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Exam 3 - Ch. 7-9
HIT Law and Ethics
| Question | Answer |
|---|---|
| Who can obtain medical records from the facility that owns them? | All of these The patient The patient's spouse with the proper signed release (with the signature checked against what you have on file) The parent of a minor |
| Which of the following statements are true? | If you have a signed release form, you can give the medical records requested for a certain date. |
| The information in the medical record belongs to the _____________, but the actual physical record belongs to the __________. | Patient, hospital or facility where it originated |
| The release of medical records: | All of these are correct. may require a signed records release authorization. could be impacted under the doctrine of professional discretion. is a patient right under HIPAA. |
| Which of the following is not an expected benefit of electronic health records? | Electronic records are disaster-proof |
| According to the Pew Research Center what age group uses social media the most? | People 18-29 years old |
| What information is shared by health care professionals on websites? | All of the information may be on their website |
| A physician has a private practice employing a physician assistant, a nurse, and a medical assistant. The physician also has hospital privileges at a nearby facility. Who owns the medical records generated by him and the staff at the practice? | The physician. |
| A remote consultation with physicians or other health care professionals is called | telemedicine. |
| A hospital maintains medical records on all patients treated in the hospital. Who owns the information in the hospital records? | The patient |
| The 21st Century Cures Act (Cures Act) is designed to | accelerate medical product development. |
| A medical clinic does preemployment physicals for a local employer. The employer pays for the physical exams. Who is the owner of the medical record in this case? | The medical clinic. |
| Which of the following describes the proper protocol for the release of medical records? | When medical records are subpoenaed, the patient should be notified in writing. |
| The doctrine of professional discretion pertains to medical record keeping. Which of the following describes this doctrine in more detail? | It is up to the discretion of the physician whether or not to allow all patients access to their medical records. |
| Which of the following is not a purpose of social media? | All of these are purposes of social media. Awareness of causes or personal health crises. Capture patient satisfaction and feedback. Emotional support for patients with similar illnesses. |
| The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was created to | change the way Medicare rewards clinicians for value over volume. |
| Facebook, Twitter, and blogs are examples of Multiple Choice | social media. |
| An addendum to an electronic health record (EHR) is a | significant change or addition to the EHR. |
| In which of the following examples would patient authorization for release of his or her medical record be waived? | When a subpoena duces tecum is issued. |
| Medical records are | legal documents. |
| A patient portal is | online access to a variety of health care services and communications with providers. |
| Allison is required to have a physical before starting her job as a nurse. Her employer pays for the physical. The employer should | keep the physical exam records in a separate file from general personnel records. |
| The law that mandated electronic health records and provides the rules for patient access to their records is | HIPAA. |
| A subpoena duces tecum is issued for medical records of a patient who is suing the physician for malpractice. Which of the following is a guideline for sending this information? | Offer sworn testimony regarding the record if instructed to do so by the court. |
| A plastic surgeon routinely photographs patients to document care. Which of the following accurately describes information that should be included on the consent form for this type of photography? | The patient understands that authorization must be given to release photos outside the facility. |
| Medical records should be kept until the applicable statute of limitations period has elapsed. What is the usual time frame for this period? | 2-7 years |
| The person in charge of medical records for a physician's office is preparing to release medical records requested by an insurance company. Which of the following is a recommended guideline for this procedure? | Include the patient's name, address, and date of birth on the authorization. |
| To correct an error discovered after the patient's written copy of his or her medical records has been recorded, a medical assistant should | draw a line through the mistake, make and label it as a correction, initial and date it. |
| Which of the following information is the federal statute known as the Confidentiality of Alcohol and Drug Abuse Patient Records designed to protect? | Patient treatment. |
| Which of the following organizations is a major user of forms of telemedicine? | Veterans Affairs |
| The five Cs are used to describe the attributes of entries into patients' medical records. Which of the following is not one of the five Cs? | Clean |
| Which of the following observations should not be included in a patient's medical record? | Notes regarding patient's participation in a rally. |
| A risk analysis under the Security Rule is completed by | The health care organization |
| If more than _____ records are compromised as a result of a hacker, the incident must be reported to the media. | 500 |
| When a _____ of patients’ records is discovered, the health care organization must notify affected individuals and the Health and Human Services (HHS) agency and possibly the media. | Breach |
| What is a Covered Entity? | All of these Insurance company Rehabilitation facility Hospital |
| Which of the following organizations has the authority to administer the Security Rule of HIPAA? | Health and Human Services Office of Civil Rights |
| When you violate privacy information regarding a patient, the following could happen: | You could lose your job. |
| Providers and their business associates are required to put in place policies and procedures that ensure privacy of the health record under which HIPAA standard? | Standard 2 |
| The physician in this case is also paying a nursing home administrator to refer patients to his practice. What law is he violating? Which U.S. constitutional amendment pertains to health care privacy? | Federal Anti-Kickback Law |
| What legal principle might protect and possibly reward Marie if she reports the fraud? | Qui Tam |
| How many HIPAA-defined permissions exist? | Six |
| A permission is defined as | a reason under HIPAA for disclosing patient information. |
| Under the Federal False Claims Act, a citizen may | file a claim on behalf of the federal government for false claims made for payment of health services. |
| While privacy is not directly expressed in the amendments to the Constitution, which of the following is one of the amendments that the U.S. Supreme Court has used to cover privacy issues? | Third |
| As of February 2019, the single largest individual HIPAA settlement was | $16 million. |
