AHIMA Health Records Management 5

Question 1

When a hospital merges with another facility, which HIM function is critical to prevent duplicate medical record numbers from causing patient safety issues?

Accepted Answer

Master Patient Index (MPI) reconciliation

Answer

Chart deficiency analysis

Answer

Release of information audit

Answer

Coding compliance review

Question 2

Which standard requires that every entry in a medical record be dated, timed, and authenticated?

Accepted Answer

The Joint Commission Medical Record Standards

Answer

ONC Health IT Certification

Answer

CMS Meaningful Use Core Measures

Answer

HIPAA Security Rule Technical Safeguards

Question 3

A patient who was treated under a pseudonym for confidentiality reasons (e.g., a public figure) is discharged. The HIM department should:

Accepted Answer

Merge the alias record with the permanent MPI record under the real name using a secure linkage process

Answer

Destroy the record to prevent identification

Answer

File the record under the alias permanently

Answer

Report the alias use to the state health department

Question 4

Which data quality characteristic ensures that health data collected is the same whether captured once or multiple times?

Accepted Answer

Consistency

Answer

Accessibility

Answer

Comprehensiveness

Answer

Currency

Question 5

An HIM director is asked to testify as a fact witness about the hospital's record retention practices. In this role, the director should:

Accepted Answer

Testify only about the facts of the facility's specific practices without offering opinions

Answer

Offer expert opinions about how other hospitals handle retention

Answer

Decline to testify because HIM directors are protected by peer review privilege

Answer

Provide only statistical summaries rather than specific facts

Question 6

Which type of consent authorizes a healthcare facility to provide routine treatment and is typically obtained upon admission?

Accepted Answer

General consent

Answer

Informed consent

Answer

Implied consent

Answer

Advance directive

Question 7

The Uniform Rules of Evidence (URE) allow EHRs to be admitted as business records if they were created:

Accepted Answer

In the regular course of business, at or near the time of the act or event recorded

Answer

By a licensed physician and countersigned by a supervisor

Answer

After review by the facility's legal counsel

Answer

Using only ONC-certified EHR technology