CRIS TEST
Who owns the medical record?
A. The patient
B. The physician
C. The health care facility
D. The federal government under HIPAA - ANSC. The health care facility
The tool most often used to gather a complete medical record is the:
A. Conditions of Admission
B. Notice of Privacy Practices
C. Master Patient Index
D. Information Management Plan - ANSC. Master Patient Index
The Purpose(s) of the medical record is/are:
A. To assist in further research and education
B. To assist in protecting the legal rights of the patient and the healthcare facility
C. To provide analysis, study and evaluate care given to the patient
D. All of the above - ANSD. All of the above
Which of the following may be considered an improper disclosure of protected health
information?
A. Releasing records to a requester for legal purposes without a signed patient authorization
B. Accidentally releasing the wrong patient's records to a requester
C. Releasing dates of service to a requester if the treatment dates are not authorized
D. All of the above - ANSD. All of the above
Which of the following is not required on a HIPAA compliant authorization?
A. Name or class of the healthcare provider who is disclosing records
B. Information to be disclosed
C. Fees associated with the disclosure
D. Expiration date of even - ANSC. Fees associated with the disclosure
A patient presents to the HIM Department requesting information about a recent biopsy. The
patient says he wants to know details about the procedure and specifics regarding the specimen
removed. The patient should be advised to request a copy of the:
,A. Entire record
B. Operative and Pathology Report
C. History and Physical
D. None of the above - ANSB. Operative and Pathology Report
Some attorneys send a courtesy deposition letter prior to issuing a subpeona. Can you disclose
information without patient authorization if you have the deposition letter prior to the receiving
the subpoena?
A. Yes
B. No - ANSB. No
A provider may put all the elements of a valid authorization on one form to cover HIPAA,
chemical dependency, HIV and genetic testing information.
A. True
B. False - ANSA. True
If a patient completes an authorization form, can they simply put "at the request of the patient"
as a disclosure purpose?
A. Yes
B. No - ANSA. Yes
With a court order (signed by a judge), is an authorization signed by the patient or personal
representative generally required?
A. Yes
B. No - ANSB. No
Which of the following does not have access to a patient's health information without
authorization?
A. Nursing Unit- patient was readmitted to facility
B. Medical Staff Physician not treating the patient or consulting - she reviews because patient is
a former patient
C. Quality Management Employee - reviews for performance improvement data
D. Risk Management - reviews for a threatened lawsuit - ANSB. Medical Staff Physician not
treating the patient or consulting - she reviews because patient is a former patient
The PRO or QIO (Peer Review Organization or Quality Improvement Organization) who is
contracted with CMS (Centers for Medicare & Medicaid Services) requests copies of medical
records. Are they allowed to receive copies without an authorization for a patient with
schizophrenia (mental health condition?)
, A. Yes
B. No - ANSA. Yes
What is the difference between a request and a patient's authorization?
A. There is no difference
B. The request is verbal and the authorization is in writing
C. The request is in writing and asks that records be disclosed; the authorization is the patient's
written permission to do so - ANSC. The request is in writing and asks that records be
disclosed; the authorization is the patient's written permission to do so
If there is a breach of health information, which of the following enforcement legal actions may
be taken:
A. Civil Action
B. Criminal Action
C. Both
D. Neither Civil or Criminal Action - ANSC. Both
Birth and death certificates may be disclosed by a hospital.
A. True
B. False - ANSB. False
What records should you disclose in response to a Medicare request for records?
A. Records specified for dates requested
B. The entire record
C. Current records only
D. UB82 forms - ANSA. Records specified for dates requested
Dr. Grant and Dr. Palmer work at the same hospital. Dr. Grant is the only physician treating Dr.
Palmer's son, Jerry, who is 18 years old and able to sign for himself. Dr. Palmer fills out an
authorization form and asks to review his son's records. He is a well-known physician at the
hospital. Does he have a right to access the medical record without authorization signed by
Jerry, the patient?
A. Yes
B. No - ANSB. No
A female patient died at your hospital. Your state law specifies that in the case fo a deceased
patient, all of the following individuals have equal access to the patient's records: Executor of
the Estate, Administrator of the Will, Surviving Spouse, Surviving Parents, Surviving Children.
