Exam 12: Confidentiality and Compliance

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__________ is permitted disclosure in which authorization is not required as long as state law allows the exception.

(Short Answer)
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A 16-year-old woman presents in the emergency room for treatment of stomach pain, accompanied by her mother and husband. She is conscious, alert, and oriented. Of the following, who is the appropriate individual to sign the consent for treatment?

(Multiple Choice)
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Match the following terms with their descriptions.
The right to withdraw consent or approval for a previously agreed on or approved procedure.
Right to revoke
Patient information that is protected by HIPAA legislation.
Designated record set
A change to the original document.
Right to complain
Correct Answer:
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Premises:
Responses:
The right to withdraw consent or approval for a previously agreed on or approved procedure.
Right to revoke
Patient information that is protected by HIPAA legislation.
Designated record set
A change to the original document.
Right to complain
The listing of the identity of those to whom certain protected health information has been disclosed.
Accounting of disclosures
When patient information is given to someone else.
Personal health record
The patient's right to discuss his or her concerns about privacy violations.
Notice of privacy practices
A notice, written in clear and simple language, summarizing a facility's privacy policies and the conditions for use or disclosure of patient health information.
Disclosure
A specific portion of the patient's health information, consisting of medical records, reimbursement and payer information, and other information used to make health care decisions, all of which may be accessed by the patient under HIPAA provisions.
Amendment
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In litigation, lawyers may request documentation from the HIM department during the ___________ process.

(Multiple Choice)
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Compare and contrast privacy, security, and confidentiality. Provide an example of each in a health care situation.

(Essay)
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Under what circumstances will a release of information be denied? Name at least four.

(Essay)
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The purpose of The Joint Commission Steering Committee is to:

(Multiple Choice)
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The following providers/departments make internal requests for patient health information routinely EXCEPT:

(Multiple Choice)
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The process of engaging in the legal proceedings of a lawsuit is ___________.

(Short Answer)
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A patient has been admitted to your facility for treatment of pneumonia. He gave insurance information to the patient registration department. During the course of treatment, the patient is found to have AIDS. After discharge, the patient's insurance company asks for a copy of the record. Can the insurance company obtain the record at this point? What are the issues?

(Essay)
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A valid consent for release of information contains all of the following EXCEPT:

(Multiple Choice)
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Some of the following are common safeguards that prevent confidentiality breaches EXCEPT:

(Multiple Choice)
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The patient's compilation of his or her health information is called the ________________.

(Short Answer)
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List two types of "sensitive" records. Describe what type(s) of additional controls should be in place to manage these records.

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