Hit111 ch3 and more maybe midterm

Lakukan tugas rumah & ujian kamu dengan baik sekarang menggunakan Quizwiz!

Exceptions to the authorization requirement for the sale of information include ______. a. Research data b. Information used for fundraising purposes c. Information used by institutional foundations d. Situations exempted by a covered entity's policies and procedures

a. Research data

Which of the following is a patient's right under HIPAA? a. Right to request an amendment of the health record b. Right to obtain an advanced directive c. Right to control the minimum necessary PHI allowed d. Right to identify the designated record set

a. Right to request an amendment of the health record

A new HIM program's accreditation process begins with a ______. a. Self-assessment b. Report of site visit c. Decision of accreditation d. Site visit

a. Self-assessment

Which of the following persons were intended to be supported b Medicaid in Public Law 89-97 of 1965? a. Single-parent families b. The elderly c. Veterans d Pregnant women

a. Single-parent families

Determine the list of names that is in correct order for alphabetical filing. a. Smith, Carl J. > Smith, Mary A. > Smith, Paul M.> Smith, Thomas b. Carl J. Smith> Mary A. Smith> Thomas Smith> Paul M. Smith c. Smith, A Mary> Smith, J. Carl> Smith, M. Paul> Smith, Thomas d. Smith, Thomas> Smith, Carl J. > Smith, Mary A. > Smith, Paul M.

a. Smith, Carl J.> Smith, Mary A.> Smith, Paul M.> Smith, Thomas

Which of the concepts below represents fixed rules that must be followed? a. Standard b. Guidelines c. Forms control program d. Policy

a. Standard

Cell-based technologies include ______. a. Stem cells for transplant b. Organ transplants c. Synthetic Organs d. Washing Cells of all organic material

a. Stem cells for transplant

A registered health information technician (RHIT) can earn continuing education units by _______. a. Taking a college course b. Applying for fellowship c. Being on the AHIMA Board of Directors d. Participating on an AHIMA national committee

a. Taking a college course

Justify a rule that prohibits that use of the copy and paste function in the electronic health record. a. The content may contain outdated information b. Joint Commission standards prevent this practice c. This feature is never found in the electronic health record d. Medicare has a regulation against this practice

a. The content may contain outdated information

Which of the following is a true statement about the notice of privacy practices? a. It must be made available at the corporate headquarters b. It must be posted in a prominent place c. Its content cannot be changed d. It cannot be posted on the website

b. It must be posted in a prominent place

The annual volume statistics for General Hospital are noted below. Determine the number of shelving units that will be required to store this year's inpatient discharge records. Average inpatient discharges = 12,000 Average inpatient record thickness= 3/4 inch Shelving units shelf width= 36 inches number of shelves per unit=6 a. 41 b. 41.67 c. 42 d. 74

c. 42

A covered entity has ______ to respond to an individual's request for access to his or her PHI when the PHI is stored off-site. a. 10 days beyond the original requirement b. 30 days c. 60 days d. 90 days

c. 60 days

Identify the number of days a covered entity has to respond to an individual's request to access his or her PHI when the PHI is stored off-site a. 10 days beyond the original requirement b. 30 days c. 60 days d. 90 days

c. 60 days

The national changes in HIM need to be communicated to the membership. The communication should go through the ______. a. AHIMA House of Delegates b. AHIMA Engage c. AHIMA Component State Association d. AHIMA Board of Directors

c. AHIMA Component State Association

The HIM director has a difficult situation, to request advice from other HIM professionals, the director should go to_______. a. AHIMA Board of Directors b. AHIMA Council of Certification c. AHIMA Engage d. AHIMA House of Delegates

c. AHIMA Engage

To determine what research is currently being conducted in HIM, who would be the best source of information? a. AHIMA Board of Directors b. AHIMA CAHIIM c. AHIMA Foundation d. AHIMA Commission on Certification for Health Informatics and Information Management

c. AHIMA Foundation

In order to propose a change to the HIM profession, the request should go to the_____. a. AHIMA Board of Directors b. AHIMA Commission on Certification for Health Informatics and Information Management c. AHIMA House of Delegates d. AHIMA Foundation

c. AHIMA House of Delegates

The CEE's role is to ______. a. Recognize HIM professionals who have supported b. Support research related to HIM c. Address issues related to HIM education d. The future of AHIMA

c. Address issues related to HIM education

In order to sit for the Certified Health Data Analyst certification contact the______. a. American Health Information Management Association b. American Health Information Systems Society c. American Academy of Professional Coders d. Association for Healthcare Documentation Integrity

c. American Academy of Professional Coders

The hospital standardization program was started by _______. a. American Health Information Management Association b. Commission on Accreditation for Health Informatics and Information Management Education c. American College of Surgeons d. Healthcare Information and Management Systems

c. American College of Surgeons

HITECH was portion of which bill? a. Health Insurance Portability and Accountability Act of 1996 b. Patient Protection and Affordable Care act of 2010 c. American Recovery and Reinvestment Act of 2009 d. Public Law 98-21 of 1983

c. American Recovery and Reinvestment Act of 2009

Identify the HIM task that is eliminated by the electronic health record system? a. Document imaging b. Analysis c. Assembly d. Indexing

c. Assembly

Large amounts of data collected from sources that are then processed and used for analytics are referred to as ______. a. Cloud Computing b. mHealth c. Big data d. Data Analytics

c. Big Data

There are twelve public interest and benefit exceptions where written authorization from the patient is not required prior to use or disclosure of PHI. Identify the exception. a. Limited data set b. Incidental disclosures c. Cadaveric organ donation d. Disclosure to the subject individual

c. Cadaveric organ donation

HIM professionals are expected to behave in a professional way. This manner is described in AHIMA's _______. a. Mission b. Vision c. Code of Ethics d. Engage

c. Code of Ethics

A quantitative review of the health record for missing reports and signatures that occur when the patient is in the hospital is referred to as a ______ review. a. Prospective b. Retrospective c. Concurrent d. Peer

c. Concurrent

Creating a chart to show trends in a number of inpatient hospitalizations is an example of ________. a. Informatics b. Data analytics c. Data use d. Information Governance

c. Data use

A health record not completed within the time frame specified in the medical staff rules and regulations is called a ______. a. Suspended record b. Incomplete record c. Delinquent record d. Purged record

c. Delinquent record

The decision was made to select the algorithm that uses mathematical probabilities. This type of algorithm is a. Rules-based b. Probabilistic c. Deterministic d. Abstracting

c. Deterministic

The disclosure of health information function requires the HIM professional to ______. a. Follow clinical coding rules b. Abstract data into another system c. Disclose patient identifiable information to a third party d. Audit the healthcare claim

c. Disclose patient identifiable information to a third party

Members of the AHIMA House of Delegates are ______. a. Appointed by the AHIMA Board of Directors b. Elected by AHIMA Board of Directors c. Elected by members in Component State Organizations d. Elected by the AHIMA Nominating Committee

