AHIMA Health Records Management 3

Question 1

Under the HIPAA Security Rule, which of the following is classified as a required implementation specification?

Accepted Answer

Assigned security responsibility

Answer

Assigning a security official (security responsibility) is a required implementation specification under the HIPAA Security Rule's administrative safeguards.

Question 2

Which record-keeping practice best supports the admissibility of an electronic health record in court?

Accepted Answer

Maintaining a reliable audit trail showing who entered or modified data

Answer

An audit trail demonstrating consistent, accurate record-keeping practices supports the business records exception and EHR admissibility.

Question 3

A subpoena duces tecum requires a healthcare facility to:

Accepted Answer

Produce documents or records specified in the court order

Answer

A subpoena duces tecum ('bring with you') compels the production of specified records or documents for legal proceedings.

Question 4

Which quantitative analysis component ensures that all required forms and reports are present in the medical record?

Accepted Answer

Content review

Answer

Content review in quantitative analysis verifies that all required forms, reports, and elements are present in the health record.

Question 5

What is the correct action when an error is discovered in a paper-based medical record?

Accepted Answer

Draw a single line through the error, date, and initial it

Answer

The correct method is to draw a single line through the error, add the date and initials, and write the correct information—never obliterate the original entry.

(AHIMA) American Health Information Management Association Practice Test

(AHIMA) American Health Information Management Association Practice Test

AHIMA Health Records Management 3