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CRIS TEST UPDATED CORRECTLY ANSWERED
- Who owns the medical record? A. The patient B. The physician C. The health care facility D. The federal government under HIPAA: 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: 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: D. All of the above
- Which of the following may be considered an improper disclosure of protect- ed 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: D. All of the above
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- 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: 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: 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: 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: 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
4 / 43 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: C. Both
- Birth and death certificates may be disclosed by a hospital. A. True B. False: 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 D. UB82 forms: A. Records specified for dates requested
- Dr. Grant and Dr. Palmer work at the same hospital. Dr. Grant is the only physician treating Dr. Palmer's son, Jerry, who is 18 years old and able to sign for himself. Dr. Palmer fills out an authorization form and asks to review his son's records. He is a well-known physician at the hospital. Does he have a right to access the medical record without authorization signed by Jerry, the patient? A. Yes B. No: B. No
- A female patient died at your hospital. Your state law specifies that in the case fo a deceased patient, all of the following individuals have equal access to the patient's records: Executor of the Estate, Administrator of the Will, Surviving Spouse, Surviving Parents, Surviving Children. She was a widow with two daughters, Sally and Beth both daughters admitted their mother into
5 / 43 the hospital and are listed in the record as next of kin. Beth is the executor of the will. Sally calls you, explaining that the sisters are in the midst of an argument concerning their mosther's will. She asks you to prepare a copy of the records for her (she offers to come in to sign the form) and also asks that you deny such access to her sister, Beth. You should tell Sally: A. To write a letter stating why Beth should not have access to the information B. To bring identification with her when she comes to pick up the records C. That Beth has a right to a copy of the records as executor and as a surviving
7 / 43 request, but this would be considered tampering with his medical record
- A patient signs an authorization for disclosure of medical record and you notice the patient was treated in the chemical dependency program. The au- thorization you received is a general authorization. You should:
8 / 43 A. Call to tell the patient that it is a special circumstance and ask whether you should still send the records B. Sent the records but mark them with a special stamp C. Send a letter requesting special authorization for this particular situation, and enclose the special authorization that's required D. Send the records as requested: C. Send a letter requesting special authorization for this particular situation, and enclose the special authorization that's required
- A nurse who works at your facility comes into the HIM department to request copies of the medical record of her mother- in-law, who now resides in a local nursing home. The nurse tells you she has power of attorney and needs the records for personal reasons A. You request a copy of the power of attorney to make sure that this includes power of attorney for healthcare. Then you follow the appropriate disclosure procedure B. You send the request directly to the nursing home; asking them to verify whether the daughter-in-law nurse has power of attorney C. You only need to have the authorization signed, since the nurse is wearing an identification badge and is employed by the hospital D. Contact the provider's legal counsel for guidance: A. You request a copy of the power of attorney to make sure that this includes power of attorney for healthcare. Then you follow the appropriate disclosure procedure
- You are working in a small town where everyone knows everyone else. A mother comes in and asks for copies of her daugher's medical records. The daughter is 20 years old and attends college out of town. The mother also explains that they are changing HMOs, so she needs the records to take to the new clinic. The authorization is signed by the mom. You should: A. Tell the mom you need her daughter's authorization to disclose the
10 / 43 for treatment purposes C. Extract the records, put them in a sealed envelope and tell the mom not to open the envelope before she brings them to the new clinic D. Both A and B: D. Both A and B
- You are working in a children's hospital. You have received a request from the mother of a 17-year-old married patient for his medical records. The parents consented for the 17-year-old to marry and marriage is grounds for emanci- pation in the state. The mother requests her son's records to complete the personal health record she has compiled and wishes to give to her son. You should: A. Deny the request because the age of majority in the state is 18 B. Tell the mom the son must sign the authorization since he is an emancipated minor C. Tell the mom her son's wife must sign the authorization now that she is the next of kin D. Process the request since the mother is listed as next-of-kin in the record: B. Tell the mom the son must sign the authorization since he is an emancipated minor
- A man walks into the Health Information Management Department where you work. He is asking for copies of his now deceased father's records. You should: A. Produce the requested records and bill him for the pages B. Tell the son you need authorization form the father's spouse C.Refuse the request because the EHR does not confirm that the patient is truly deceased D.Ask for a copy of court documents appointing him executor or administrator of the father's estate. If there is no executor or administrator, ask for a copy of the death certificate and determine who is "next of kin" or has access to a deceased patient's records in your state before you prepare the records for disclosure: D. Ask for a copy of
11 / 43 court documents appointing him executor or administrator of the father's estate.