c. Elected by members in Component State Organization

How many linear filing inches can a shelving unit hold based on the following data? Shelving unit shelf width= 36 inches Number of shelves per unit =9 Shelves Average record thickness= 1/2 inch a. 162 b. 648 c. 320 d. 324

d. 324

Determine the number of shelving units required to shelve 2,000 patient health records if the average health record is 0.75 inches. The shelving unit is 36 inches wide and has 8 shelves. a. 7 b. 5.2 c. 6.5 d. 6

d. 6

Someone who wishes to sit for the RHDI certification should contact which organization? a. AHIMA b. AAPC c. HIMSS d. AHDI

d. AHDI

An RHIT is going back to earn her bachelor degree so that she can sit for the RHIA exam. Identify the appropriate AHIMA membership classification. a. Student b. New Graduate c. Emeritus d. Active

d. Active

The Office of the National Coordinator for Health Information Technology was created as part of which act? a. Health Insurance Portability and Accountability Act b. Social Security Act c. Patient Protection and Affordable Care Act d. American Recovery and Reinvestment Act

d. American Recovery and Reinvestment Act

The designated record set includes a(n) a. Strategic plan b. Policies and procedures c. Audits d. Billing records

d. Billing records

College X has decided to implement a HIM program. Before students are eligible to sit for the RHIT exam, the program needs to be accredited by ______. a. Board of Directors b. House of Delegates c. CCHIIM d. CAHIIM

d. CAHIIM

The "C' in CIO stands for ______. a. Corporate b. Corporate c. Clinical d. Chief

d. Chief

What is the name given to the privileges assigned to physicians to provide clinical services in a hospital? a. Medical b. Admission c. Health d. Clinical

d. Clinical

Identify the component of the EHR that assists physicians in making medical decisions a. Document management system b. Personal health record c. Natural language processing d. Clinical decision support

d. Clinical decision support

Writing the word error is appropriate for ______. a. Delinquent records b. Amendment c. Addendum d. Corrections

d. Corrections

The HIM department plans to purchase an information system that will track information provided to a requester. They plan to purchase a ______ system. a. Registry b. Quality improvement c. Chart tracking d. Disclosure of health information

d. Disclosure of health information

The coding of clinical diagnoses and healthcare procedures and services after the patient is discharged is ____ review. a. Proactive b. Prospective c. Concurrent d. Retrospective

d. Retrospective

Much of the work of the House of Delegates is performed by ______. a. Committees b. Board of Directors c. Staff d. Task Forces

d. Task Forces

Skilled nursing care is defined as skilled nursing observations and ______. a. 18 hours of certified nursing assistant care b. 32 hours of rehabilitation care c. Social interation d. Technical procedures

d. Technical procedures

Identify the filing method that is considered most efficient a. Alphabetical filing b. Alphanumeric filing c. Straight numeric filing d. Terminal digit filing

d. Terminal digit filing

PHR vendors that are not part of a covered entity or business associate must report PHI breaches to ______. a. No one b. The Department of Health and Human Services c. The Department of Homeland Security d. The Federal Trade Commission

d. The Federal Trade Commission

Stricter State statutes take precedence over the HIPAA Privacy Rule a. In all situations b. Never c. If the state law has been in existence longer than HIPAA d. They provide greater confidentiality of healthcare information

d. They provide greater confidentiality of healthcare information

Critique the following statement: Premier members are AHIMA members who meet a minimum age requirement. a. This is a true statement. b. This is a false statement as this describes a group member c. This is a false statement as this describes an active member d. This is a false statement as it describes and emeritus member.

d. This is a false statement as it describes an emeritus member

The patient registration department assists the HIM department by ______. a. Assigning the health record number b. Processing the healthcare claim c. Implementing the information systems used by the HIM department d. Maintaining the information systems used by the HIM department

a. Assigning the health record number

Identify an institutional user of the health record. a. Blue Cross and Blue Shield b. Patient c. FBI agent d. AHIMA

a. Blue Cross and Blue Shield

Who has the primary responsibility for setting the overall direction of the hospital? a. Board of Directors b. Chief Executive Officer c. Chief Financial Officer d. All employees of the hospital

a. Board of Directors

Which group is responsible for AHIMA's certification exams? a. CCHIIM b. AHIMA House of Delegates c. AHIMA Board of Directors d. CAHIIM

a. CCHIIM

Where should new graduates begin their volunteer experience? a. CSA b. AHIMA Board of Directors c. CAHIIM d. CCHIIM

a. CSA

Identify the task that is performed during qualitative analysis a. Checking that only approved abbreviations are used b. Checking that all forms and reports are present c. Checking that documents have patient identification information d. Checking that reports requiring authentication have signatures

a. Checking that only approved abbreviations are used

Identify the screen design concept that assists with data validation. a. Checking to ensure that the data is an appropriate range b. Selecting from a predefined list such as in check boxes and radio buttons c. There is an undo feature d. Navigation is clear

a. Checking to ensure that the data is an appropriate range

Identify the primary user of the health record. a. Clinical professionals who provide direct patient care b. Insurance companies that cover healthcare expenses c. Billers in the healthcare organization's business office d. Patients and their families

a. Clinical professionals who provide direct patient care

The emphasis on traditional practice of HIM was to ensure: a. Complete and accurate health record b. Valid certification exams c. Retrieval of the health record for patient care d. Management of information

a. Complete and accurate health record.

Which of the following emphasizes treating individual patients at the level of care required by their course of treatment and extends from their primary care providers to specialists and ancillary providers? a. Continuum of care b. Integrated delivery systems c. Case management d. Integrated delivery networks

a. Continuum of care

The curriculum taught in HIM programs across the country needs to be updated to keep up with the changes of the profession. This is done by the_______. a. Council for Excellence in Education b. AHIMA Board of Directors c. AHIMA House of Delegates d. Commission on Accreditation for Health Informatics and Information Management Education

a. Council for Excellence in Education

The data in the EHR allows health professionals to examine the raw data and make conclusions. This is known as: a. Data analytics b. Information governance c. Informatics d. Data use

a. Data analytics

A covered entity's notice of privacy practices should include a ______. a. Description with one example of disclosures made for treatment purposes b. Description of one other purposes for which a covered entity is permitted or required disclose PHI without consent or authorization c. Statement of the healthcare organization's rights d. Patient's signature and e-mail address

a. Description with one example of disclosures made for treatment purposes

HIPAA administrative requirements include ______. a. Designating a privacy officer b. Designating a contact department to receive complaints about violations c. Hiring an attorney to handle all aspects of HIPAA compliance d. Establishing HIPAA privacy training for clinical employees only

a. Designating a privacy officer

Which of the following is the true statement regarding the facility directory? a. Disclosures from the directory need not be included in an accounting of disclosures b. Individuals must provide a written authorization before information can be placed in the directory c. The directory must contain only the patient's name and birth date d. The directory may contain diagnostic information as long as it is kept confidential

a. Disclosures from the directory need not be included in an accounting of disclosures

