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HIMT-1301 FINAL EXAM REVIEW
HIMT-1301 FINAL EXAM REVIEW
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1
A list or collection of clinical words or phrases with their corresponding meanings is a_______
Clinical vocabulary
Clinical classification
Nomenclature
Data dictionary
2
The user’s entering the newborns APGARs, request for ssn, name of parents...what system is used
Dictation
Data quality indicator
birth certificate
Tumor registry
3
Which of the following is an example of a HAC?
Congestive heart failure
Compression fracture
Catheter-
Diabetic foot ulcer
4
_____ provide A full range of healthcare services along a continuum of care to ensure...
Sub-Acute care
IDS
Quality of Care Managers
Community of Care
5
In long term care, the residents care plan is based on data collected in the:
HEDIS
UHDDS
MDS version 2.0
OASIS
6
Disabling the USB drive on a computer is an example of what type of security?
Access
Encryption
Workforce
Workstation
7
Which of the following is not a traditional health record format
Problem oriented health record
Process oriented health record
Integrated health record
Source oriented health record
8
Which of the following is a good question for a supervisor of coding to ask when evaluating
Are the assigned codes supported
Which members of the medical staff have the most
Does the hospital have a compliance plan?
How many claims have not been coded?
9
Which of the following statements best describes an integrated delivery system
Ensures that patients obtain appropriate cost effective
Group of healthcare organizations that collectively provides
Healthcare system made up of two or more hospitals
Healthcare system that contracts directly with physicians
10
Which of the following should be included in the definition of the legal health record?
Insurance forms
Cancer registry data
History and physical
Incident reports
11
Which of the following should occur when a patient leaves a hospital against medical advice?
Documentation of the AMA in the patient’s medical record
Risks are discussed with the patient when possible
All of the above
Patient signs a form acknowledging potential consequences
12
Which of the following is true about the AHIMA certification program?
Candidates must Pass an examination
Candidates must have work experience
eligibility requirements for all credentials are the same
Candidates must be college graduates
13
This law prohibits a physician from referring patients to a business which [he] has interest
Health Insurance Portability and Accountability A
False Claims
Anti-Kickback
Stark Law
14
What are the following is true of health record destruction
None of the above
It is encouraged
It is prohibited
It is permitted
15
A countersignature _____.
Signifies review of a first providers actions
Signifies disagreement
None of the above
Indicates multidisciplinary providers
16
ASTM Standard E1384 provides guidance to healthcare organizations in developing____.
medical vocabulary
Data security
content or structure for electronic health records
transaction standards
17
Dr. Harvey has changed a piece of data in a patient record
Metadata
Persistence
Evidence
Volume
18
The police department wants information disclosed on a patient
Blood type
Names of all contact persons
All information requested
No information requested
19
Which of the following is an example of clinical data
Date and time of admission
Admitting diagnosis
Insurance information
Health record number
20
Which facility is not covered by Medicare long-term care documentation standards
Subacute care facilities
Skilled nursing facilities
Intermediate care facilities
Assisted living facilities
21
DSM-IV Is used most frequently what type of care setting
Ambulatory surgery centers
Behavioral health centers
Home health agencies
Nursing homes
22
Which of the following is a function of the health record
All of the above
Planning and managing care
Substantiating reimbursement claims
Evaluating the adequacy inappropriateness of care
23
Teresa is a billing advocate....which role will she serve
Making sure that Bob pays his NetHealth premiums
Making sure that Bob pays the StarServe bill
Negotiating with hospitals
Negotiating with StarServe to lower Bob’s medical bills
24
The subjective, objective, assessment plan (SOAP) came from the:
Depends on facility policy
Source oriented health record
Hybrid health record
Problem oriented health record
25
Per HIPAA, healthcare operations __________.
Are subject to the minimum necessary requirement
Are a “public interest and benefit” exception
Include disclosure of information to insurance companies for
Require patient authorization prior to disclosure
26
A systematic comparison of the products, services, and outcomes...
