Final Exam 1301

Which of the following BEST describes the lateral method of filing health records?

Used with a color-coded system for recognizing files

Which of the following is NOT a data source for Health People 2020?

WHO

In which of these situations is it permissible for health records to be accessed without proper authorization?

For information pertaining to a pandemic

Which of the following describes a firewall?

Protects networks from unauthorized intrusion while still granting permission to authorized parties within the system

Medical organizations can strengthen EHR security by employing a secure login system or by_____

creating a network hazard system

A violation due to reasonable cause must be corrected within 30 days or it is considered a(n)______violation.

willful neglect

Which of the following BEST describes how a health care facility files health records based on unit numbering?

A number is assigned to patients the first time they are seen and that number is used for every visit.

A patient last visited a medical office four years prior to the current date. What type of health record does the patient have in regard to filing?

Active

What piece of legislation required all US citizens to obtain medical insurance or be fined?

Affordable Care Act

Which of the following is the most common system used for filing health records?

Alphabetic

What type of software is used for scanning, detecting, and removing computer worms, viruses, and malware from systems?

Antivirus

What is the first step in using a health record for clinical code assignments?

Assessing the case for missing documentation

All of the following are covered in the Code of Ethics: Section 10. EXCEPT_____

Being an advocate for the profession in all settings

Identify which term best describes paper-based health records.

Chart

If health information management professional is allowing private conduct to interfere with professional responsibilities, he or she is not adhering to_____

Code of Ethics: Section 2

Refusing to participate in or conceal unethical practices or procedures, and then reporting such practices, describes a health information management professional adhering to

Code of Ethics: Section 4

Which of the following statements is NOT true? · Information related to pandemics and endemics may be released as necessary without permission for access to health records. · Confidential patient information is released to agencies that are obtaining health record data for research purposes. · Health records can be subpoenaed by a court order signed by a judge. · Since the medical chart is a legal document can be used in a court case.

Confidential patient information is released to agencies that are obtaining health record data for research purposes.

Which of the following BEST describes the problem-oriented health records?

Contains a patient's past and present social and medical problems

Which of the following organizations incorporates international quality management standards and Medicare Condition of Participation?

DNV

Identify which term best describes ICD-9-CM code 401.9 on a claim form.

Data

Which characteristic of data means that the data is easily obtainable?

Data accessibility

Which of the following terms is used to describe data that is up to date?

Data currency

If a hacker breaks into an EHR database and sees pages of mixed up numbers and text, then they have encountered what type of software?

Data encryption

Of the four domains outlined in AHIMA's data quality model, which one focuses on archiving data for future use?

Data warehousing

All of the following are limits of paper-based records EXCEPT they

Do not allow additional late entries

Which of the following is an example of the primary function of the health record?

Documenting a treatment given to a patient.

Which of the following BEST describes an integrated health record?

Documents are arranged in strict chronological order

Which of the following error corrections should NOT be made on a health record?

Draw a single line through the error with pencil

In which of the following cases may an individual NOT have unauthorized access to a health record?

For medical billing and coding

Which of the following agencies might use health records in an investigation to determine whether professional credentials should be revoked from a surgeon who was alleged to be impaired by substance abuse while performing surgery?

Government licensing agencies

Which of the following institutional users provide data that is helpful to review and compare healthcare plans for consumers to select the plan that best suits their needs?

HEDIS

It is legal to outsource the destruction of health records to a business. However, that business must be compliant with_____

HIPAA

What affords patients certain rights with respect to their health records?

HIPAA

Which of the following laws protect healthcare data?

HIPAA

_____ enforces that insurers and providers are required to notify patients and the Department of Health and Human Services if their information has been compromised.

Health Information Technology for Economic and Clinical Health Act

Which of the following institutional users is an independent organization that offers consumers' ratings of physic and nursing homes?

Healthgrades

In what section of a health record would a healthcare professional find information pertaining to a patient's symptoms?

History and physical

In which of the following cases can health record NOT be released without a patient's consent?

If a patient has HIV/AIDS

What type of health record is filed away in a separate area but is not officially terminated?

Inactive

Identify which term best describes a report on all anthrax cases in Virginia in the past year.

Information

Which of the following is NOT authorized individual user of the health record?

Insurance agents

What is the largest accrediting body in the healthcare industry?

Joint Commission

Several types of documentation are maintained in psychotherapy notes. Which of the following require under the HIPAA privacy rule?

None of the above

What agency makes visits to medical facilities to conduct inspections and ensure safety standards are being maintained?

OSHA

Which of the following is NOT a way technology is used to support the EHR?

Patient education information given to the patient

Is using a record in a patient's physician office visit for hypertension a primary or secondary purpose for the health record?

Primary

Which of these is the correct term for the right of individuals to control access to their health record?

Privacy

HIPAA legislation is a set of guidelines that governs which of the following?

Protection of privileged patient information

Is using a record to teach a medical student how to evaluate a patient history a primary or secondary purpose for a health record?

Secondary

What section of the Standards of Ethical Coding states that a coding professional must demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities?

