CCM Ethical & Legal Issues in Care Management 2

Question 1

Under HIPAA, which category of information is protected from unauthorized disclosure?

Accepted Answer

Protected Health Information (PHI) in any form

Answer

HIPAA protects PHI in all forms — electronic, written, and oral — from unauthorized disclosure.

Question 2

A care manager may legally share a patient's health information without explicit written authorization when it is for:

Accepted Answer

Treatment, payment, or healthcare operations (TPO)

Answer

HIPAA permits disclosure of PHI without specific patient authorization for treatment, payment, and healthcare operations purposes.

Question 3

A patient's right to access and receive copies of their own medical records is primarily protected under:

Accepted Answer

HIPAA's Privacy Rule

Answer

HIPAA's Privacy Rule grants patients the right to inspect, access, and obtain copies of their own protected health information.

Question 4

In which situation is a care manager legally REQUIRED to breach patient confidentiality?

Accepted Answer

When there is a credible threat of harm to an identifiable third party

Answer

The duty to warn requires care managers to breach confidentiality when a patient poses a credible, specific threat of harm to an identifiable third party.

Question 5

For informed consent to be legally and ethically valid, the patient must:

Accepted Answer

Understand the proposed plan, its risks, benefits, and alternatives

Answer

Valid informed consent requires that patients receive, comprehend, and voluntarily agree to information about the proposed plan including its risks, benefits, and alternatives.

(CCM) Certified Care Management Professional Practice Test

(CCM) Certified Care Management Professional Practice Test

CCM Ethical & Legal Issues in Care Management 2