruiters are considered
medical providers and authorization is not required
C. Disclose the records because federal government requests are
exempt from HIPAA
D. Reject eh request because the parent or legal guardian must sign
the authorization to disclose the records - ANSWERS-D. Reject eh
request because the parent or legal guardian must sign the
authorization to disclose the records
,You receive a patient request. She states that she has been transferred
to a new job out of state and would like to hand-carry copes of her
records, as well as the records for her husband and her newborn baby
to give to their new medical clinic. She is listed as the primary insured
in all three of their charts. What should you do?
A. Reject all three requests until her husband signs an authorization to
disclose his records
B. Process only her and her child's request, and reject the request for
her husband's records until she provides an authorization signed by
him
C. Process all three requests because it is her insurance coverage
paying for treatment and that gives her the right to access all records
D. Process all three requests because she is taking them to a new
doctor and medical treatment requests are exempt form HIPAA -
ANSWERS-B. Process only her and her child's request, and reject the
request for her husband's records until she provides an authorization
signed by him
A third party payer can be sent all records from any encounters before
and after the claim date without a HIPAA compliant authorization in
response to the request
A. True
B. False - ANSWERS-B. False
, A worker's compensation carrier has the right to receive all records on
a patient without authorization, regardless of the date of service
A. True
B. False - ANSWERS-B. False
A minor can never authorize the disclosure of his or her medical
records without the consent of a parent or guardian
A. True
B. False - ANSWERS-B. False
Sensitive treatment records (such as mental health or sexually
transmitted diseases) are generally governed by state specific laws
A. True
B. False - ANSWERS-A. True
Your neighbor just had a baby boy at your hospital. You found out
about it because your neighor's husband told you about it after you got
home from work. You are free to share this information.
A. True
B. False - ANSWERS-A. True