Certified Coding Associate Exam Health Information Management

Question 1

Which of the following is considered the primary purpose of the health record?

Accepted Answer

Patient care documentation and continuity of care

Answer

Billing and reimbursement

Answer

Legal evidence in malpractice cases

Answer

Quality assurance reporting

Question 2

What does the term 'legal health record' refer to?

Accepted Answer

The official business record of a healthcare organization used in legal proceedings

Answer

Only records stored in paper format

Answer

Records created by the legal department

Answer

Records older than 10 years

Question 3

Which of the following is an example of protected health information (PHI) under HIPAA?

Accepted Answer

A patient's name combined with their diagnosis

Answer

De-identified patient statistics published in a research study

Answer

Aggregate hospital discharge data

Answer

Employee health and safety records

Question 4

The minimum necessary standard under HIPAA requires covered entities to:

Accepted Answer

Use or disclose only the minimum PHI needed to accomplish the intended purpose

Answer

Share all PHI with any requesting party

Answer

Encrypt all electronic health records

Answer

Obtain written authorization for all disclosures

Question 5

What is the primary function of a Release of Information (ROI) process?

Accepted Answer

To manage and control the disclosure of patient health information

Answer

To update patient demographic information

Answer

To convert paper records to electronic format

Answer

To schedule patient appointments

Question 6

Which accreditation organization sets standards for hospitals including health information management practices?

Accepted Answer

The Joint Commission (TJC)

Answer

AHIMA

Answer

CMS

Answer

AAPC