13 / 43 for a copy of an x-ray report that was taken when she was 5 years old at another hospital. The records she requested are in her record at your facility. The designated
14 / 43 record set in your healthcare facility includes "outside records used for treat- ment purposes." Are you allowed to disclose the x-ray report? A. Yes B. No: A. Yes
- A non-custodial parent requests a copy of their child's medical record. The parent provides documentation that he/she is indeed the child's parent. State law doesn't give sole access to the custodial parent. There is no documentation of child abuse, a restraining order or termination of parental rights in the file. The non-custodial parent has a right to access the medical record. A. True B. False: A. True
- A doctor requests copies of his wife's records whom he is not treating and she has no medical condition that would limit her ability to consent. You must deny the request for copies of the record because you don't have a signed authorization from the wife. A. True B. False: A. True
- A minor's mother calls your HIM Department explaining that her family moved and the school needs a copy of her child's immunization records to be- gin school the next day. She states that she can fax a letter with full instructions. Immunization records are required for a child to begin school in both the old and the new state where the minor resides. What should you do? A. Ask the mother to fax her request with the minor's full name, identification data & recipient instructions so that you may process the request right away. B. Tell the mother an authorization is required per HIPAA and her written request is not good enough: A. Ask the mother to fax her request with the minor's
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- One of the HIM employees brings a chart to you and asks you to copy some of the records. This employee does not have a patient authorization. What should you do? A. Tell the employee that you need a HIPAA compliant authorization singed by the patient to disclose records to her before you can copy the record B. Copy the record, because she wouldn't have asked you to copy something if she didn't need it C. Tell the HIM manager the employee is doing something unethical D. Put it on your desk and "forget" to do it: A. Tell the employee that you need a HIPAA compliant authorization singed by the patient to disclose records to her before you can copy the record
- You have access to the computer at your facility. You forgot your password, but the computer next to your desk is on and no one is working there. Should you use that computer? A. Yes. The computer has the same programs, so it is okay for you to sue this computer B. No. You should call the person in charge of passwords at your facility, and ask for help: B. No. You should call the person in charge of passwords at your facility, and ask for help
- A revocation of an authorization allows the patient to change his/her mind about the release of their medical records if it has not been acted upon yet. A. True B. False: A. True
- You are working for a facility whose policy is not to disclose outside records for ROI requests. If an attorney says he needs to obtain records from all the facilities in which the patient was treated and asks you to give him the names of the facilities for any "other provider records," should you provide a list? A. No- a provider has the right to define record sets for disclosure. B. Yes- since he has patient authorization, he has a right to know.: A.
17 / 43 No- a provider has the right to define record sets for disclosure.
- "Designated Record Set" per HIPAA includes the following: A. Medical records
19 / 43 B. Payment C. Healthcare operations D. All of the above: D. All of the above
- Under HIPAA, a personal representative is an individual who can sign an au- thorization to disclose PHI on behalf of a patient. Choose all possible personal representatives: A. Patient's attorney B. Legal guardian of a minor child C. Primary caregiver D. A and B: B. Legal guardian of a minor child
- A person who requests and authorizes the designated record set for a deceased patient as a personal representative must provide proof that he/she is the executor of the estate, administrator of the will or other person with the authority bestowed by the state law to act on behalf of the deceased patient of the estate. A. True B. False: A. True
- If a patient brings a personal flash drive to the facility and asks you to copy his record onto the flash drive, HIPAA requires that the facility must honor the patient's request to put the data onto the patient's personal device. A. True B. False: B. False
- A "valid" authorization must contain specific elements including: A. A patitent's right to revoke statement B. A re-disclosure statement C. Signature and date by the patient or their personal representative D. All of the above: D. All of the above
- Fees charged to a patient for copies of PHI under HIPAA cannot include: A. Copying cost including labor B. Retrieval or handling fees
20 / 43 C. Actual postage D. All of the above: B. Retrieval or handling fees