Section 11

_____filing system is based on the last digits of the ID number. which evenly distributes files within the entire filing system and eliminates the need for frequent reshifting of files.

Terminal digit

Which of the following organizations requires a healthcare organization to demonstrate effectiveness and quality of care to patients in a safe environment by meeting certain standards or performance?

The Joint Commission

Which of these is not required for a consent to use or disclose health information to be legitimate?

The consent must be expressed in legal terminology deemed acceptable by the courts.

You are conversing with a friend who wants to take possession of his health record from the hospital. Who do you tell him owns his record?

The hospital

According to AHIMA guidelines, a process should be followed in making corrections in paper-based of the following statements is false concerning that process?

The incorrect information should be obliterated

What does it mean to be an institutional user of the health record?

The information in a health record is used for a reason other than direct patient care.

Which of the following BEST defines the health record?

The location of all documentation related to the patient

Which of these are institutional users of the health record?

Third-party payers

A patient's invoice needs to be paid by a certain time. What helps healthcare professionals remember certain details or events like this?

Tickler file

What legislation states that all past. present, and future electronic patient data must be held to the same standards of protection as those of paper records?

Title II of HIPAA

For which of the following reasons does AHIMA recommend personal access to your health record?

To verify information and charges for your care

The combined forces of new information technologies and the demand for more, better, and more timely information have required the HIM profession to change radically.

True

It is important that individual users provide______ of health records to prevent unauthorized persons from seeing individual's personal health information.

access control

Under HIPAA, patients have all the following rights in regard to their health records EXCEPT____

accessing psychotherapy notes

All of the following are covered in the Code of Ethics: Section 1. EXCEPT____

acting with integrity, promoting high standards of practice in all settings

Encryption software uses ___ to make data undecipherable to unauthorized viewers.

algorithms

If a firewall is established to protect EHRs, who is able to see and edit patient information?

all authorized users

To protect your health information from medical identity theft, you should obtain an annual summary of _____

all the benefits paid

When encounter forms are used for healthcare data collection. The role of the coding professional is to ensure they are

appropriate and complete

All of the following should be encouraged of employees to increase a computer's longevity EXCEPT _

downloading anti-malware software

For a coding professional to properly code, they will need access to the ___

entire patient clinical record

In addition to listing services or treatments for a patient, the health record is also important for

establishing a diagnosis

All of the following are ways to protect yourself against medical identity theft EXCEPT____

giving your name or insurance information in exchange for offers of free medical services to ensure your information is protected.

Not only do medical identity thieves commonly steal health information, but so do__

healthcare professionals

Which of the following situations is it not acceptable for patient to request access to view his or her health record?

if the patient is endangered by the information in the record

One obstacle to creating a completely electronic health record is the need for the organization to

implement cyber security software

1. The ___ allows the patient to give consent to be treated

informed consent

Aside from a patient's name and social security number, a thief can also steal his or her

insurance number

To protect your health information from medical identity theft, you should monitor your credit report for____

medical debts

___ occurs when a patient's identifying information, such as his or her name, social security number, or insurance number, is used fraudulently and without the patient's knowledge or consent.

medical identity theft

Medical records are the property of the_______

medical office

Other than prescriptions, medical treatments, and services, what do identify thieves steal patient medical identity for?

medical payment

Which of the following authorized individual users of the health record could use the health records to determine vaccinations in a physician's office based on patient demand?

medical support staff

_____allows organizations to store patient data in a remote location so it is accessible should a network be compromised.

online system backup

In what section of a health record would a healthcare professional find information pertaining to a patient's biopsy results?

pathology report

Which of the following is an example of publicly reported healthcare data from an institutional user?

patient satisfaction results for a hospital

Helen creates rules for exchanging health information and ensures that this information remains confidential within her organization. Helen is most likely a_______

privacy officer

How could medical facilities protect patient information on the user level?

provide each employee their own login and password

To protect your health information from medical identity theft, who is it permissible to share health insurance information with?

provider

HITECH is important in strengthening the enforcement of the Privacy Rule, which

provides patients with rights to their health records and offers federal protection for private health information held by covered entities.

HITECH is important in strengthening the enforcement of the Security Rule, which_____

provides specific physical and electronic safeguards for covered entities to apply to protect the integrity, confidentiality, and accessibility of private electronic health information.

Title I of HIPAA was proposed to ____·

regulate the availability of group and individual health insurance

Alpha-Z is a color-coding method for the alphabetic system, one of the most popular color-coding filing methods, known as_____

smead

A patient's x-ray images would all be grouped together in a(n)_____health record.

source-oriented

Who owns the information within a health record?

the patient

Using the CODER method to analyze a health record, what is the main objective of the Evaluation and Exclusion step?

to focus on the outcome of the code selection

All of the following are purposes of the AHIMA Standards of Ethical Coding EXCEPT_____

to provide a flowchart that assists coding professionals in make ethical decisions in the workplace.

Files can be stored in a manner, but this tends to be heavy and take up a lot of space.

vertical

Electronic health records help improve____ in a medical office setting compared to paper-based records.

workflow

An expressed consent for treatment means that the patient should fully understand which of the following?

· The nature of the procedure and any alternative treatments available