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CHAP Health Information Management Flashcards

6 cards from real CHAP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 6 CHAP Health Information Management flashcards as text
  1. What is the primary purpose of the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule?

    Answer: To protect the privacy of patients' individually identifiable health information

    The HIPAA Privacy Rule establishes national standards to protect individuals' medical records and other individually identifiable health information held by covered entities.

  2. In health information management, what does 'PHI' stand for?

    Answer: Protected Health Information

    PHI stands for Protected Health Information, which is any individually identifiable health information held or transmitted by a HIPAA-covered entity.

  3. Which coding system is used to classify diseases and health conditions for medical records and billing in the US?

    Answer: ICD-10-CM

    ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) is used in the US to code diagnoses and health conditions in medical records and for billing.

  4. What is the purpose of a Release of Information (ROI) process in healthcare?

    Answer: To control and document the authorized disclosure of patient health information

    The ROI process ensures that patient health information is disclosed only to authorized parties with proper consent or legal authorization, maintaining privacy and compliance.

  5. Under HIPAA, patients have the right to request amendments to their medical records. What must a covered entity do if they deny the request?

    Answer: Provide a written denial with the reason and inform the patient of their right to submit a statement of disagreement

    When a covered entity denies an amendment request, they must provide a written denial with the basis for denial and inform the patient of their right to submit a statement of disagreement.

  6. What is a 'legal health record' (LHR) in health information management?

    Answer: The subset of health information that constitutes the official business record of a patient encounter

    The legal health record is the designated set of documentation that constitutes the official business record of an organization's patient encounters and is subject to disclosure.

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