Key indicators
Monitoring
Unbundling
Benchmarking
27
Bellville Community Hospital was required to provide a reasonable amount of uncompensated care
Operated in a federally-designated low-income area
Was granted tax-exempt status
received federal money for construction and modernization
Was the only hospital within a 50-mile radius
28
The five levels of the appeal process includE...
FALSE
TRUE
29
Which would provide the best support of an organization’s efforts toward compliance...
Create a mascot for security awareness
Prohibit remote access to ePHI
Implement mandatory password changes every 30 days
Build security into software and systems
30
A quantifiable measure used over time...
Concurrent CDI
Key indicator
Retrospective CDI
CDI metric
31
Long term care is provided at all of the following facilities except:
Community mental health centers
Nursing facilities in NF
Skilled nursing facilities SNF
Subacute care facilities
32
The American Hospital Association’s Patient Bill of Rights became the_______
Quality Improvement Organization
Quality Healthcare Initiative
Patient Care Partnership
Joint Commission sentinel event
33
The inpatient data set that has been incorporated into federal law and required for Medicare...
Ambulatory Care Data Set
Uniform Hospital Discharge Data Set
Health Plan Employer Data and Information Set
Minimum Data Set for Long Term
34
Functionalities more likely in a birth certificate system designed by a vendor than the state
Request Social Security number
Order copies of birth certificates
Productivity
Submit birth certificate data
35
Health literacy focuses on_________.
Individuals for whom English is a second language
Varying levels of technological proficiency
Individuals with limited reading proficiency
All of the above
36
Mrs. Bolton is an angry patient who resents her physicians “bossing her around “
Noncompliant and hostile towards staff
A bother to staff
Mean
Belligerent and out of line
37
_______ would be categorized as voluntary hospitals
Proprietary hospitals
US military hospitals
Investor owned hospitals
University hospitals
38
HIM professionals are qualified to be CDI specialists.
TRUE
FALSE
39
Which of the following is not an identifier under the privacy rule
Visa account
Vehicle license plate
Age 75
Street address
40
Helpful University Health System has a laptop sharing program which allows users to
Workstation use
Device and media controls
Access control
Facility access controls
41
Which of the following statements is not part of the EMTALA regulations?
Non-Medicare, indigent patients must be transferred
If an emergency medical condition exists,
Transfers of non-stabilized patients must only
Every patient arriving at the emergency department must
42
Esther is an 86-year-old patient of Dr. Brooks...when considering her age, he's exhibiting___.
Cultural competence
Health literacy
Transparency
Meaningful use
43
Central city clinic has requested that Ghent hospital send it’s records
This public interest and benefit disclosure does not require
That’s what I may send only discharge summary
The privacy rules min requirement does not apply
The hospital requires Susan complete
44
Patient history questionnaire is the most often used in:
Ambulatory care
Rehabilitative care
Home healthcare
Long term care
45
A study conducted by AHIMA found that credentialed coders who used a CAC were able to reduce
TRUE
FALSE
46
What is an effect of Christy’s access to a patient health information portal?
It provides her with increased, timely access
It limits Christy’s ability to access her physician
It decreases price transparency for Christy
She has less access to her full medical record as a result
47
If two healthcare professionals disagree about the treatment for a patient
Each professional should point out the error of the other
Objective terms
Neither professional should mention the treatment
Both professionals should record their opinions
48
The patient’s right to the confidentiality of his or her health information is reinforced thru
All of the above
Accreditation standards
Medicare Conditions of Participation
Professional best practices
49
Augusta clinic has requested that Furr Hospital send health records ...
Helena must complete a written authorization
“public interest and benefit”
Requirement does not apply
May only send discharge summary
50
Which product would identify that Dr. Smith needs to sign a discharge summary
Release of information
Chart deficiency
Quality indicator system
Chart locator
51
When comparing the Hyppa designated record set with the legal health record which is correct
The designated broker said is wider
The legal health record includes billing and insurance
All elements must be included
Designated record set is narrower
52
Before an audit can be conducted, an organization must first do which of the following?