Which of the following statements justifies using the alphabetic filing system? a. Employees are comfortable with it b. It expands evenly throughout the filing system c. The most current patient visits are filed together d. It requires an MPI

a. Employees are comfortable with it

Evaluate each statement below in order to determine which is the true statement about CAHIIM a. Establishing standards for the content of college programs in health information management b. Making sure that AHIMA has good certification examinations c. Ensuring that AHIMA manages its property and affairs appropriately d. Establishing policies and procedures to be followed by Engage

a. Establishing standards for the content of college programs in health information management

Which of the following is a way that patient care managers and support staff use the data documented in the health record? a. Evaluate the performance of employees b. Communicate vital information among departments and across disciplines and settings c. Generate patient bills or third-party payer claims for reimbursement d. Determine the extent and effects of occupational hazards

a. Evaluate the performance of employees

If a covered entity does not wish to calculate actual or average costs for electronic PHI, the Office for Civil Rights recommends ______ as a flat fee. a. $10.00 b. $100.00 c. $5.00 d. $6.50

d. $6.50

The average length of stay (LOS) for acute care hospitals is ______. a. Greater than 30 days b. Less than 20 days c. Greater than 45 days d. 25 days or less

d. 25 days or less

Which of the following is a surgical specialty? a. Anesthesiology b. Neurology c. General Practice d. Dental

a. Anesthesiology

Identify the number of days a covered entity has to respond to an individual's request for access to PHI under HIPAA rules a. 10 days b. 14 days c. 30 days d. 60 days

c. 30 days

Under usual circumstances, a covered entity must act on a patient's request to review or copy his or her health information within ______. a. 10 days b. 20 days c. 30 days d. 60 days

c. 30 days

List at least three social determinants of health as explained in Health People 2020

Availability of resources to meet daily needs Access to educational, economic, and job opportunities Availability of community-based resources; exposure to crime, violence, and social disorder Socioeconomic conditions Language and Literacy Access to mass media and emerging technologies Culture

Identify the group in charge of AHIMA's volunteer structure. a. House of Delegates b. Board of Directors c. Engage d. Component State Association

Board of Directors

Name the leading federal agency charged with protecting the public health

Centers for Disease Control and Prevention (CDC)

Calculate the number of shelving units required for 35,000 linear filing inches of records if the shelving unit has 7 shelves and is 36 inches wide. a. 138 b. 139 c. 162 d. 163

a. 138

Which of the following is a member of a hospital's workforce? a. A clerk working in the hospital's registration office b. A lawn care service for the hospital grounds c. An employee of a company that picks up laundry from the hospital every day d. An employee of one of the hospital's business associates who is on the hospital premises occasionally

a. A clerk working in the hospital's registration office

Identify the patient who is an individual per HIPAA a. A patient about whom medical information pertains b. The patient about whom medical information pertains and the patient's parents c. The patient about whom medical information pertains and the patient's physician d. The patient about whom medical information pertains and the patient's personal representative

a. A patient about whom medical information pertains

The use of the health record by a clinician to facilitate quality patient care is considered a ______. a. a primary purpose of the health record b. Patient care support c. A secondary purpose of the health record d. Patient care effectiveness

a. A primary purpose of the health record

Recommend a specialty professional organization for a coder. a. AAPC b. AHDI c. HIMSS d. NCRA

a. AAPC

Common pathways taken by HIM professionals in their HIM roles is found in ______. a. AHIMAs Career Map b. The certification guidelines c. Accreditation standards d. The Code of Ethics

a. AHIMAs Career Map

The formal approval process for academic programs in heath information management is called______? a. Accreditation b. Certification c. Registration d. Standardization

a. Accreditation

Registration is the ______. a. Act of enrolling b. Career path chosen by the HIM professional c. The approval of a HIM educational program d. Use of health information

a. Act of enrolling

A Physician has decided to join AHIMA. Identify the appropriate membership classification. a. Active membership b. Associate membership c. Student membership d. Emeritus membership

a. Active membership

Identify the filing system that is well suited for a small healthcare organization such as a one-physician practice. a. Alphabetic filing system b. Serial unit numbering system c. Serial numbering system d. Unit numbering system

a. Alphabetic filing system

A covered entity's notice of privacy practices should include a. An authorization must contain an expiration date or event b. A consent for use and disclosure of information must be obtained from every patient c. An authorization must be obtained for uses and disclosures for treatment, payment, and operation d. A notice of privacy practices must give ten examples of a use or disclosure for healthcare operations.

a. An authorization must contain an expiration date or event

A notice of privacy practices should include a statement _____. a. Explaining that individuals may complain to the Secretary of HHS if they believe that their privacy rights have been violated b. That parents may access the PHI of their minor children c. That state law may not be preempted by HIPAA d. That the HIPAA Privacy Rule pertains only to healthcare providers

a. Explaining that individuals may complain to the Secretary of HHS if they believe that their privacy rights have been violated

The HIPAA consent ______. a. Has no expiration date b. Cannot be revoked c. Is mandatory d. Is usually obtained at the time of patient discharge

a. Has no expiration date

Which of the following is a situation where a covered entity may deny an individual's amendment request? a. If the PHI in question is not part of the designated record set b. If the PHI in question was created by the covered entity and therefore cannot be amended c. If the PHI in question cannot be amended in an electronic health record d. If the PHI in question was created over a year ago

a. If the PHI in question is not part of the designated record set

Which of the following is an argument against the use of the copy and paste function in the EHR? a. Inability to identify the author b. Inability to print the data out c. The time that it takes to copy and paste the documentation d. The users will not know how to perform the copy and paste function

a. Inability to identify the author

Which of the following is a true statement about the facility directory a. Individuals must be given an opportunity to deny permission to place information about them in the directory b. Individuals must provide a written authorization before information about them can be placed in the directory c. The directory may contain only identifying information, such as the patient's name and birthdate d. The directory may contain diagnostic information as long as it is kept confidential

a. Individuals must be given the opportunity to deny permission to place information about them in the directory

Mary's PHI was breached by her physician office when it was disclosed in error to another patient. Identify the correct statement regarding breach notification a. It must report the breach to HHS within 60 days after the end of the calendar year in which the breach occurred b. It must report the breach to HHS within 60 days of the breach c. It must notify all local media outlets and HHS immediately d. It is not required to take any action since the breach affected only one person

a. It must report the breach to HHS within 60 days after the end of the calendar year in which the breach occurred

