CCA - Practice Exam 2

Comply with both the state law and HIPPA standard - correct answer 100. What should a hospital do when a state law requires more stringent privacy protection than the federal HIPPA privacy standard? Information access controls - correct answer 99. An employee in the physical therapy department arrives early every morning to snoop through the clinical information system for potential information about neighbors and friends. What security mechanisms should be implemented to prevent this security breach? Access Controls - correct answer 98. An HIT, using her password, can access and change data in the hospital's master patient index. A billing clerk, using password, cannot perform the same function. Limiting the class of information and functions that can be performed by these two employees is managed by ________. A fine of not more than $250,000, not more than 10 years in jail or both - correct answer 97. What penalties can be enforced against a person or entity that willfully and knowingly violates the HIPPA Privacy Rules with the intent to sell, transfer, or use PHI for commercial advantage, personal gain, or malicious harm? Psychotherapy notes - correct answer 96. Under the HIPPA privacy standard,which of the following types of protected health information (PHI) must be specifically identified in an authorization? Access controls - correct answer 95. Which of the following is a threat to data security? Beneficence - correct answer 94. Which of the following ethical principles is being followed when a HIT professional ensures that patient information is only released to those who have a legal right to access it? Disclosure of health information, even if patient authorizes it; Reporting of births and deaths; Reporting of suspected child abuse or neglect - correct answer 93. All states have laws that require _________. NLP encoding system - correct answer 92. The _________ uses expert or artificial intelligence software to automatically assign code numbers. Encoder - correct answer 91. A(n) _________ is computer software that assists in determining coding accuracy and reliability. Registration-admission-discharge-transfer (R-ADT) - correct answer 90. The _________ hospital system captures demographic and insurance data, supplies the data to other applications and tracks patients: Data warhouse - correct answer 89. Which of the following provides organizations with the ability to access data from multiple databases and to combine the results into a single questions-and-reporting interface? R-ADT - correct answer 88. In hospitals, automated systems for registering patients and tracking their encounters are commonly known as _________ systems. Provide an input mask for entering data in the field - correct answer 87. Which of the following would be the best technique to ensure that registration clerks consistently use the correct notation for assigning data in an electronic health record (EHR)? Edit checks - correct answer 86. A coding analyst consistently enters wrong code for patient gender in the electronic billing system. What data quality or data integrity measures should be in place to ensure that only allowable code numbers are entered? Automatic session terminations - correct answer 85. A hospital is planning on allowing coding professionals to work at home. The hospital is in the process of identifying strategies to minimize the security risks associated with this practice. Which of the following would be best to ensure that data breaches are minimized when the home computer is unattended? Blanket authorization - correct answer 84. Which of the following threatens the "need-to-know" principle? Certification organizations - correct answer 83. What type of organization works under contract with the CMS to conduct Medicare and Medicaid certification surveys for hospitals? Health record number - correct answer 82. Which of the following is an example of a unique identifier for an individual health record to ensure that the information in the record is not misplaced, lost, or confused with information for another person each time a patient visits a facility? American Psychological Association - correct answer 81. Which of the following is not an accepted accrediting body for behavioral healthcare organizations? Confidentiality - correct answer 80. Which of the following is the area responsible for limiting disclosure of private matters including the responsibility to use, disclose, or release such information only with the knowledge and consent of the individual? All covered entities involved with transmitting or performing any electronic transactions specified in the act - correct answer 79. The Privacy Rule applies to _________. Preempt less-strict state statues where they exist - correct answer 78. HIPAA regulations _________ For as long as it is maintained - correct answer 77. The Privacy Rule establishes that a patient has the right of access to inspect and obtain a copy of his or her PHI _________. The amendment must be aseparate signature, date, and time. - correct answer 76. How are amendments handled in an EHR? Compliance plan - correct answer 75. A coding compliance program should contain the same components as the organization's: Standards - correct answer 74. Statements that define the performance expectations and structures or processes that must be in place are _________. A corrective action should be taken. - correct answer 73. What should be done when the HIM department's error or accuracy rate is deemed unacceptable? Privacy - correct answer 72. Which of the following is the concept of the right of an individual to be left alone? Apply regardless of employment site - correct answer 71. An HIM professional's ethical obligations _________. Pathology report - correct answer 70. Where would a coder who needed to locate the histology of a tissue sample most likely find this information? Attending physician - correct answer 69. Who is responsible for writing and signing discharge summaries and discharge instructions? Develop policies and procedures related to cutting, copying, and pasting documentation in the EHR system. - correct answer 68. During a review of documentation practices, the HIM director finds that nurses are routinely using the copy-and-paste function of the hospital's new EHR system for documenting nursing notes. In some cases, nurses are copying and pasting the objective data from the lab system and intake-output records as well as the patient's subjective complaints and symptoms originally documented by another practitioner. Which of the following should the HIM director do to ensure the nurses are following acceptable documentation practices? Develop a facility policy that defines the acceptable period of time allowed for a transcribed document to remain in draft form. - correct answer 67. During an audit of health records, the HIM director finds that transcribed reports are being changed by the author up to a week after initial transcription. The director is concerned that changes occurring this long after transcription jeopardize the legal principle that documentation must occur near the time of the event. To remedy this situation, the HIM director should recommend which of the following?