Health Insurance Final Exam (HI-215) Quizzes With Correct Answers, Exams of Nursing

Download Health Insurance Final Exam (HI-215) Quizzes With Correct Answers and more Exams Nursing in PDF only on Docsity! Health Insurance Final Exam (HI-215) Quizzes With Correct Answers Question 12 pts Which stage of the litigation process focuses on how strong a case the opposing party has? Group of answer choices Trial Deposition Discover y Verdict Question 22 pts To comply with HIPAA , under usual circumstances, a covered entity must act on a patient's request to review or copy his or her behalf within days. Group of answer choices 30 10 60 Question 32 pts Which of the following statements is false? Group of answer choices A notice of privacy practice must be written in plain language. An authorization does not have to be obtained for uses and disclosures for treatment, payment, and operations. A consent for use and disclosure of information must be obtained from every patient. A notice of privacy practice must give an example of a use or disclosure for health care operations. Question 42 pts The privacy rule permits charging patients for labor and supply costs associated with copying health records. Mercy hospital is located in a state where state law allows charging patients a $100 search fee associated wtih locating records that have been requested. Group of answer choices q A federal confidentiality statute specifically adderesses confidentality of health information about patients. Group of answer choices Developmentally disabled Cancer Drug and Alcohol recovery Elderly Question 92 pts The age of majority in most states is: Group of answer choices 17 and older 21 and older 16 and older 18 and older Question 102 pts A patient having an adverse reaction to a drug correctly administered would be an example of which type of tort liability? Group of answer choices Institutional liability Intentional Unintentional Negligence Strict liability Question 112 pts The Uniform Health Care Decisions Act ranks the next-of-kin in the following order for medical decision making purposes: Group of answer choices Parent; spouse; adult child; adult sibling Spouse; parent; adult sibling; adult child Question 132 pts Question 122 pts Spouse; adult child; parent; adult sibling Adult sibling; adult child; spouse; parent Which of the following spells out the powers of the three branches of the federal government? Group of answer choices United States Constitution Judicial decisions Administrative Law Administrative Law Which of the following is NOT true of notices of privacy practices? Group of answer choices Must be made available at the site where the individual is treated Must be prominently posted on the covered entity's Website when the entity has one Must be posted in a prominent place Must contain content that may not be changed Question 142 pts Which document directs an individual to bring originals or copies of records to court? Group of answer choices Summons Subpoena duces tenum Deposition Subpoena uestion 152 pts The HIPAA Privacy Rule requires that covered entities must limit use, access and disclosure of PHI to only the amount needed to accomplish the intended Question 212 pts Question 202 pts A notice of privacy practices must give an example of a use or disclosure for healthcare operations. A notice of privacy practices must be written in plain language. Question 192 pts Which of the following provides a complete description to patients about how PHI is used in a healthcare facility? Group of answer choices Notice of privacy practices Consent for operations Consent for Treatment Authorization Confidentiality can be defined as the: Group of answer choices Right of an individual to be left alone. Limitation of the use and disclosure of private information Protection of information from accidental or intentional disclosure. Physical and electronic protection of information Privacy can be defined as the: Group of answer choices Limitation of the use and disclosure of private information Right of an individual to be left alone Physical and electronic protection of information Protection of information from accidental or intentional disclosure Question 222 pts The legal health record (LHR) is a(n): Group of answer choices q Entire set of information created or accumulated by a healthcare provider that may be released to third parties in response to a legally permissible request for patient information Set of patient-specific data created or acculumulated by a healthcare provider that is defined to be legal by the local, state or federal authorities Set of patient-specific data that is defined to be legal by state or federal statute and that is legally permissible to provide to requests for patient information Defined subset of all patient-specific date created or accumulated by a healthcare provider that may be released to third parties in response to a legally permissible request for patient information Question 232 pts Which of the following statements about the directory of patients maintained by a covered entity is true? Group of answer choices The directory may contain only identifying information such as the patient's name and birth date. The directory may contain private information as long as it is kept confidential Individuals must be given an opportunity to