CMAA Medical Records Management 4

Question 1

Under HIPAA, which of the following is NOT considered protected health information (PHI)?

Accepted Answer

Aggregated de-identified statistical data

Answer

A patient's diagnosis documented in the chart

Answer

A patient's name linked to their condition

Answer

A patient's date of birth combined with their address

Question 2

What is the purpose of a 'chart deficiency' notice sent to a physician?

Accepted Answer

To alert the physician that required documentation is incomplete or missing

Answer

To notify the physician of a billing error

Answer

To request a new patient referral

Answer

To schedule a medical record audit

Question 3

Which record storage system arranges files so that the last two digits of the patient ID determine the primary filing location?

Accepted Answer

Terminal digit filing

Answer

Straight numeric filing

Answer

Alphabetic filing

Answer

Subject filing

Question 4

A patient requests a copy of their medical record but asks that the information NOT be sent to their insurer. What must the practice do?

Accepted Answer

Honor the request and restrict disclosure to the insurer

Answer

Deny the request because insurers have automatic access

Answer

Notify the insurer before complying

Answer

Require a court order before restricting disclosure

Question 5

What does the term 'legal health record' (LHR) refer to?

Accepted Answer

The subset of health information that constitutes the official business record for legal and disclosure purposes

Answer

Records subpoenaed by a court

Answer

Any document signed by the treating physician

Answer

Electronic records only, excluding paper documents

Question 6

Which of the following best describes the 'minimum necessary' standard under HIPAA?

Accepted Answer

Releasing only the PHI reasonably needed to accomplish the intended purpose

Answer

Releasing the entire medical record whenever requested

Answer

Providing PHI only to treating physicians

Answer

Limiting PHI access to the practice administrator

Question 7

A medical office receives a subpoena for a patient's records. What is the FIRST step the administrative assistant should take?

Accepted Answer

Notify the physician and consult the office's legal counsel before releasing records

Answer

Immediately copy and send all records to the requesting attorney

Answer

Destroy any sensitive documents before complying

Answer

Contact the patient's insurer for authorization