RHIT Practice Exam 1 Domain 2 - Access, Disclosure, Privacy, and
Security 37-60 Already Rated A+
Health Information Management (HIM)
1. What is a tool used to track user activity in a system, including login and logout times, actions taken,
and more?
Answer: Audit Trail.
2. Is HIPAA sec...
RHIT Practice Exam 1 Domain 2 - Access, Disclosure, Privacy, and
Security 37-60 Already Rated A+
Health Information Management (HIM)
1. What is a tool used to track user activity in a system, including login and logout times, actions taken,
and more?
Answer: Audit Trail.
2. Is HIPAA security strict about implementing the same security measures across all institutions?
Answer: No, HIPAA allows flexibility in implementing security measures as long as they meet minimum
standards.
3. Who should have access to health records based on protected health information within a healthcare
facility?
Answer: Only individuals with a legitimate need for access.
4. What is required of HIM professionals regarding release of information (ROI) function?
Answer: Knowledge of federal and state confidentiality laws.
5. What action is taken to remedy lost data in an electronic health record (EHR)?
Answer: Data Recovery.
6. How should a hospital handle terminating a business associate relationship with a medical
transcription company?
, Answer: The transcription company must provide a certification that all protected health information
(PHI) has been destroyed or returned, and the hospital must retain termination notices for seven years.
The HIPAA Privacy Rule requires the covered entity to have business associate agreements in place with
each business associate. This agreement must always include provisions regarding destruction or return
of protected health information (PHI) upon termination of a business associate's services. Upon notice
of the termination, the covered entity needs to contact the business associate and determine if the
entity still retains any protected health information from, or created for, the covered entity. The PHI
must be destroyed, returned to the covered entity, or transferred to another business associate. Once
the PHI is transferred or destroyed, it is recommended that the covered entity obtain a certification
from the business associate that either it has no PHI, or all PHI it has been destroyed or returned to the
covered entity (Thomason 2013, 18)
A health information technician receives a subpoena ad testificandum. . To respond to the subpoena,
which of the following should the technician do? ✔️A. Review the subpoena to determine what
documents must be produced
B. Review the subpoena and notify the hospital administrator
C. Review the subpoena and appear at the time and place supplied to give testimony
D. Review the subpoena and alert the hospital's risk management department
Answer: C
Sometimes HIM professionals are subpoenaed to testify as to the authenticity of the health records by
confirming that they were compiled in the normal course of business and have not been altered in any
way. A subpoena that is issued to elicit testimony is a subpoena ad testificandum (Rhinehart-Thompson
2016b, 198)
The Admissions director maintains that a Notice of Privacy Practices must be provided to the patient on
each admission. How should the HIM director respond? ✔️A. Notice of privacy practices is required on
the first provision of service
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