Randomize the audit sample
Identify the objective of the audit
Select the data elements to be included in the audit
Select the sample size of the audit
53
Which of the following is not included as a patient responsibility?
Follow treatment regimen as mandated by the provider
Make good-faith efforts to meet financial obligations
Show respect for providers and other patient
Provide full and honest information to providers
54
The legal health record must meet standards as defined by the following:
Accreditation body standards
State laws
Federal regulations
All of the above
55
Assessing HIPAA training programs is important for which of the following reasons?
neither a or b
It is how the workforce knows what to do.
both a and b
It is highly visible to auditors.
56
Meaningful Use Stage 3 focuses on which of the following?
Quality improvement activities
Data capture and sharing
Implementation of an EHR
Providers to report infectious diseases,
57
The Balanced Budget Act excludes healthcare organizations that are convicted for their 1st...
10 years
Permanent
5 years
15 years
58
Which of the following is a management use of the chart locator
Patient follow up list
Accounting of disclosures
Looking for trends in type of accidents
Productivity reporting
59
Quality Improvement Organizations perform medical peer review of Medicare and Medicaid claims..
Appropriateness of EHR used
Review of professional standards
Review of validity of hospital diagnosis
Review of policies, procedures
60
The Hill-Burton Act is significant because
Created the Medicare program
Strengthened EMTALA legislation
unded hospital construction and modernization
Eliminated discrimination in healthcare
61
1 of the 4 requirements a covered entity must adhere compliance to with the HIPAA security rule
Identity
Implementation
Information
Integrity
62
Which of the following is an example of convenience sampling?
All claims that are readily available to the auditor
Every other discharge is audited
Every claim that was billed
Every twentieth admission is audited
63
The designated record set______.
Includes medical and billing records
Is not used to make decisions
Must be maintained outside
Includes incident reports
64
primary accreditation organization for facilities that treat individuals who have functional...
Accreditation association for ambulatory healthcare
Commission on accreditation of rehabilitation facilities
Joint commission on accreditation of healthcare Organization
American osteopathic organization
65
Which of the following is an example of a function of the cancer registry software
Resequencing diagnoses
Entering the device implanted
Invoicing requester
Checking Social Security death Index
66
Which regulations are most commonly applied in end stage renal disease treatment
Commission on accreditation of rehabilitation facilities
Joint Commission on Accreditation Healthcare Organizations
Medicare conditions for coverage
Accreditation association of ambulatory healthcare
67
For home healthcare, if position must review and renew home health certification every:
60 days
Yearly
30 days
6 months
68
Printing electronic Health records is seen as a
Positive because physicians can update information
Positive because more people can have access
Negative because paper records are inferior to electronic
Negative because it raises questions
69
Which statements does the privacy rule not require the notice of privacy practices to contain
A statement that all disclosures will be prohibited
A statement that other uses and disclosures will be made
A description (including at least one example)
A description of each of the other purposes
70
The focus of RAC audits is patient-care focused.
TRUE
FALSE
71
EMTALA was passed in response to the problem of_________.
Poor patient-provider communication
Low-quality medical care
Patient dumping
Inflated healthcare costs
72
Patients diagnosed with a mental illness and involuntarily committed:
Lose their right to consent to or refuse treatment
Are not necessarily deemed incompetent by virtue
Sacrifice their substantive constitutional rights
Can be confined indefinitely based on the diagnosis
73
With respect to patient rights, the Joint Commission standards:
Do not address patient rights
Mandate the actual language
Address patient rights in most contexts
Contain a provision regarding the review
74
The whistleblower provision of the False Claims Act is known as
qui tam
.
TRUE
FALSE
75
Where would you find a field and title document type
Data quality indicator
Transcription system
Tumor registry
Encoder/grouper
76
Mary Smith, RHIA, has been asked to work on the development of a hospital trauma data registry
OASIS
MDS version 2.0
UACDS
DEEDS
77
A consumer interested in Comparing the performance of health plan should review data from____.
