RHIT Domain 2 Practice Questions and Answers (100% Pass)
The process of releasing health record documentation originally created by a
different provider is called:
a. Privileged communication
b. Subpoena
c. Jurisdiction
d. Redisclosure - ✔️✔️d
The process of releasing health record documentation originally created by a
different provider is called redisclosure. Federal and state regulations provide
specific redisclosure guidelines; however, when in doubt, follow the same principles
as the release and disclosure guidelines for other types of health record information
(Fahrenholz 2013a, 104).
When data has been lost in an EHR, which action is taken to remedy this problem?
a. Build a firewall
b. Data recovery
c. Review the audit trail
d. Develop data integrity plan - ✔️✔️b
Data recovery is the process of recouping lost data or reconciling conflicting data
after the system fails. These data may be from events that occurred while the
system was down or from backed-up data (Sayles and Trawick 2014, 213).
Central City Clinic has requested that Ghent Hospital send its hospital records for
Susan Hall's most recent admission to the clinic for her follow-up appointment.
Which of the following statements is true?
a. The Privacy Rule requires that Susan Hall complete a written authorization.
b. The hospital may send only the discharge summary, history and physical, and
operative report.
c. The Privacy Rule's minimum necessary requirement does not apply.
d. This "public interest and benefit" disclosure does not require the patient's
authorization. - ✔️✔️c
There are certain circumstances where the minimum necessary requirement does
not apply, such as to healthcare providers for treatment; to the individual or his
personal representative; pursuant to the individual's authorization to the secretary
of the HHS for investigations, compliance review, or enforcement; as required by
law; or to meet other Privacy Rule compliance requirements (164.502(b)(2);
Rinehart-Thompson 2017c, 234).
Under the HIPAA Privacy rule, which of the following statements is true?
a. An authorization must contain an expiration date or event.
b. A consent for use and disclosure of information must be obtained from every
patient.
c. An authorization must be obtained for uses and disclosures for treatment,
payment, and operations.
d. A notice of privacy practices must give 10 examples of a use or disclosure for
healthcare operations. - ✔️✔️a
In order for an authorization to be valid, it must contain an expiration date or event
that relates to the individual or the purpose of the use or disclosure (Rinehart-
Thompson 2016b, 245-246).
A hospital is planning on allowing coding professionals to work at home. The
hospital is in the process of identifying strategies to minimize the security risks
associated with this practice. Which of the following would be best to ensure that
data breaches are minimized when the home computer is unattended?
a. User name and password
b. Automatic session terminations
c. Cable locks
d. Encryption - ✔️✔️b
In the HIPAA Security Rule, one of the technical safeguards standards is access
control. This includes automatic log-off, which ensures processes that terminate an
electronic session after a predetermined time of inactivity (Reynolds and Brodnik
2017, 277).
Who owns the health record?
a. Patient
b. Provider who generated the information
c. Insurance company who paid for the care recorded in the record
d. No one - ✔️✔️b
Ownership of the health record has traditionally been granted to the provider who
generates the record (Brodnik 2017a, 9).
Which of the following is true regarding the development of health record
destruction policies?
a. All applicable laws must be considered
b. The organization must find a way not to destroy any health records
c. Health records involved in pending or ongoing litigation may be destroyed
d. Only state laws must be considered - ✔️✔️a
Not all information must be kept forever. Just as the HIM professional must
consider multiple factors when determining retention, many factors must also be
taken into consideration with regard to health record destruction. These include
applicable federal and state statutes and regulations; accreditation standards;
pending or ongoing litigation; storage capabilities; and cost (Rinehart-Thompson
2016a, 208).
What is the biggest threat to the security of healthcare data?
a. Natural disasters
b. Fires
c. Employees
d. Equipment malfunctions - ✔️✔️c
Employees are the biggest threat to the security of healthcare data. Whether it is
disgruntled employees destroying computer hardware, snooping employees
accessing information without authorization to do so, or employees accessing
information for fraudulent purposes, employees are a real threat to data security
(Rinehart-Thompson 2016c, 256).
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