Which of the following is a business associate of a hospital? a. Medical Transcription Company b. Contracted Landscaping Service c. Employed Nurse d. Student Intern

a. Medical Transcription Company

The HIPAA privacy rule requires that covered entities limit use, access, and disclosure of PHI to the least amount necessary to accomplish the intended purpose. This concept is _______. a. Minimum necessary b. Notice of Privacy Practice c. Authorization d. Consent

a. Minimum necessary

_____ is a document that provides a complete description to patients about how PHI is used in a covered entity a. Notice of Privacy Practices b. Authorization c. Consent for Treatment d. Consent for Operations

a. Notice of Privacy Practices

Traditionally, physicians alone determine the timely and effective interventions in response to a wide range of problems related to a patient's treatment, comfort, and safety. Who else plays a wider role in this function? a. Nurses b. Physical Therapists c. Utilization specialists d. Quality improvement specialists

a. Nurses

The employee notified the supervisor that she found a problem when reviewing the MPI. She found that two patient's information were merged together inappropriately. the employee found a(n) _______. a. Overlay b. Duplicate c. Overlap d. Algorithm

a. Overlay

Mary Davis is scheduled to have a colonoscopy in two weeks, and this information is in the hospital's scheduling database. This information is _____. a. PHI because it relates to the future provision of healthcare b. Not PHI because the procedure has not yet take place c. PHI because it is in the custody of a business associate d. Not PHI because it is de-identified

a. PHI because it relates to the future provision of healthcare

In certain situations, a covered entity can deny an individual access to PHI without providing him or her an opportunity to review or appeal the denial. Which of the following describes this type of situation? a. PHI was obtained from someone other than a healthcare provider under a promise of confidentiality and the access requested would be reasonably likely to reveal the source of the information. b. A licensed healthcare professional determines that access to requested PHI would likely endanger the life or physical safety of the individual or another person. c. A licensed healthcare professional determines that access to requested PHI would reasonably endanger the life or physical safety of another person mentioned in the PHI. d. The PHI is more than 50 years old.

a. PHI was obtained from someone other than a healthcare provider under a promise of confidentiality and the access requested would be reasonably likely to reveal the source of the information.

Identify the element that is typically found in the paper health record. a. Patient identification b. Radiology imaging c. MRI imaging films d. Financial information

a. Patient identification

The policy should state that the MPI is retained ______. a. Permanently b. 25 years c. 50 years d. 10 years

a. Permanently

Which of the following statements is true regarding the Health Insurance Portability and Accountability Act(HIPAA) a. Provides a federal floor for healthcare policy b. Duplicates state laws c. Does not need to be followed if it is not feasible to do so d. Duplicates Joint Commission standards

a. Provides a federal floor for healthcare privacy

Removing health records of patients who have not been treated at the healthcare organization for a specific period of time from the storage area to allow space for more current records is called ______. a. Purging record b. Assembling records c. Logging records d. Cycling record

a. Purging records

Reviewing a health record for missing signatures and missing medical reports, and ensuring that all documents belong in the health record is an example of what type of analysis? a. Quantitative b. Qualitative c. Statistical d. Outcomes

a. Quantitative

Identify an example of information a. The number of patients discharged has increased 175% over the past year b. The RBC test results is 12.6 with the WBC test result is 11.6 c. The HIM employees worked 320 hours d. The HIM committee will meet to discuss the problem with the delinquent chart count

a. The number of patients discharged has increased 175% over the past year

A patient directs a covered entity to transmit PHI about the individual to a third party, this is ______. a. The right of access b. Subject to a valid HIPAA authorization form c. Subject to fees for non-patient requesters d. Limited to patient portal information only

a. The right of access

Critique the following statement: Patient care managers are individual users of health records. a. This is a true statement b. This is a false statement because they do not require patient information to do their job. c. This is a false statement because they require patient information to do their job d. This is a false statement because patient care managers are institutional users

a. This is a true statement

Critique this statement: According to HIPAA, workforce members include students. a. This is a true statement b. This is a false statement as students are not employees in the organization c. This is a false statement as workforce includes employees only d. This is a false statement as the workforce includes employees and physicians only

a. This is a true statement

Critique this statement: An RHIT must be at least 65 years old in order to qualify for emeritus membership. a. This is a true statement b. This is a false statement because the member must be at least 60 years old to qualify c. This is a false statement because the member must be at least 70 years old to qualify d. This is a false statement because the member must be at least 55 years old to qualify

a. This is a true statement

Hospital-owned group practices are considered ambulatory care organizations. a. True b. False

a. True

Long Term care patients are referred to as residents of the healthcare organization administering care. a. True b. False

a. True

Long term care is mainly rehabilitative and supportive rather than curative a. True b. False

a. True

Managed care organizations deliver medical care and manage all aspects of patient care by limiting providers of care, discounting payments to providers of care, or limiting access to care. a. True b. False

a. True

Nurse practitioners often receive advanced training at the masters level. a. True b. False

a. True

Occupational Therapists are concerned with a patient's activities of daily living a. True b. False

a. True

One group of patients that prefer treatment at urgent care centers are those whose insurance carriers treat urgent care centers preferentially when compared with physician offices. a. True b. False

a. True

One of the functions of the board of directors is to approve the organization and makeup of the clinical staff. a. True b. False

a. True

The Board of Directors can also be called the Board of Trustees a. True b. False

a. True

To qualify as a critical access hospital, one of the criteria is to location a rural area. a. True b. False

a. True

With the implementation of the Affordable Care Act, there are now penalties for employers ( excluding small employers) who do not offer affordable health coverage for their employees. a. True b. False

a. True

Which of the following is the exception to HIPAA's breach definition? a. Unintentional acquisitions made in good faith and withing the scope of authority b. Unintentional disclosures via facsimile machine c. Unintentional disclosures of paper records d. Unintentional disclosures to other healthcare providers

a. Unintentional disclosures made in good faith and within the scope of authority

Mary Jane accesses the health insurance policy numbers of patients for billing purposes. This activity best examples a. Use b. Disclosure c. Request for Information d. Ownership and control

a. Use

A law firm (A) is acting as a business associate of a hospital. The law firm contracts work out to a subcontracting law firm (B), which uses PHI of hospital patients that is obtained from law firm (A). Is law firm (B) a business associate? a. Yes, because it is a subcontractor of law firm (A) and it meets the business associate definition b. No, because a subcontractor of a business associate is not also a business associate. c. Yes, but only if law firm (B) signed a business associate agreement with the hospital d. Yes, but only if law firm (B) signed a business associate agreement with law firm (A)

a. Yes, because it is a subcontractor of law firm (A) and it meets the business associate definition

If a request for amendment was denied and the individual did not write a statement of disagreement _____. a. The request for amendment and denial need not accompany future disclosures b. Only the request for amendment must accompany future disclosures c. Only the denial must accompany future disclosures d. The request for amendment and denial must accompany future disclosures only if the individual request such action

a. d. The request for amendment and denial must accompany future disclosures only if the individual requests such action

