Deck 11: Specialized Patient Records: Part A

Question 1

Which release of information method requires compliance with HIPAA regulations?

A)court orders
B)medical emergencies
C)research activities
D)written patient authorization

Answer 1

written patient authorization

Question 2

Individuals admitted for alcohol or drug abuse treatment are provided with a(n) _____ that includes federal confidentiality requirements.

A)advance directive
B)DNR order
C)patient notice
D)TPO operations

Answer 2

patient notice

Question 3

Breaches of drug and alcohol patient confidentiality are reported to the:

A)Centers for Medicare and Medicaid Services (CMS).
B)Food and Drug Administration (FDA) if a narcotic is involved.
C)State department of health in which the breaches occurred.
D)US attorney for the district in which the infraction occurred.

Answer 3

US attorney for the district in which the infraction occurred.

Question 4

A third-party payer that contacts the health information department of a drug or alcohol abuse facility or program to confirm the patient's presence in the facility or program will be told:

A)address upon admission only
B)date of admission only
C)nothing unless the patient consents
D)to contact the patient's family

Question 5

The Genetic Information Nondiscrimination Act (GINA) was passed at the federal level in _____ to strengthen HIPAA privacy rule safeguards and state laws.

A)1983
B)1996
C)2003
D)2008

Question 6

The size of specialized patient records is greater, especially with regard to _____.

A)discharge summaries
B)histories and physicals
C)operative reports
D)progress notes

Question 7

More stringent privacy restrictions for mental health (psychiatric) records are mandated by _____ laws.

A)federal
B)Medicare CoP
C)HIPAA
D)state

Question 8

Facilities that house specialized patient records generally require _____ confidentiality requirements as compared with acute care settings.

A)equal
B)less
C)stricter
D)the same

Question 9

Which is an example of additional requirements for record content associated with mental health and developmental disability care?

A)Documentation requirements concerning sedation.
B)Legal events such as commitment orders.
C)Presence of disorders such as onychosis.
D)Self-pay inpatient and outpatient stays.

Question 10

Which has the power to establish federal laws and regulations for the Drug Abuse Prevention, Treatment and Rehabilitation Act and the Comprehensive Alcohol and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970?

A)CDC Director
B)CMS Administrator
C)HHS Secretary
D)Inspector General

Question 11

If a drug or alcohol abuse patient is being treated for trauma that is not related to the abuse, the patient is not typically located in the _____ area of the health care facility.

A)drug or alcohol treatment
B)emergency department
C)intensive care unit
D)nursing station

Question 12

The Human Genome Project was funded by the U.S.Congress as a joint effort of the U.S.Department of Energy and the _____.

A)Centers for Disease Control and Prevention (CDC)
B)Centers for Medicare and Medicaid Services (CMS)
C)National Institutes of Health (NIH)
D)Veterans Health Administration (VHA)

Question 13

Accreditation standards and professional guidelines _____.

A)are used to establish mandates of care
B)do not have the same force as statutes
C)might be less specific than Medicare CoP
D)were developed by departments of health

Question 14

Federal laws that address the release of drug and alcohol abuse records apply to:

A)all programs and facilities in the United States.
B)just those programs that receive Medicaid funding.
C)only the programs that receive Medicare funding.
D)programs that receive federal assistance.

Question 15

Audit activities performed by qualified organizations and individuals do not require written patient authorization when access is provided to:

A)a research scientist who writes an article that includes case studies about a limited number of patients with a rare disease, all of whom live in the same town.
B)individuals who are professionally qualified to conduct research studies but who have not yet been determined as qualified by the treatment program director.
C)members of the staff at federal, state, and local governmental agencies.
D)persons who work for quality information organizations (QIOs), third-party payers, or private organizations that provide financial assistance.

Question 16

The individuals authorized to document entries in specialized patient records include _____.

A)health information technicians
B)licensed health care professionals
C)medical assistants
D)unit clerks

Question 17

Which has the potential for misuse of information obtained from genetic testing?

A)Child custody battles would not involve a parent's predisposition for a future genetic disease.
B)Employment status is not affected if employers make incorrect and damaging conclusions based on genetic information received.
C)Insurance companies might deny or cancel coverage based upon genetic information received about a patient.
D)Patients might be monitored more extensively by health care providers if it is discovered they have genetic predisposition to develop a certain disease.

Question 18

Individual clinicians or therapists who treat mental health patients in their office maintain a(n) _____ record, as required by law.

A)official
B)patient
C)personal
D)unofficial

Question 19

Metropolitan General Hospital has an alcohol abuse inpatient treatment program.A patient's next of kin calls the health information department to confirm inpatient admission to the hospital.

A)A request for such information, even when being asked by the next of kin, is never disclosed without the patient's consent or court order/subpoena.
B)Doctors responsible for providing treatment to the inpatient would be contacted to ask if it was acceptable to release the patient's inpatient status.
C)It is acceptable to indicate that the patient is an inpatient when a facility is not publicly identified by name as an alcohol or drug abuse treatment facility.
D)The health information department employee could confirm the inpatient admission if the location of the patient in the hospital is also disclosed.

Question 20

Which legislation requires that the Secretary of Health and Human Services (or his staff) review psychotherapy notes to determine if additional information should be kept in them?

A)ARRA
B)GINA
C)HIPAA
D)PSDA

Question 21

The majority of HIV testing is performed on a voluntary basis due to the _____.

A)ethical concept of autonomy and individual self-determination
B)handicap discrimination law, which classifies HIV and AIDS as a handicap.
C)mandatory enforcement of court-ordered testing to protect the public good.
D)provision that anonymous testing is allowed by all of the states.