RHIT Record Content Management 5

Question 1

Which of the following is the BEST example of secondary use of health record data?

Accepted Answer

A researcher using de-identified patient data to study disease trends

Answer

Secondary use refers to using health data for purposes other than direct patient care, such as research, quality improvement, or public health reporting.

Question 2

What is a key difference between the designated record set (DRS) and the legal health record?

Accepted Answer

The DRS is broader and includes records used to make decisions about an individual; the legal health record is the organization's defined official record

Answer

The DRS, defined by HIPAA, is a broader set of records used in decision-making, while the legal health record is the facility-defined official business record.

Question 3

A patient's records are requested via subpoena. The HIM professional should FIRST:

Accepted Answer

Consult with the facility's legal counsel before releasing any information

Answer

The HIM professional should consult legal counsel first, as a subpoena alone may not override state privacy protections without a court order.

Question 4

Which document type is used by a physician to transfer the responsibility for a patient's care to another physician within the same facility?

Accepted Answer

Transfer note

Answer

A transfer note documents the reason for and details of transferring a patient's care from one physician to another, including within the same facility.

Question 5

Under the HIPAA Privacy Rule, which of the following does NOT require patient authorization for disclosure?

Accepted Answer

Disclosure to a public health authority for disease reporting

Answer

Disclosures to public health authorities for mandated disease reporting are a permitted use under HIPAA that does not require patient authorization.

RHIT - Registered Health Information Technician Practice Test

RHIT - Registered Health Information Technician Practice Test

RHIT Record Content Management 5