restrict or deny permission to place information about them in the directory. Individuals must provide a written authorization before information about them can be placed in the directory Question 242 pts According to HIPAA, what does the abbreviation PHI stand for? Group of answer choices Past health information Protected health information Primary health information Personal health information Question 252 pts Which of the following statements is true in regard to responding to requests from individuals for access to their PHI? Group of answer choices Question 292 pts To date, the HIM Department has not charged for copies of records requested by the patient. However, the policy is currently under review for revision. One HIM committee member suggests using the copying fee established by the state. Another committee member feels that HIPAA will not allow for copying fees. What input should the HIM Director provide? Group of answer choices Use the state formula because HIPAA allows hospitals to use the state formula. HIPAA does not allow charges for copying of medical records. Base charges on the cost of labor and supplies for copying and postage if copies are mailed. Because HIPAA restricts charges to the cost of paper, charge only for the paper used for copying the records. Question 302 pts The sister of a patient requests the HIM Department to release copies of her brother's medical record to her. She states that because the doctor documented her name as her brother's caregiver, HIPAA regulations apply and she may receive copies of her brother's medical record. In this case, how should the HIM Department proceed? Group of answer choices Provide the copies as requested since the sister was a caregiver Refuse the request Refer the individual to legal counsel Provide only copies of the reports where the sister's name was mentioned. Question 312 pts Community Hospital is discussing restricting the access that physicians have to electronic clinical records. The medical record committee is divided on how to approach this issue. Some committee members maintain that all information should be available, while others maintain that HIPAA restricts access. The HIM Director is part of the committee. Which of the following should the Director advise the committee? Group of answer choices HIPAA restricts the access of physicians to all information The "minimum necessary" concept does not apply to disclosures made for treatment purposes, but the organization must define what physicians need as part of their treatment role Question 352 pts Question 342 pts Question 332 pts The "minimum necessary" concept does not apply to disclosures made for treatment purposes, therefore physician access should not be restricted The "minimum necessary" concept applies only to attending physicians and therefore restriction of access must be implemented. Question 322 pts Attorneys for healthcare organizations use the health record to: Group of answer choices Protect the legal interests of the facility and its healthcare providers Support claims for medical malpractice Plan and market services Locate missing persons The government agency that administers the Medicaid and Medicare programs is: Group of answer choices CMS SSA HHS HCFA The creation of the National Practitioner Data Bank was mandated by the: Group of answer choices Social Security Act Privacy Act Health Care Quality Improvement Act HIPAA What is the general name for Medicare rules impacting healthcare organizations? Group of answer choices Question 372 pts Question 362 pts Conditions of Participation Requirements for Service Terms of Accreditation Regulations for Licensure Title XVIII of the Social Security Act Amendment of 1965 is also known as: Group of answer choices SCHIP Mediga p Medicar e Medicai d Which of the following establish eligibility standards for enrollment in Medicaid? Group of answer choices Centers for Medicare and Medicaid Services Federal Government Individual States Department of Health and Human Services Question 382 pts The number that has been proposed for use as a unique patient identification number but is controversial because of confidentiality and privacy concerns is the: Group of answer choices classification Medical staff credentialing Medical staff committee Medical school graduates must pass a test before they can obtain a to practice medicine: Group of answer choices License Degree Residenc y Specialty Question 442 pts Under HIPAA rules, when an individual asks to see his or her own health information, a covered entity: Group of answer choices Can deny access to psychotherapy notes Can always deny access Can demand that the individual pay to see her or her record Must always provide access uestion 452 pts Which of the following is NOT true about the Notice of Privacy Practices? Group of answer choices Must include a description of the patient's right to amend PHI Must include a description of the right to request restrictions on certain uses and disclosures Must include at least two examples of how information is used for both treatment and operations Must explain the patient's right to inspect and copy PHI PreviousNext Question 462 pts Which of the following facilities do NOT have to meet the standards in the Conditions of Participation? Group of answer choices Home health agencies