HAS 104A Army Medical Records Management Practice Exam

These questions are part of the practice quiz. Start practicing

• Which of the following describes the penalty for wrongful disclosure?
• What is the maximum penalty for repeat HIPAA violations?
• Code 12 maps to which category?
• Secretarial Designee are individuals approved for care by which authority?
• Code 12 corresponds to which category?
• Code 43 is associated with which category?
• Which relation is represented by the code 30?
• In the medical records life cycle, what does the disposition/destruction stage involve?
• What should be included when transferring a medical record to another facility?
• Which entry designates a parent’s spouse not related by blood?
• Code 43 maps to which category?
• Which statement accurately describes the right of a patient to inspect and obtain a copy of their PHI?
• Which of the following describes the data typically logged by an EMR audit trail?
• What is the minimum necessary standard for disclosures?
• Which of the following is a typical component of an inpatient discharge record?
• Identify typical reasons for chart closure and release.
• In what year was HIPAA enacted?
• What is the correct purpose of the Master Patient Index (MPI) audit?
• What is a deficiency slip primarily used for?
• HIPAA also applies to which military treatment facilities (MTFs)?
• What is the purpose of an index or cross-reference in a medical record?
• Before releasing any PHI, what must be obtained?
• What is the primary purpose of encryption in electronic medical records?
• Which document outlines privacy practices for the Military Health System?
• Which term could describe dependents that do not fit other specific categories?
• What is the significance of 'no pre-signed blank space' in patient charts?
• Which statement best describes the outcome of routine audits for chart completeness?
• Which of the following is a purpose of HIPAA?
• HIPAA's goals include improving access and coverage.
• Which term represents the direct female parent in dependency designations?
• Under what condition may PHI be released directly to a patient?
• When documenting test results, which detail should be included to ensure clarity?
• What role does Joint Commission accreditation play with medical records?
• What is the fine for repeat violations in cases of reasonable cause?
• Which form informs patients of their rights and the purpose of collecting information?
• What is the purpose of imaging and scanning in medical records?
• Which status denotes service in the military at present?
• Code 31 corresponds to which category?
• Which statement accurately describes the permanent disability retired list?
• Which form contains the privacy notice for the Military Health System?
• When should records be moved to off-site storage?
• How should paper records be stored to ensure security?
• Which designation refers to individuals currently serving in the armed forces?
• Who is responsible for verifying eligibility?
• Who must sign regarding PHI release for a minor child?
• What does MPI stand for and what is its primary role in Army medical records?
• Which form is the designated form for requesting PHI?
• What is a deficiency slip and how is it used?
• Code 31 equals which category?
• PHI stands for what term?
• Willful neglect with no correction.
• Who may authorize disclosure of medical records in the absence of the patient?
• Which category is designated by code 41?
• Which designation identifies a beneficiary by statute?
• Who is responsible for determining who is eligible?
• Which term acts as a catch-all category in a dependent list?
• HIPAA applies to which entities?
• What information must accompany a signature in the medical record?
• HIPAA stands for which act?
• What is the primary purpose of a discharge summary?
• How should numerical data and test results be documented?
• Which statement defines PHI and explains why it is protected?
• Commercial advantage, personal gain or malicious harm
• Which statement best summarizes HIPAA's scope?
• To which agency might a patient request PHI be released for disability claims or compensation?
• What is a legal hold on medical records?
• For a deceased patient, which signer(s) are allowed to sign?
• Which category does code 31 represent?
• What is the primary purpose of the Release of Information (ROI) process in the Army medical system?
• How are entries authenticated in medical records?
• What is a key effect of disaster recovery planning on medical records management?
• Which entities are typically considered legitimate recipients of PHI for insurance purposes?
• Who approves or denies information that could have adverse effects on a patient’s health?
• Which components are typically included in disaster recovery planning for medical records management?
• What governs the retention and disposition of medical records?
• Which statement best describes ethical and legal handling of a patient access request?
• What best describes content integrity in medical records?
• Which of the following is an eligible family member?