UHDDS
OASIS
HEDIS
ORYX
78
When external reviewers request access to electronic patient records, the HIM director should
contact a clinic attorney to get a legal opinion
agree with IT and grant access to the records
disagree with IT and deny access to the records
suggest records necessary for audit be placed in a queue
79
AHIMA has developed standards of ethical coding
TRUE
FALSE
80
Which of the following statements is true
staff probably do not use the letters as communication
Letters are only used to send letters to administration
Staff really utilize the reporting function
Letters communicates with the requester
81
Children’s Hospital, is mailing fundraising information to the families
Children’s Hospital violated the Privacy Rule
b and c
The Privacy Rule was not violated
Children’s Hospital must have notified the patients
82
Reimbursement for home health services is dependent of data collected from
HEDIS
MDS version 2.0
UHDDS
OASIS
83
Patients registration forms, personal property list, RAI/MDS, care plan, and discharge
Ambulatory care
Behavioral health
long-term care
Rehabilitative care
84
The latest provisions to HIPAA include__________
Breach notification and enforcement
Breach notification, enforcement and modifications
Breach notification and modification to the security rule
Breach notification and enforcement
85
Which of the following best describes the role that the HIIM professional should play in HIPAA
minimal involvement since the rule is very technical
minimal involvement since the rule is difficult to interpret
substantial involvement since the rule is very basic
moderate involvement since the rule is very operational
86
Which of the following best describes the mission of AHIMA
Community of credentialed members whose purpose is to ensure
Monitor the credentialing process
Who is major purpose is lobbying Congress to change laws
Providing support to members and strengthening the industry
87
Documentation standards have become more detailed and have become focused on________.
Licensure requirements
Patient care quality
EH our technology
Accreditation standards
88
Which is the best definition of ambulatory surgery
does not require an overnight stay in the hospital
Done in an emergency department
Performed in a surgicenter
Done on a person in an ambulance
89
Which of the following is an example of an advance directive
A treatment consent
And authorization to release information
A living will
The patients rights acknowledgment
90
In almost every hospital the largest clinical department in terms of staffing, budget
Diagnostic services
Patient care services
Occupational therapy services
Rehabilitation services
91
A limited data set;
Is the same as deidrntified information
Is not permitted to be used or disclosed
Maybe used or disclose without authorization
Is not HIPPA recognized
92
The best source for obtaining primary information on addressing the HIPAA Security Rule
security consultants
Journal of AHIMA
Department of HHS
AHIMA annual meeting
93
Which is best practice to comply with the revised security provisions of the HITECH Act?
Take a “wait and see” approach
Update the HIPAA authorization form.
Inventory BAs to determine which Business Associates
Make sure all PHI is electronic.
94
The workforce security administrative safeguard requires policies and procedures that
neither a nor b
prevent access to ePHI
ensure appropriate ePHI access by workforce members
both a and b
95
The purpose of the UMLS project is to aid in the development of systems that help healthcare...
TRUE
FALSE
96
A nurse is responsible for which of the following types of acute care documentation
Medication record
Radiology report
Therapy assessment
Operative report
97
What was the intention of managed care
Manage peer review efforts
Miniature Medicare and Medicaid programs
To manage cost, quality, and access to care
Manage the accreditation process
98
result of a review process that shows voluntary compliance with guidelines of an external...
Certification
Licensure
Deemed status
Accreditation
99
One of the most widely-used key indicators for a CDI program to use for monitoring is
CMI
Complications
DRGs
Comorbidities
100
The Medicare conditions of participation ____.
Do not address health record documentation
Apply only to acute inpatient facilities
Set forth health record content requirements stout
All of the above
101
What do the letters listed below would be part of the release of information system
Letter asking for additional information
Notifying physician that he has delinquent medical records
Asking physician to clarify primary diagnosis
Notifying individual that the authorization was invalid
102
In general, reviews for compliance with various aspects of the security rule should be conducte
Annually
Periodically
Semi-annually
Every six years
103
Quality indicator system collect voice from the dictation system to capture data
TRUE
FALSE
104
Which of the following should be authorized to take a physicians verbal order
All of the above
Unit secretary working on the unit where the patient is
None of the above
Nurse working on the unit where the patient is located
105
Authentication methods include_____.