Determine the sequence of health record numbers that is in terminal digit order. a. 12-56-46, 13-58-39, 14-45-87, 15-85-22 b. 12-56-36, 13-58-39, 14-75-87, 15-85-98 c. 04-43-21, 55-32-07, 03-65-32, 19-54-02 d. 33-56-45, 14-62-22, 17-77-01, 28-82-30

b. 12-56-36, 13-58-39, 14-75-87, 15-85-98

As of 2017, what percent of the US economy was represented by healthcare spending? a. 10.5 b. 17.9 c. 21.2 d. 26.8

b. 17.9

Patients in hospice care are expected to live a maximum of ___ days. a. 30 days b. 180 days c. 90 days d. 120 days

b. 180 days

Which is the ideal ratio of medical generalist to specialist? a. 20:80 b. 40:60 c. 60:40 d. 80:20

b. 40:60

Which of the following is true regarding responding to requests from individuals who wish to access their PHI? a. A cost-based fee may be charged for retrieval of the PHI b. A cost-based fee may be charged for making a copy of the PHI c. No fees of any type may be charged d. A minimal fee may be charged for retrieval and copying of PHI

b. A cost-based fee may be charged for making a copy of the PHI

Following an impermissible use or disclosure of PHI, a breach is presumed unless there is a low probability that the PHI has been compromised. This is this determined through ______. a. A walk-through of the incident b. A four-factor risk assessment c. Interviews with all the affected individuals d. A discussion with the individual whose PHI was used or disclosed

b. A four-factor risk assessment

Which of the following situations is considered a breach of PHI? a. A nurse sees record of a patient that she is not caring for b. A patient's attorney is sent records not requested by the patient c. A nurse starts to place PHI in a public area where a patient is standing and immediately picks it up d. An HIM employee keys in the wrong health record number but closes it out as soon as he realized the mistake

b. A patient's attorney is sent records not requested by the patient

Scholarships for students in HIM educational programs are awarded by ________. a. AHIMA Board of Directors b. AHIMA Foundation c. CCHIIM d. CAHIIM

b. AHIMA foundation

PHI loses its protected status ______. a. If health information is not identified by the person's name b. After an individual has been deceased more than 50 years c. When it is being used for research d. When it is in the hands of a business associate

b. After an individual has been deceased more than 50 years

Health Information Management departments are considered which of the following? a. Rehabilitation services b. Ancillary Support Services c. Administrative support services d. Clinical Support Services

b. Ancillary Support Services

Healthcare providers with a direct treatment relationship with an individual must provide the notice of privacy practices ______. a. Within the week preceding the first encounter b. By the first service delivery date c. Within 30 days following the first encounter d. As soon as reasonably practicable

b. By the first service delivery date

AHIMA's certifications are managed by ______. a. AHIMA's Board of Directors b. CCHIIM c. CAHIIM d. House of Delegates

b. CCHIIM

Under the HIPAA Privacy Rule, when an individual asks to see his or her own health information, a covered entity _______________. a. Must always provide access b. Can deny access to psychotherapy notes c. Can demand that the individual pay to see his or her record d. Can always deny access

b. Can deny access to psychotherapy notes

Critique the following statement: to determine the correct statement regarding certification a. The eligibility requirement for all credentials are the same b. Candidates must pass an examination before obtaining any of the credentials c. Candidates must be college graduates before they can obtain any of the credentials d. Candidates must have work experience and pass a certification exam before they can obtain any of the credentials

b. Candidates must pass an examination before obtaining any of the credentials

Which of the following is the formal process for conferring a health information management credential? a. Accreditation b. Certification c. Registration d. Standardization

b. Certification

The master patient index ______. a. Contains diagnosis and procedure information b. Contains basic demographic information about the patient c. Is used to organize the documentation d. Is used for alphabetical filing systems

b. Contains basic demographic information about the patient

Identify the tool that a healthcare organization utilizes to determine which physician has the best patient outcomes. a. Qualitative analysis b. Data mining c. Quantitative analysis d. Version control

b. Data mining

A health record with deficiencies that is not complete within the timeframe specified in the medical staff rules and regulations is called a(n) _____ record. a. Suspended b. Delinquent c. Pending d. Illegal

b. Delinquent

A member of the AHIMA Board of Directors is ______ a. Staff b. Elected c. Volunteer d. Committee member

b. Elected

Identify the true statement about a virtual HIM department _____.. a. Paper health records are utilized b. Employees can work from home c. A chart located is essential to the virtual HIM department d. Quality management is not performed

b. Employees can work from home

A valid authorization requires a(n) ______. a. Statement that a notice of privacy practice has been provided b. Expiration date or event c. Statement that patient understands their rights related to PHI d. Patient account number

b. Expiration date or event

Medicare will pay the Medicaid premiums, deductibles, and coinsurance costs for some low-income Medicaid beneficiaries. a. True b. False

b. False

Physical Therapists use work and play activities to improve patients' independent functioning, enhance their development, and prevent or decrease their level of disability. a. True b. False

b. False

Registered nurses are only formally educated at the bachelor's degree. a. True b. False

b. False

Rehabilitation hospitals are categorized as an acute care type of facility in treating patients. a. true b. False

b. False

The Social Security Act of 1935 had a healthcare component added by the Republican president, Franklin D. Roosevelt a. True b. False

b. False

Personal health record vendors that are neither covered entities or business associates are subject to breach notification regulations issued by the ______. a. Office for Civil Rights b. Federal Trade Commission c. Department of Health and Human Services d. Department of Homeland Security

b. Federal Trade Commission

Which of the following is a true statement regarding AHIMA Fellowship? a. AHIMA members have on and only one opportunity to apply for fellowship b. Fellowship is a lifetime recgonition c. Fellowship requires a minimum of a bachelor's degree d. Fellowship requires the reporting of continuing education units every two hours

b. Fellowship is a lifetime recognition

Identify the appropriate description of alphabetical filing a. File the record alphabetically by first name, followed by the middle initial, and then the last name b. File the record alphabetically by the last name, followed by the first name, and then the middle initial c. File the record alphabetically by the last name, followed by the middle initial and then the first name d. File the record alphabetically by last name only

b. File the record alphabetically by the last name, followed by the first name, and then the middle initial