Who owns the medical record?
A. The patient
B. The physician
C. The health care facility
D. The federal government under HIPAA - ANSC. The health care facility
The tool most often used to gather a complete medical record is the:
A. Conditions of Admission
B. Notice of Privacy Practices
C. Master Patient Index
D. Information Management Plan - ANSC. Master Patient Index
The Purpose(s) of the medical record is/are:
A. To assist in further research and education
B. To assist in protecting the legal rights of the patient and the healthcare facility
C. To provide analysis, study and evaluate care given to the patient
D. All of the above - ANSD. All of the above
Which of the following may be considered an improper disclosure of protected health
information?
A. Releasing records to a requester for legal purposes without a signed patient authorization
B. Accidentally releasing the wrong patient's records to a requester
C. Releasing dates of service to a requester if the treatment dates are not authorized
D. All of the above - ANSD. All of the above
Which of the following is not required on a HIPAA compliant authorization?
A. Name or class of the healthcare provider who is disclosing records
B. Information to be disclosed
C. Fees associated with the disclosure
D. Expiration date of even - ANSC. Fees associated with the disclosure
A patient presents to the HIM Department requesting information about a recent biopsy. The
patient says he wants to know details about the procedure and specifics regarding the specimen
removed. The patient should be advised to request a copy of the:
,A. Entire record
B. Operative and Pathology Report
C. History and Physical
D. None of the above - ANSB. Operative and Pathology Report
Some attorneys send a courtesy deposition letter prior to issuing a subpeona. Can you disclose
information without patient authorization if you have the deposition letter prior to the receiving
the subpoena?
A. Yes
B. No - ANSB. No
A provider may put all the elements of a valid authorization on one form to cover HIPAA,
chemical dependency, HIV and genetic testing information.
A. True
B. False - ANSA. True
If a patient completes an authorization form, can they simply put "at the request of the patient"
as a disclosure purpose?
A. Yes
B. No - ANSA. Yes
With a court order (signed by a judge), is an authorization signed by the patient or personal
representative generally required?
A. Yes
B. No - ANSB. No
Which of the following does not have access to a patient's health information without
authorization?
A. Nursing Unit- patient was readmitted to facility
B. Medical Staff Physician not treating the patient or consulting - she reviews because patient is
a former patient
C. Quality Management Employee - reviews for performance improvement data
D. Risk Management - reviews for a threatened lawsuit - ANSB. Medical Staff Physician not
treating the patient or consulting - she reviews because patient is a former patient
The PRO or QIO (Peer Review Organization or Quality Improvement Organization) who is
contracted with CMS (Centers for Medicare & Medicaid Services) requests copies of medical
records. Are they allowed to receive copies without an authorization for a patient with
schizophrenia (mental health condition?)
, A. Yes
B. No - ANSA. Yes
What is the difference between a request and a patient's authorization?
A. There is no difference
B. The request is verbal and the authorization is in writing
C. The request is in writing and asks that records be disclosed; the authorization is the patient's
written permission to do so - ANSC. The request is in writing and asks that records be
disclosed; the authorization is the patient's written permission to do so
If there is a breach of health information, which of the following enforcement legal actions may
be taken:
A. Civil Action
B. Criminal Action
C. Both
D. Neither Civil or Criminal Action - ANSC. Both
Birth and death certificates may be disclosed by a hospital.
A. True
B. False - ANSB. False
What records should you disclose in response to a Medicare request for records?
A. Records specified for dates requested
B. The entire record
C. Current records only
D. UB82 forms - ANSA. Records specified for dates requested
Dr. Grant and Dr. Palmer work at the same hospital. Dr. Grant is the only physician treating Dr.
Palmer's son, Jerry, who is 18 years old and able to sign for himself. Dr. Palmer fills out an
authorization form and asks to review his son's records. He is a well-known physician at the
hospital. Does he have a right to access the medical record without authorization signed by
Jerry, the patient?
A. Yes
B. No - ANSB. No
A female patient died at your hospital. Your state law specifies that in the case fo a deceased
patient, all of the following individuals have equal access to the patient's records: Executor of
the Estate, Administrator of the Will, Surviving Spouse, Surviving Parents, Surviving Children.