Rubber signature stamp
All of the above
Handwritten signature
Electronics signature
106
The overall goal of documentation standards is to _______.
Ensure physicians have access to health record information
Ensure what is documented in the health record is complete
healthcare provider organization is reimbursed appropriately
CMS do not find a reason to find the healthcare provider
107
critical early step in designing an EHR is to develop a ___in which characteristics of ea data
Continuity of care record
Core content
Accreditation manual
data dictionary
108
“Public interest and benefit” uses and disclosures under the privacy rule _______
Sometimes require the patient’s agreement or authorization
Can only be made with the patient’s written authorization
Don’t require the patient’s agreement or authorization
Require at least the patient’s verbal agreement
109
security officer ignores the complaints since Dr. Watson is the chief of staff. The hospital...
Risk analysis
Sanction policy
Risk management
Security management
110
Security awareness training programs require the implementation of awareness and training
Response reporting
Contingency plans
Periodic security reminders
Malicious software
111
Which of the following is not a purpose of the health record
Provide proof services for reimbursement
Serve as a legal document
Service communication tool among providers
All of the above are purposes of the health record
112
To ensure compliance with the HIPAA security rule training requirement, HIM director should...
determine special needs of HIM staff and provide training
rely solely on IT since they are experts in security
rely solely on him/herself
rely on a consultant
113
The emerging vocabulary/terminology that offers promise and standardizing clinical terms is___.
SNDO
SNOMED CT
Read Codes
ICD-10
114
Hospitals can be classified by which of the following
All of the above
Type of ownership
Type of services provided
Number of beds
115
Which portion of a security program would ensure that ePHI is not stored on recycled equipment?
Disaster control
Device and media controls
Emergency access control
Access control
116
Medicare requirements pertaining to seclusion and restraint_____
Prohibit restraint for patients less than 18 years old
Restrict their use
Encourage their use through flexible standards
Prohibit seclusion for patients less than 18 years old
117
_____ refers to the Organization efficiency according to clinical assignment
Medical staff bylaws
Medical staff credentialing
Medical staff classification
Case management
118
_____ govern(s) the operation of a hospital medical staff
Medical staff committees
Medical staff classification
Medical staff bylaws
Medical staff credentialing
119
Federal E-sign legislation____.
All of the above
Facilitates electronic-commerce
Provides guidance on how records may be stored
Gives e-signature is the same legality as hand written
120
A subcontractor of a business associate may
always transmit ePHI on the business associate’s behalf
transmit ePHI on the business associate’s behalf if the sub
never transmit ePHI on the business associate’s behalf
transmit ePHI... if it provides satisfactory assurrances
121
QIOs frequently conduct audits to determine if healthcare services have been provided
A nursing home providing physical therapy
An emergency room treating patients for chronic skin rash
A hospital admitting a congestive hear
An outpatient clinic treating a patient
122
Which term does the security rule use to define data or information that has not been altered
Applicability
integrity
Confidentiality
Security
123
One technology used for computers-assisted coding is______.
Cider intervention
Artificial intelligence
Natural language processing
Logic based encoding
124
Written or spoken permission to proceed with care is classified as:
Expressed consent
Acknowledgment
Implied consent
Advance directive
125
The grouper should only be able to utilize the current Medicare grouper
TRUE
FALSE
126
City Hospital submitted 175 claims where they unbundled laboratory charges. What's the fine
$40,300
$13,125
$39,375
$26,250
127
The HIPAA Security Rule allows flexibility in implementation based on reasonableness and
Mitigate standards with a clearinghouse
Implement based on organizational assessment
Ignore addressable standards
Implement only required standards
128
When ownership of a physician practice changes, ____.