Determine the appropriate form design principle a. Data fields should be clearly labeled b. Forms should have a title that identifies the purpose c. The healthcare organization's name and logo should be wherever is appropriate for the form d. Optical character readers' codes should be in the lower right-hand corner of the form

b. Forms should have a title that identifies the purpose

Dr. Smith dictated his report and then immediately edited it. Identify the type of speech recognition used. a. Back-end b. Front-end c. Physician d. Outsourced

b. Front-end

Which of the following situations requires the patient's authorization? a. Giving a patient a pen with the name of a pharmaceutical product on it b. Giving the name of an expectant mother to a baby formula manufacturer c. Giving a sample product to a patient to use for a diagnose condition d. Recommending acupuncture as an alternative treatment for a patient's condition

b. Giving the name of an expectant mother to a baby formula manufacturer

Under the HIPAA Privacy Rule, a covered entity includes a: a. Business associate b. Healthcare clearinghouse c. Physician office d. Document disposal compant

b. Healthcare clearinghouse

The accountability framework and decision rights to achieve enterprise information management is known as a. Credential b. Information governance c. Certification d. Registration

b. Information governance

Roger was admitted to the hospital through the emergency department, and he was unconscious until his second day of treatment. Identify the appropriate action for the hospital with regard to placing Roger's name in the facility directory. a. It was prohibited from including Roger in the directory b. It could include Roger in the directory if disclosure was consistent with his prior expressed preferences c. It could not include Roger in the directory even if it believed inclusion was in Roger's best interest d. If it decided to include Roger in the directory, it was not required to inform him or gain his permission once he regained consciousness

b. It could include Roger in the directory if the disclosure was consistent with his prior expressed preferences

Which of the following is the true statement about the notice of privacy practices? a. it gives the covered entity permission to use information for treatment purposes b. It must be provided to every individual at the first time of contact or service with the covered entity c. It must be provided to the individual by the covered entity within 10 days after receipt of treatment or service d. It serves the same purpose as the authorization

b. It must be provided to every individual at the first time of contact or service with the covered entity

What is the name of the type of beds in hospitals that are defined by those authorized by the state? a. Staffed b. Licensed c. Regulated d. Certified

b. Licensed

Identify the situation where an accounting of disclosures is required a. When PHI is disclosed to an individual about whom the information pertains b. Mandatory public health reporting c. Incidental disclosures d. Pursuant to authorization

b. Mandatory Public Health reporting

Identify the index that is key to locating a health record. a. Disease index b. Master patient index c. Operation index d. Physician index

b. Master patient index

According to HIPAA, once an individual signs a valid authorization for the release of information, the information ______. a. Can only be redisclosed for payment purposes b. May be subject to redisclosure and no longer protected by the privacy rule c. Will never be redisclosed unit the individual signs a new form to authorize redisclosure d. Can be redisclosed, but only to the individual's attorney

b. May be subject to redisclosed for payment purposes

This is a model of primary care physician practices that is patient-centered, comprehensive, team-based, coordinated, accessible, and focused on quality and safety a. Private Medical practices b. Medical Home c. Hospice d. Behavioral Health Homes

b. Medical Home

The medical staff operates according to a pre-determined set of policies called ___________. a. Policies and procedures b. Medical Staff bylaws c. Medical Staff Credentials d. Legal Guidelines

b. Medical Staff bylaws

Deficiencies in a health record include ______. a. Mistake in the patient's age b. Missing a document c. Contradictory content d. Illegible content

b. Missing a document

Which of the following is a disadvantage of straight numeric filing? a. Easy to train new personnel to file as employees are comfortable with numbers b. Most of the activity in the filing area is concentrated in one area c. Ease of creation d. No reliance on an index or authority file

b. Most of the activity in the filing area is concentrated in one area

Which of the following is the health profession that focuses on the eyes and related structures? a. Occupational Therapy b. Optometry c. Diagnostic Sonography d. Dietetics

b. Optometry

Which of the following is an example of unsecured PHI? a. Electronic PHI b. PHI that technology has not made unusable, unreadable, or indecipherable to an unauthorized person c. PHI on mobile devices d. PHI that is present on a stolen device such as a laptop or cellphone

b. PHI that technology has not made unusable, unreadable, or indecipherable to an unauthorized person

The health record typically begins in the ______. a. HIM department b. Patient registration department c. Nursing unit d. Billing department

b. Patient registration department

The acronym PHI stands for _____. a. Personal health information b. Protected health information c. Primary health information d. Past health information

b. Protected health information

The term used for health record moved to an inactive file area because they have not been at the healthcare organization for a predefined period of time is ______. a. Inactivated b. Purged c. Clearing d. Removal

b. Purged

The request from a clinical area to charge out a health records is known as a _____. a. Outguide folder b. Requisition c. MPI d. Patient registry

b. Requisition

This type of healthcare organization is more homelike and less institutional than in the past. a. Adult daycare programs b. Residential Care Facilities c. Hospice d. Behavioral Health Homes

b. Residential Care Facilities

Identify the component of AHIMA that carries out the operational tasks necessary to support the organization's mission and goals. a. Board of Directors b. Staff c. Volunteers d. House of Delegates

b. Staff

ABRA and HITECH granted which of the following the ability to bring civil actions in federal district court on behalf of residents believed to have been affected by a HIPAA violation? a. Federal prosecutors b. State Attorney General c. Federal Judges d. State prosecutors

b. State Attorney General

Which of the following statements is true? a. HIPAA preempts state law b. State law preempt HIPAA, if stricter c. A covered entity chooses which law to follow d. The facility needs to consult an attorney to find out what to do

b. State law preempts HIPAA, if stricter

Who is appointed by the President of the United States to provide leadership and science- based recommendations about the public's health? a. Chief Executive Officer of the Centers for Disease Control and Prevention b. Surgeon General of the United States c. Secretary of Health and Human Services d. President of the National Institutes of Health

b. Surgeon General of the United States

Consider the following sequence of numbers. What filing system is being used if the numbers represent the health record numbers of three records filed sequentially within the filing system? 36-45-99 37-45-99 38-45-99 a. Straight numerical b. Terminal digit c. Middle digit d. Unit

b. Terminal digit

Critique the following statement. Version control is not an issue in the EHR. a. This is a true statement b. There are issues related to versions of documents, such as there must be a flag to indicate a previous version c. There are issues related to versions of documents, such as each version should be visible to all users d. There are issues related to versions of documents which include the need to delete the old version when a new one is added.

b. There are issues related to versions of documents, such as there must be a flag to indicate a previous version