| Which HIPAA standard requires providers to protect electronically transmitted and otherwise stored personal health information? | Standard 3 |
| Which of the following statements is true about HIPAA Standard 2? | Protected Health Information (PHI) is any written, spoken or electronic form. |
| Which of the following are considered covered entities? | All of these Insurance companies Hospitals Rehabilitation facilities |
| Which federal law made substantive changes to HIPAA? | HITECH Act |
| The Health Information Technology for Economic and Clinical Health Act (HITECH) was part of what other law? | American Recovery and Reinvestment Act |
| Which HIPAA standard requires that all providers secure a unique provider identity number? | Standard 4 |
| Which of the following is not a violation of patient confidentiality? | An office clerk calls a patient by name at the checkout desk. |
| Which of the following is an example of a privileged communication? | A patient tells her physician that she uses illegal drugs. |
| The Security Rule requires Covered Entities to | all of these identify and protect against threats to security or integrity of records ensure confidentiality and availability of all records they create protect against reasonable anticipated impermissible uses or disclosures, and compliance by staff |
| Any breach of over 500 records requires the Covered Entity to | notify all the media. |
| A breach under HIPAA | disclosure of personal health information. |
| The first federal law to specifically deal with the privacy of health care records was | Health Insurance Portability and Accountability Act. |
| Which HIPAA standard requires providers and their business associates to put in place policies and procedures that ensure privacy of the health record? | Standard 2 |
| An orthopedic surgeon refers his patients to a radiology facility owned by his brother. What law is potentially being violated? | Stark Law |
| In a physician's office, a sign-in sheet is permissible to use as long as | you do not ask for the reason for the visit. |
| Which of the following isn't reported to a state agency? | Pregnancy |
| All public health statutes have the following in common but one. Which one is not a part of that group? | Having states pay for childhood vaccinations. |
| In all states, physicians must report to law enforcement officials medical treatment of patients whose injuries resulted from certain acts of violence. Which of these is not an example of this? | Fall at home |
| Under public health law, what diseases and conditions are generally reported to public health departments? | All of these answers are correct Diseases that may have mandated reporting if a higher than normal incidence occurs Infectious diseases and sexually transmitted diseases or infections Diseases that could threaten the well-being of the population |
| What information must vaccine administrators document in a patient's medical record? | The date the vaccine was administered, the vaccine manufacturer, and the vaccine lot number are just a few things that need to be put in the patient's medical record. |
| What are some examples of the authority states have to enforce public health laws? | All of these answers are correct. Require investigations be conducted during infectious disease outbreaks. Involuntarily detain (quarantine) individuals who have certain infectious diseases. Make childhood vaccinations a condition for school entry. |
| Certain sexually transmitted infections (STIs) must be reported whenever diagnosed. Which of the following is not a reportable STI? | Cervical cancer |
| Samantha has heard yelling and screaming coming from Ruth's house and has not seen Ruth in several weeks. When she goes over to visit Ruth, Joseph answers the door and will not let Samantha in the house. What should Samantha consider as a first step? | Report the problem to the elder abuse hotline. |
| Which of the following is not required on a death certificate? | Decedent's complete medical history |
| Which of the following individuals with a sexually transmitted disease would be required by all states to tell a sexual partner of this disease? | A person with HIV. |
| Which of the following is an example of a Schedule V drug? | Lyrica |
| Regulations mandated by the Controlled Substances Act require physicians who purchase, prescribe, dispense, administer, or in any way handle controlled drugs to follow certain procedures. Which of the following describes one of these procedures? | The physician must keep records concerning the administering or dispensing of a controlled drug on file for two years. |
| Which agency tests and approves prescription drugs before releasing them for public use? | Food and Drug Administration |
| A person dies as a result of a carjacking. Who is responsible for signing the death certificate for this individual? | The coroner |
| The states and the federal government collect vital statistics in the United States that include births, deaths, marriages, divorces, and changes in civil status. What is the main purpose for collection of this information? | To assess population trends and needs. |
| What is the main reason for health care practitioners to report sexually transmitted infections (STIs) to the state health department? | To treat others who may be infected |
| Who is responsible for gathering and filing many of the vital statistics collected by the states and the federal government? | Health care practitioners |
| Examples of public data collected by law from physicians include | births, deaths, rapes, and assaults. |
| The state of Virginia checks all restaurants to make sure the conditions are sanitary. This is an example of which of the following? | Public health statutes |
| Marijuana is listed as a __________ drug. | Schedule I |
| Which of the following is an example of federalism? | A state retains police powers not expressively granted to the federal government. |
| Which of the following victims was the Laci and Conner's Act passed to protect? | Fetuses |
| Which of the following is an example of a state law that requires behavioral changes on the part of the public? | Promoting the use of child safety seats. |
| A division of medicine that incorporates law and medicine and involves medical issues or medical proof at trials having to do with malpractice, crimes, or accidents is called | forensic medicine. |
| Which of the following examples of public health statutes are enforced by citations for noncompliance? | Smoking bans |
| A physician prescribes Oxycodone for a patient who is experiencing severe back pain. Oxycodone is an example of what schedule of drug? | Schedule II |
| The power of the states to initiate public health statutes is inferred from which amendment to the U.S. Constitution? | Tenth Amendment |
| Which of the following agencies registers physicians for the writing of prescriptions of controlled substances? | Drug Enforcement Administration |
| Generally, birth and death certificates are not required for fetal deaths occurring prior to what week of gestation? | Week 20 |
| Which of the following is not a purpose of public health functions? | Requiring physicians to take public health courses. |
| A physician issues a medical prescription for a patient. The correct term for this practice is | prescribe. |
Created by:
shulukong
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