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Which is an example of a valid reason for restricting access to a patient's medical record?


A) Access to information in the patient record is never restricted, regardless of reason.
B) Information revealed during litigation would adversely impact a person's marriage.
C) Patient information obtained via court order would reveal criminal behavior.
D) Releasing information might have a detrimental effect on the patient's mental health.

E) All of the above
F) A) and D)

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Which is a direct identifier that must be removed from research subjects' records in order to comply with the use of a limited data set?


A) Account number
B) Age
C) Gender
D) Race

E) A) and B)
F) A) and C)

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With regards to the method of disclosure, the law requires that it be made by:


A) Any method consistent with professional guidelines and institutional practices.
B) Electronic transmission that includes the application of encryption software.
C) Mail or other shipping method that verifies the receipt of the patient records.
D) Portable media such as CD-ROM, DVD, portable hard drive, or thumb drive.

E) None of the above
F) B) and C)

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A personal health record is a collection of the patient's important health information " that can be drawn from multiple sources and that is managed, shared, and controlled by or primarily for the individual."

A) True
B) False

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A redisclosure notice _____.


A) Allows information released by a facility to be submitted to RHIO agencies.
B) Is optional when the patient information pertains to drug and alcohol abuse treatment.
C) Protects information from the patient record from being shared with a third party.
D) Prohibits information from being only for the stated purpose included on ROI form.

E) C) and D)
F) B) and C)

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In the modern view of ownership of health information, the health care provider owns the medium in which the patient health information is created and stored, and the patient possesses right of access.

A) True
B) False

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Which is an advantage of housing health care records in a central repository?


A) Control of health care records is granted directly to patients.
B) Fragmentation of medical data is increased (instead of eliminated) .
C) Privacy violations result in the enforcement of penalties to guilty parties.
D) Third-party payers can access health care records without patient notification.

E) B) and D)
F) A) and B)

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HIPAA provides for two exceptions in which approval for research does not require full IRB review. They include _____.


A) Identified information and waiver or authorization
B) Limited data set and de-identified information
C) Minimum data set and UHDDS information
D) Research that meets criteria for emergency review

E) All of the above
F) A) and D)

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A release of information (ROI) authorization signed and dated by the patient is considered invalid when it _____.


A) Contains information that may implicate the provider in negligence
B) Includes medical information about unnamed family members
C) Lacks a specific description of the information requested
D) Meets the facility's ROI policy as well as HIPAA requirements

E) None of the above
F) All of the above

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When determining which entity's federal or state law concerning the control of health information control is preemptive, the health information manager must understand that the _____.


A) Federal or state law that is more stringent is followed
B) HIPAA privacy rules always preempts state and local laws
C) Language in federal laws preempts state and local laws
D) State mandates result from mandates determined to be federal

E) A) and B)
F) All of the above

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The HIPAA Privacy Rule _____.


A) Authorizes the publication of protected health information (PHI) by having subjects sign informed consents, even when a subject voluntarily participates in research
B) Mandates that HIPAA regulations apply to whatever extent protected health information (PHI) may be used during research, including publication of results
C) Requires that an IRB review to etermine whether PHI can be used as the researcher suggests in his protocol or whether a waiver of authorization is warranted
D) States that maintaining the confidentiality of protected health information is not an issue during research because all publications include the results of blinded data only

E) A) and B)
F) A) and C)

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Which is an agreement constructed to authorize a business associate's access to protected health information (PHI) under the HIPAA Privacy Rule?


A) Description of the permitted uses of released patient information.
B) Government agencies that will be impacted by release of PHI.
C) Methods for notifying the provider whenever the information is accessed.
D) Name of primary business associate who will view the patient record.

E) A) and B)
F) All of the above

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Which is a method used by the health information manager to protect patient information from identity theft?


A) Performing background checks on anyone requesting information.
B) Permitting access by representatives of physician offices only.
C) Redacting portions of credit card and social security numbers.
D) Restricting password access to all hospital staff members.

E) B) and C)
F) A) and D)

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An emancipated minor is one who is _____.


A) Actively serving in the US armed forces
B) Engaged to be married
C) Not living with his or her parents
D) Quitting high school

E) A) and B)
F) A) and D)

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According to HIPAA, the _____ has the right to access patient information in the complete medical record.


A) government
B) patient
C) payer
D) transferring facility

E) A) and C)
F) A) and D)

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Lacking a core element and an authorization not being filled out completely are both common defects of an invalid release of information form.

A) True
B) False

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Health care information is owned by the _____.


A) facility
B) government agency
C) patient
D) treating physician

E) None of the above
F) B) and C)

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HIPAA regulations establish a "floor" of patient rights, which means _____.


A) Facilities of multi-state hospital systems abide by state laws granting the least access
B) Multi-state hospital systems are bound by the federal HIPAA requirements only
C) States may enact legislation that provides for additional patient access to records
D) States must restrict patient access to records according to minimum HIPAA

E) B) and C)
F) A) and D)

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An authorization for use or disclosure of patient-specific health information that has been combined with any other document is called a(n) _____ authorization.


A) Admissibility
B) Beneficence
C) Certiorari
D) Compound

E) All of the above
F) B) and C)

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The role of an Institutional Review Board involves:


A) Approving an informed consent that accurately describes the risks and benefits to the subject associated with any research to be conducted.
B) Developing means and methods of obtaining financial resources that positively impact research, even if adversely impacting subjects.
C) Maintaining the confidentiality of all of the subjects is optional when the results of research benefit society as a whole.
D) Reviewing the research protocols to be sure that they comply with federal regulations only, regardless of the facility's location.

E) A) and B)
F) C) and D)

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