Which of the following is true about the AHIMA House of Delegates? a. They meet face to face on a monthly basis b. They meet virtually throughout the year c. The members are elected by the AHIMA Board of Directors d. They are assigned by the AHIMA Chief Executive Officer

b. They meet virtually throughout the year

Which of the following statements justifies the need for versioning? a. It ensures that all previous versions are deleted b. To ensure there is no confusion on the corrected document c. It ensures that only the physician has access to previous versions of a document d. To ensure that the user can decide which version to see

b. To ensure there is not confusion on the correct document

Identify the scenario where patient authorization is required prior to disclosure a. To an insurance company for payment b. To the patient's attorney c. To public health authorities as required by law d. To another provider for treatment

b. To the patient's attorney

State College is applying for accreditation of the new HIM program. How long do they have to complete their candidacy? a. One year b. Two years c. Four years d. Five years

b. Two years

Identify the most efficient filing system a. Serial numbering system b. Unit numbering system c. Serial unit numbering system d. Middle-digit filing system

b. Unit numbering system

The breach notification requirement applies to ______. a. All PHI b. Unsecured PHI only c. Electronic PHI only d. PHI on paper only

b. Unsecured PHI only

In order to qualify for an AHIMA fellowship, an individual must be a member of AHIMA for a minimum of ________ years a. 25 b. 5 c. 10 d. 20

c. 10

The first professional association for health information managers was established in what year? a. 1900 b. 1905 c. 1928 d. 1970

c. 1928

Identify when a covered entity can deny an individual's request to restrict the use or disclosure of his or her PHI. a. In all cases b. Never c. Except for disclosures to a health plan where the individual has paid for a service or item completely out of pocket d. Except for disclosures where the patient has requested the restriction in writing

c. Except for disclosures to a health plan where the individual has paid for a service or item completely out of pocket

Current medical practice emphasizes performing healthcare services in the least costly setting possible. Based on this statement, which of the following is correct? a. Increased utilization of emergency services b. Increased utilization of hospital admissions c. Increased utilization of nonemergency ambulatory facilities d. Decreased primary care services

c. Increased utilization of nonemergency ambulatory facilities

A new employee has been hired to link patient information such as patient name to a scanned document. This employee will be ______. a. Analyzing b. Versioning c. Indexing d. Assembling

c. Indexing

Which of the following statements regarding the notice of privacy practices is true? a. It gives the covered entity permission to use information for treatment purposes b. It gives the correct entity permission to use information for TPO purposes c. It must be provided to every individual at the first time of contact or service with the covered entity d. It must be provided to the individual by the covered entity within 30 days after receipt of treatment or service

c. It must be provided to every individual at the first time of contact or service with the covered entity

Using information, understanding, and experience that give individuals the power to make informed decisions is known as ______. a. Data b. Information c. Knowledge d. Analytics

c. Knowledge

Under the HIPAA Privacy Rule, an impermissible use or disclosure should be presumed to be a breach unless the covered entity or business associate demonstrates that the probability the PHI has been compromised is ______. a. High b. Moderate c. Low d. Non-existent

c. Low

Before moving to the EHR, we used a type of microfilm where the images are inserted into a sleeve. This is known as ______. a. Document image b. Microfilm roll c. Microfilm Jacket d. Microfiche

c. Microfilm jacket

Which of the following is a main goal in treating hospice patients? a. Cure the patient of their illness b. Relieve the family of providing care c. Minimize the stress and trauma of death d. Reduce the costs for the patient's family

c. Minimize the stress and trauma of death

In order for information to be individually identifiable, it ______. a. Must state the person's name b. Must state the person's name, birth date, and social security number c. Must at least provide a reasonable basis to believe a person could be identified d. Must be in the custody of a covered entity

c. Must at least provide a reasonable basis to believe a person could be identified

Identify the tool usually used to track paper-based health records that have been removed from their permanent storage locations. a. Deficiency slips b. Master patient index c. Outguides d. Requisition slip

c. Outguides

The American Recovery and Reinvestment Act expanded the definition of business associates to include ______. a. Consultants b. Billing companies c. Patient Safety Organizations d. Transcription companies

c. Patient Safety Organizations

The unique identifier that identifies a specific patient visit is known as ______. a. Health record number b. Serial-unit number c. Patient accounting number d. Unit numbering

c. Patient accounting number

Identify a covered entity under the HIPAA Privacy rule a. Attorney b. A court that publicly posts medical information contained in court filings c. Pharmacy d. Newspaper that publishes births at an area hospital

c. Pharmacy

Two types of practitioners can hold the degree of Doctor of Medicine. They are______. a. Chiropractor and Surgeon b. Physician and Podiatrist c. Physician and Surgeon d. Physician and Osteopath

c. Physician and Surgeon

To be recognized as a profession, which of the following does HIM require? a. Certification b. Registration c. Preliminary training d. Accreditation

c. Preliminary Training

Which of the following federal laws created Medicare and Medicaid? a. Social Security Act of 1935 b. Public Law 92-603 of 1972 c. Public Law 89-97 of 1965 d. Tax Equity and Fiscal Responsibility Act of 1982

c. Public Law 89-97 of 1965

Healthcare operations include ______. a. Fundraising b. Marketing c. Quality Improvement Activities d. Sale of Information

c. Quality Improvement Activities

The numbering system that assigns one health record number per visit is ______. a. Unit b. Serial-unit c. Serial d. Alphabetic

c. Serial

The healthcare organization assigned the same patient three different health record numbers but the content is filed under the most recent health record number. This is known as ______. a. Unit b. Serial c. Serial-unit number d. Alphabetic

c. Serial-unit number

Public law 89-97 of 1965 created a number of amendments to which act? a. Affordable Care Act b. Health Insurance Portability and Accountability Act c. Social Security Act d. Medicare and Medicaid

c. Social Security Act

The two components of AHIMA's management structure are which of the following? a. Staff and team b. Team and committee c. Staff and Volunteer d. Volunteer and Council

c. Staff and Volunteer

Which of the following is a secondary purpose of the health record? a. Support for provider reimbursement b. Support for patient self-management activities c. Support for research d. Support for patient care delivery

c. Support for research

Identify the true statement about a CE's patient directory a. A written authorization from the patient is required before any information about the patient is placed in a facility directory b. Only the patient's name may be placed in a facility directory c. The covered entity must inform the individual of the information to be included in the facility directory d. Because this is considered a normal hospital operation, an individual may not prohibit his or her inclusion in the directory

c. The covered entity must inform the individual of the information to be included in the facility directory

An addendum to the health record should be dated _____. a. The day that the error was identified b. The day the care provided occurred c. The day the addendum was created d. The day the patient was discharged

c. The day the addendum was created

Identify an appropriate standard for forms design a. An appropriate field type such as radio buttons should be selected b. The number of clicks to access data should be considered c. The form should include the original and revised dates d. The information system should check to ensure the entry is valid

c. The form should include the original revised dates

Which of the following is the true statement about HIPAA's implementation? a. It replaced another federal law that uniformly protected health information b. It supplemented another federal law the uniformly protected health information related to oncology cases c. There was no federal law that uniformly protected health information d. It replaced all state laws that provided health information protection

c. There was no federal law the uniformly protected health information

Critique the following statement: Data and information mean the same thing a. This is a true statement b. This is a false statement because data is used for administrative purposes and information is used for clinical purposes. c. This is a false statement because data is raw facts and figures and information is data converted into a meaningful format d. This is a true statement because information is raw facts and figures and data is information converted into a meaningful format

c. This is a false statement because data is raw facts and figures and information is data converted into a meaningful format