Patients have no right to their health records
The health records may be transferred as assets
The health records of the original physician are destroyed
None of the above
129
Which of the following occupations is not usually considered to be an allied health profession
Dietitian
Surgeon
Physical therapist
Emergency medical technician
130
Reports designed specifically for one time use is called what type of report
Standing
Temporary
ad hoc
Routine
131
Collaborative staging in TNM staging may be a part of which of the following systems
Release of information system
Data quality indicator
Encoder/grouper
Tumor registry
132
AHIMA provides the option of student membership at a lower cost to students in rolled in HIM
TRUE
FALSE
133
The Uniform Photographic Copies of Business and Public Records as Evidence Act (UPA) __________
Inhibits the transition from paper to electronic storage
Supports the admissibility of reproductions into evidence
Discourages the use of record reproductions
Allows the admissibility of reproductions into evidence
134
The Office of the Inspector General is responsible for which of the following?
Reducing healthcare costs
Monitoring Medicare and Medicaid programs
The privacy and security of health information
Dictating that physicians cannot receive money
135
Per the HIPAA Privacy Rule, a hybrid entity is defined as one that __________.
Educates students and provides medical services
Performs both covered and non-covered functions
Serves both self-pay patients and insured patients
Is both a healthcare provider and a health insurer
136
The Office of the Inspector General five divisions:
FALSE
TRUE
No office of recovery
137
Against medical advice” discharges_________.
Are legally prohibited
May result, if prohibited by the provider
Are not associated with outcomes that differ
Do not require a protocol
138
Which is a public “interest and benefit” exception
Information requested by patient Attorney
Treatment
Payment
PHI
139
physician provided information to Frank, but Frank made his own treatment decisions....
Interpretive
Informative
Paternalistic
mutual
140
Medical information loses PHI status and is no longer protected by the HIPAA privacy rule when
Is individually identifiable
Becomes an oral communication
Is used for TPO
Is de-identified
141
When developing security procedures for remote workforce, the HIM director should reference...
Security rule, state statutes, other federal statutes
Privacy and security rules
Privacy and security rules, state statutes, and compliance
Privacy and security rules, state statutes and other federal
142
Provides an individual with the opportunity to agree
Treatment, payment, and operations
Facility directory
Information regarding descendants
Regarding Worker’s Compensation
143
Jill has been asked to revise the health record retention policy. Which should she recommend
Do not address them separately
Age of majority plus statute of limitations
20 years plus statue of limitations
10 years plus statute of limitations
144
HITECH has affected HIPAA in which way?
Definition of PHI has changed
Consequences to business associate have become greater
Did not make any changes
Number of covered entity categories has increased
145
At its most basic level, patient rights addresses________
Desired clinical outcomes
Conduct between a healthcare provider and a patient
The ability of patients to make their own decisions
Patient empowerment
146
Which of the following specialize patient assessment tools must be used by Medicare certified..
Outcomes and assessment information set (OASIS)
Resident assessment protocol
Minimum data set for long-term care
Patient assessment instrument
147
The dictation system has implications for president for physicians and HIM staff
TRUE
FALSE
148
Patient follow-up is a key part of which HIM system
Release of information
Cancer registry software
Disclosure management
Chart locator
149
Which of the following is not usually component of acute care patient records
Nurse assessment
Problem list
Medical history
Progress notes
150
With regard to marketing, HITECH has __________.
Expanded the scope of the marketing definition
Made no changes
) Prohibited the use and disclosure of PHI
Diminished the scope of the marketing definition
151
The patient-provider relationship that involves shared decision-making is_________.
Informative
Interpretive
Individualistic
Paternalistic
152
Which of the following is clinical data
Physicians orders
Patient consent
Patient registration
Name of insurance company
153
The community benefit standard_________
Ensures that healthcare providers do not violate
Requires hospitals to accommodate all languages
Requires communities to provide a percentage of tax
Is required for tax-exempt status
154
The three categories that HHS uses to determine the level of effort put into fraud and abuse
Reasonable care, reasonable diligence, willful neglect
Reasonable care, reasonable diligence, unbundling
Reasonable care, overpayment, willful neglect
Reasonable care, non-covered services, overpayment
155
Lane hospital has a contract with ready clean
Not a business associate because it doesn’t use or disclose
A business associate with a contract
Not a business associate because it’s a local company
A business associate because it’s employees see PHI
156
SDBH is a:
Hybrid entity
Business associate
Organize healthcare arrangement
Affiliated covered entity
157
Linda Wallace is being admitted to the hospital
That’s what is not required to honor her wishes
The hospital may decline to treat Linda
None of the above
The hospital has to honor her wishes
158
Which of the following is not an element that makes information “PHI” under the HIPAA privacy
Contained within a personnel file
Identifies an individual
Relates to one’s health condition
In the custody of or transmitted by a CE or its BA
159
User is entering the number of units of blood given to a patient during surgery, the presence
Quality indicator
Encoder/grouper
Release of information system
Tumor registry
160
With addressable standards, the covered entity may do all but which of the following?
