Electronic Health Records Flashcards
8 cards from real CBCS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 8 Electronic Health Records flashcards as text
What does HL7 FHIR stand for in health IT?
Answer: Health Level 7 Fast Healthcare Interoperability Resources
FHIR stands for Fast Healthcare Interoperability Resources, a standard for exchanging healthcare information electronically.
Which HIPAA rule establishes requirements for protecting the privacy of individually identifiable health information?
Answer: Privacy Rule
The HIPAA Privacy Rule establishes standards for protecting individually identifiable health information (PHI).
A nurse in the billing department accesses a patient record out of curiosity without a work-related need. This is a violation of which principle?
Answer: Minimum necessary standard
The minimum necessary standard requires that access to PHI be limited to only what is needed to perform a job function.
What is the maximum penalty per violation category for willful neglect of HIPAA with no correction?
Answer: $1,900,000
HIPAA penalties for willful neglect that is not corrected can reach up to $1,900,000 per violation category per year.
In EHR documentation, which practice ensures accuracy and prevents falsification?
Answer: Late entries documented as such with date/time of actual entry
Late entries should be clearly labeled as late entries with the actual date and time they were written, not the date of the encounter.
What is a Business Associate Agreement (BAA) under HIPAA?
Answer: A contract requiring a business associate to protect PHI it receives from a covered entity
A BAA is a required contract between a covered entity and a business associate that ensures PHI is protected by both parties.
Which of the following is NOT one of the 18 HIPAA identifiers that make health information individually identifiable?
Answer: General diagnosis category
A general diagnosis category is not one of the 18 HIPAA identifiers; the actual diagnosis combined with other data could identify someone, but the category alone is not listed.
What is the primary purpose of the HIPAA Security Rule?
Answer: To establish safeguards for electronic protected health information (ePHI)
The HIPAA Security Rule establishes national standards to protect electronic PHI (ePHI) through administrative, physical, and technical safeguards.