Identify the filing system where an individual receives a unique numerical identifier at the time of first encounter with a healthcare organization and maintains that identifier for all subsequent encounters. a. Alphabetic filing system b. Serial numbering system c. Unit numbering system d. Serial unit numbering system

c. Unit numbering system

Identify the situation where a covered entity provides an appeal process for denial to requests from individual to see their own health information a. When access to psychotherapy notes is requested b. When the covered entity is a correctional institution c. When a licensed healthcare professional has determined that access to PHI would likely endanger the life or safety of the individual d. When the covered entity has acted under the direction of a correctional institution

c. When a licensed healthcare professional has determined that access to PHI would likely endanger the life or safety of the individual

Dr. Smith wants to use a lot of free text in his EHR. What should be your response? a. Good idea, Dr. Smith. This allows you to customize the documentation for each patient b. Dr. Smith, we recommend that you do not use any free text in the EHR c. Dr. Smith, we recommend that you should use free text only in your more complex cases d. Dr. Smith, we recommend that you use little, if any, free text in the EHR

d. Dr. Smith, we recommend that you use little, if any, free text in the EHR

Which of the following is a secondary purpose of the health record? a. Document patient care delivery b. Assist Caregivers in patient care management c. Aid in billing and reimbursement functions d. Educate medical students

d. Educate medical students

_____ provide the patient to right to agree or object a. Disclosures for public health purposes b. Disclosures to health oversight agencies c. Disclosures regarding decedents d. Facility directory disclosures

d. Facility directory disclosures

Sustained professional achievement is required by which of the following? a. Certification b. Accreditation c. Engage d. Fellowship

d. Fellowship

The physician can type anything in the comments field. This type of data is known as ______. a. Quality b. Natural language processing c. Reconciliation d. Free-text

d. Free-text

______ is an institutional user of the health record. a. Patient care provider b. Third-party payer c. Coding and billing staff d Government policy maker

d. Government policy maker

Identify the professional organization that focuses on information and technology a. AHIMA b. NCRA c. AAPC d. HIMSS

d. HIMSS

Which of the following professionals is not mentioned in this text as requiring licensing by all 50 states? a. Physical Therapy b. Occupational Therapy c. Respiratory Therapy d. Health Information Management

d. Health Information Management

______ are subject to the HIPAA privacy rule a. Only paper records b. Only electronic records c. Both paper and electronic records d. Health records in any format

d. Health records in any format

Which of the following is the fastest-growing sector to offer services for medicare recipients? a. Urgent Care b. Long Term Care c. Hospice d. Home Health

d. Home Health

A healthcare facility uses _______ to manage information needed to meet the needs of the organization. a. Informatics b. Data analytics c. Data use d. Information Governance

d. Information Governance

Identify the true statement about a business associate agreement. a. It allows the business associate to use or disclose PHI for any purpose b. It allows the business associate to maintain PHI indefinitely after termination of the contract c. It allows the business associate to use or disclose PHI in limited ways d. It requires the business associate to make available records relating to PHI use and disclosure to the HHS

d. It requires the business associate to make available records relating to PHI use and disclosure to the HHS

Which of the following is a public interest and benefit exception to the authorization requirement? a. Treatment, payment, and operations b. Facility directory c. Notification of relatives and friends d. Judicial and administrative proceedings

d. Judicial and administrative proceedings

Which of the following is considered an allied health professional? a. Physicians b. Physician assistants c. Registered nurses d. Licensed practical nurses

d. Licensed practical nurses

The key to the identification and location of a patient's health record is the a. Disease index b. Outguide c. Deficiency slip d. MPI

d. MPI

Identify the software that is used for voice recognition a. Data mining b. Voice mail c. Electronic health record d. Natural language processing

d. Natural language processing

An employee of Mercy Hospital's billing department used the financial information of 100 patients to purchase jewelry from online commercial sites. This is ______. a. Medical identity theft because the financial information was obtained from hospital records b. Not medical identity theft because only 100 patient records were compromised c. Medical identity theft because patient information was used to purchase jewelry d. Not medical identity theft because non-medical good were purchased, with financial consequences only

d. Non medical identity theft because non-medical good were purchased, with financial consequences only

A court posted medical records online of an individual involved in a custody battle. This posting is ______. a. A HIPAA violation if it identified the individual b. Not a HIPAA violation as long as the information is de-identified c. A HIPAA violation, even if the information was de-identified d. Not a HIPAA violation because a court is not a covered entity or business associate of a covered entity

d. Not a HIPAA violation because a court is not a covered entity or business associate of a covered entity

Prior to hospital standardization, health records were: a. Valuable tools b. Strong communication methods c. Compete documentation of patient care d. Not managed

d. Not managed

Our transcription is performed by a company outside of our organization. This is known as ______. a. Analyzing b. Dictating c. Consulting d. Outsourcing

d. Outsourcing

One of the HIPAA individual rights, the right of access, is limited to _____. a. PHI created in the previous five years b. Psychotherapy notes c. PHI complied in reasonable anticipation of a civil proceeding d. PHI within the designated record set

d. PHI within the designated record set

The HIM Director asked the employee to ensure that all patients seen today have a health record. This process is known as ______. a. Overlap b. Delinquent chat c. Abstracting d. Reconciliation

d. Reconciliation

Which of the following disclosures are mandatory per state law, even without patient authorization a. Reporting patients who have been hospitalized greater than seven days b. Reporting patients who received radiologic procedures c. Patients who are greater than 18 years of age d. Reporting vital statisitcs

d. Reporting vital statistics

Critique the following statement: Once someone has earned the registered health information technician (RHIT) credential, it is a lifetime certification. a. This is a true statement b. This is incorrect as it is valid only until you retire c. This is incorrect as RHITs must retake the exam every 10 years. d. This is incorrect as RHITs must become recertified

d. This is incorrect as RHITs must become recertified.

Identify a traditional HIM role. a. Managing Interoperability Standards b. Data manipulation c. Information governance d. Tracking Record Completion

d. Tracking Record Completion

What is the name of the process to determine whether medical care provided to a specific patient is necessary according to preestablished objective screening criteria at time frames specified. a. Case management b. Continuum of care c. Quality Improvement d. Utilization Review

d. Utilization Review

Which of the following is a situation where the patient has an opportunity to agree or object? a. When reporting the birth of the patient's baby b. When an elderly person has been abused c. When a court order is received d. Whether the patient should be in the facility directory

d. Whether the patient should be in the facility directory

Identify the individual whose medical information is no longer protected by the HIPAA privacy rule a. Carrie, who has been decease 10 years b. Ray who has been decease 25 years c. Charles who has been deceased 50 years d. Roxanne, who has been decease 75 years. e. Both Charles and Roxanne

e. Both Charles and Roxanne


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