HITECH has affected HIPAA in which way?

Consequences to business associate have become greater

Which of the following best describes the role that the HIIM professional should play in HIPAA

moderate involvement since the rule is very operational

Which of the following is an example of convenience sampling?

All claims that are readily available to the auditor

ASTM Standard E1384 provides guidance to healthcare organizations in developing____.

content or structure for electronic health records

The workforce security administrative safeguard requires policies and procedures that

ensure appropriate ePHI access by workforce members, both a and b, prevent access to ePHI

Before an audit can be conducted, an organization must first do which of the following?

Identify the objective of the audit

When ownership of a physician practice changes, ____.

The health records may be transferred as assets

To ensure compliance with the HIPAA security rule training requirement, HIM director should...

determine special needs of HIM staff and provide training

Which statements does the privacy rule not require the notice of privacy practices to contain

A statement that all disclosures will be prohibited

Which would provide the best support of an organization’s efforts toward compliance...

Build security into software and systems

With addressable standards, the covered entity may do all but which of the following?

Ignore the standard since it is addressable

Bellville Community Hospital was required to provide a reasonable amount of uncompensated care

received federal money for construction and modernization

Mrs. Bolton is an angry patient who resents her physicians “bossing her around “

Noncompliant and hostile towards staff

Quality Improvement Organizations perform medical peer review of Medicare and Medicaid claims..

Review of validity of hospital diagnosis

Against medical advice” discharges_________.

May result, if prohibited by the provider

What is an effect of Christy’s access to a patient health information portal?

It provides her with increased, timely access

QIOs frequently conduct audits to determine if healthcare services have been provided

A nursing home providing physical therapy

Which regulations are most commonly applied in end stage renal disease treatment

Medicare conditions for coverage

The Medicare conditions of participation ____.

Set forth health record content requirements stout

“Public interest and benefit” uses and disclosures under the privacy rule _______

Don’t require the patient’s agreement or authorization

Meaningful Use Stage 3 focuses on which of the following?

Providers to report infectious diseases,

Lane hospital has a contract with ready clean

Not a business associate because it doesn’t use or disclose

Which of the following statements is true

Letters communicates with the requester

Which of the following best describes the mission of AHIMA

Providing support to members and strengthening the industry

Personal health records_________.

Can be beneficial to both patients and providers

Which is the best definition of ambulatory surgery

does not require an overnight stay in the hospital

studbud

HIMT-1301 FINAL EXAM REVIEW

182 termsStudBud Administration24 plays

#general_trivia

Flashcards182 cardsFPractice quizPHost liveL

Questions 182

Answers

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

HIMT-1301 FINAL EXAM REVIEW Flashcards | StudBud