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