AHIMA Health Records Management 2

Question 1

Which federal regulation establishes the minimum necessary standard for sharing protected health information (PHI)?

Accepted Answer

HIPAA Privacy Rule

Answer

HITECH Act

Answer

CMS Conditions of Participation

Answer

Joint Commission Standards

Question 2

A patient requests amendment of their medical record because they believe a diagnosis is incorrect. Under HIPAA, the covered entity may deny the request if:

Accepted Answer

The information was not created by the covered entity

Answer

The record was created more than 6 months ago

Answer

The provider who created the record is no longer employed there

Answer

The patient has previously requested an amendment

Question 3

Which retention schedule should a hospital apply when state law requires records to be kept 7 years but HIPAA mandates 6 years?

Accepted Answer

Follow the state law's 7-year requirement

Answer

Follow HIPAA's 6-year requirement as the federal standard

Answer

Use whichever is shorter to reduce storage costs

Answer

Consult the Joint Commission for a ruling

Question 4

What is the primary purpose of a deficiency analysis in health information management?

Accepted Answer

To track incomplete or missing documentation in medical records

Answer

To identify billing errors before claim submission

Answer

To evaluate physician credentialing compliance

Answer

To audit coding accuracy for DRG assignment

Question 5

Which document grants a specific individual the legal authority to make healthcare decisions for an incapacitated patient?

Accepted Answer

Durable power of attorney for healthcare

Answer

Living will

Answer

Do-not-resuscitate order

Answer

Advance beneficiary notice

Question 6

An HIM professional discovers that a physician has been signing blank medical record forms to be completed later by residents. This practice is:

Accepted Answer

A violation of medical record integrity standards

Answer

Acceptable if the physician countersigns within 24 hours

Answer

Permitted under Joint Commission safe harbor provisions

Answer

Required when residents lack independent credentials

Question 7

The legal health record (LHR) differs from the designated record set (DRS) in that the LHR:

Accepted Answer

Is defined by the organization for business and legal purposes

Answer

Includes administrative financial data used for payment decisions

Answer

Must encompass all data used to make patient care decisions

Answer

Is determined solely by HIPAA regulations