CDS Documentation & Record Keeping 3

Question 1

When a disability specialist receives a subpoena for client records, the first action should be to:

Accepted Answer

Consult with agency legal counsel before releasing any records

Answer

Legal counsel should be consulted first to determine whether the subpoena is legally sufficient and whether any protections apply before releasing records.

Question 2

In electronic case management systems, audit trails serve primarily to:

Accepted Answer

Track who accessed or modified records and when

Answer

Audit trails create an immutable log of user access and edits, supporting accountability and detecting unauthorized record changes.

Question 3

Which statement about 'need-to-know' access to client records is correct?

Accepted Answer

Access should be limited to staff with a direct service or supervisory role for that client

Answer

The principle of minimum necessary access limits record access to those with a demonstrated need, protecting client confidentiality.

Question 4

A CDS specialist uses a personal smartphone to photograph a client's medical documents for remote review. This practice:

Accepted Answer

Violates agency data security policies and HIPAA by storing PHI on an unsecured personal device

Answer

Storing PHI on personal devices without agency-approved encryption and mobile device management violates HIPAA and most agency security policies.

Question 5

What does the 'minimum necessary' standard under HIPAA require a disability specialist to do?

Accepted Answer

Disclose only the PHI reasonably needed to accomplish the intended purpose

Answer

The minimum necessary standard requires limiting PHI disclosure to what is needed for the specific purpose of the request.

(CDS) Certified Disability Specialist Practice Test

(CDS) Certified Disability Specialist Practice Test

CDS Documentation & Record Keeping 3