Ignore the standard since it is addressable
Implement an alternative standard
Determine that the risk of not implementing is negligible
Implement the standard as written
161
The governmental agency most closely involved in the development of healthcare data sets...
Centers of Medicare and Medicaid services
National Centers for Health statistics
Department of Health and Human Services
Johns Hopkins University
162
Managed-care systems control costs by all of the following EXCEPT:
Restricting patient access through pre-certification
Presetting payment amounts
Utilization management
Small deductibles
163
Which of the following are factors that influence health record retention periods
All of the above
Statues of limitations
Cost of retention
Federal and state laws
164
Which of the following is true of computer-based records
Can be accessed by multiple end users simultaneously
Permits minimal risks to healthcare privacy and security
Is usually support about all healthcare providers
Has a clear definition and technological standards
165
Individuals who are provided with room board ... and stay at least overnight are
Inpatients
Ambulatory care patients
Outpatients
Long-term care patients
166
Which type of specialized record includes care provided prior to arrival at a healthcare settin
Ambulatory care record
Ambulatory surgery record
Emergency care record
Pediatric record
167
Personal health records_________.
Are synonymous with patient health information portals
Are maintained by healthcare providers
Are synonymous with patient health information portals
Can be beneficial to both patients and providers
168
The most widely-used feature provided by patient health information portals is_________.
Exchanging secure messages with providers
Online scheduling
The ability to copy medical records onto paper
Viewing test results
169
The security rule’s five sections includes all of the following
except
_________
Encryption requirements
Physical safeguards
Organizational requirements
Administrative safeguards
170
3 different types of RAC audits include automated reviews, complex review, and annual reviews.
FALSE
TRUE
171
What is the function of a consultation report
chronological summary of the patient’s medical history
Concisely summarizes the patient’s treatment and stay
Documents the positions instructions to other parties
Documents opinions about the patient’s condition
172
Authenticity pertains to the_______.
Genuineness
Original copy
Signatures
Completeness
173
A patient who needs palliative care would be and what type of facility
Home health facility
Rehabilitation facility
Hospice facility
Behavioral health facility
174
Ellen attended a continuing education seminar regarding electronica health record‘s
It is required by the joint commission
Is encouraged because it creates a back up
It creates legal challenges
It must be prohibited because of the liability it creates
175
All of the following are security rule physical safeguard standards except___________.
Facility access controls
Contingency planning
Device and media controls
Workstation security
176
Which of the following ways can the patient’s consent to undergo treatment be expressed
All of the above
Written agreement
Verbal agreement
By his or her submission to treatment
177
Which of the following exemplifies acceptable patient record entry
Patient belligerent
Patient ambulated 30 feet
Patient complains of pain
Patient not eating well
178
Integrity refers to the __________.
Source or origin of information
Co-signature of the attending physician
Accuracy and completeness of information
Timeliness of information
179
The privacy rule resides in______.
Title II of HIPAA
Title II of federal privacy act
Title I of HIPAA
Title II of the federal privacy act
180
Which of the following is not a HIPAA individual right?
Import PHR content into the provider’s health record
Access to PHI
Request restrictions regarding PHI use
Request amendments to PHI
181
CAC used which of the following processing to review the documentation in the EHR...
POA
CPT
HL7
NLP
182
Dr. Blake is selling his practice to Dr. Walton. If he sells patient information he is
j
Not violating HIPAA