• What was the original intent of HIPAA regarding health insurers?
• Which designation is used to identify a beneficiary authorized by statute?
• Where are the patient's rights found?
• Requests for PHI are mainly submitted in writing on which form?
• PHI may be released to the State Social Security Administration in the context of which process?
• How will patients acknowledge the notice of privacy practices?
• Before releasing PHI in a legally sensitive case, which office should you consult?
• A Retired Member of the Uniformed Services is defined as which of the following?
• How can HIM support legal investigations or FOIA requests?
• DA Form 8005 documents which type of record?
• Which statement describes archival/retention in medical records?
• What is a chart deficiency and how is it addressed?
• What does the chart re-assembly process involve?
• Which category is linked to code 43?
• Who can issue an order or subpoena for PHI?
• What must a guardian show in order to sign for a patient?
• Which is a common record security control for electronic systems?
• How are records reviewed for legal medical necessity?
• How should a late entry be linked to the original record?
• Which description best defines emergency care in this context?
• Where can patients obtain the notice of privacy practices or review it electronically?
• Which best describes the use of the temporary disability retired list?
• What are common causes of missing or incomplete charts?
• How can a patient obtain a copy of the notice of privacy practices?
• What are key considerations for electronic health records in the Army?
• Where are privacy rights described?
• Which statement is true about HIPAA's relation to foreign nationals at MTFs?
• Which term designates a relative by marriage, not by blood?
• What is the proper method to correct an error in a chart?
• Whose property is the original medical record?
• For foreign nationals working at MTFs, which laws apply?
• If a patient declines to sign the notice of privacy practices, what is the procedure?
• Which item would you expect to find in the discharge medications section?
• Which agency is commonly involved in disability claims processing for veterans?
• Which relation is represented by the code 01-19?
• Emergency care is best described as which of the following?
• Which statement best describes DoD/Army retention schedules?
• Who is typically responsible for addressing a chart deficiency?
• Code 12 corresponds to which category?
• Which relation is represented by the code 20 in eligibility coding?
• Who's responsibility is it to ensure all personnel who have access to PHI receive HIPAA training?
• Which element best ensures that a radiology report is linked to the patient's chart?
• Are the DD Form 2005 and DA Form 2005 consent forms or authorization forms?
• What does the Privacy Act of 1974 state regarding medical records?
• Maintaining MPI linkage during transfers helps ensure what?
• HIPAA applies to both private and public healthcare providers and insurers.
• HIPAA is categorized as what level of law?
• What is the purpose of an audit trail in an electronic medical record?
• What is the best practice when fulfilling ROI requests to ensure compliance?
• Which entities are cited as laws affecting maintenance and disclosure of PHI?
• Code 43 maps to which category?
• What should happen when records reach the end of their retention period?
• Which of the following is a typical indicator of chart completion readiness for external audits?
• Which term represents a direct male parent in dependency designations?
• How should addenda and amendments be handled in a medical record?
• Who approves care for a Secretarial Designee?
• In a benefits eligibility chart, which term designates an additional spouse?
• Which laws affect maintenance and disclosure of PHI in this context?
• What is the purpose of indexing when transforming paper records into electronic images?
• What is the purpose of a patient authorization for release of information (ROI)?
• What is required for a patient to request restrictions on the sharing of PHI?
• For confidential communications, which statement is correct?
• Another key goal of HIPAA is to simplify the administration.
• Which statement correctly describes confidential communications requests and required documentation?
• What is the right regarding an accounting of disclosures?
• Which penalty applies to the commercial advantage clause?
• Which category does code 31 map to?
• An MPI audit often results in which outcome?
• Family member eligibility includes which of the following?
• Patients treated at MTF must receive a copy of this prior to initial treatment.
• Which statement about Secretarial Designees is true?
• How is patient privacy protected during requests for release of information (ROI)?
• Which of the following lists eligible signers for a deceased patient's PHI release?
• Which statement is true about the permanent disability retirement list?
• Which practice helps maintain the accuracy and integrity of medical records during data entry?
• What is the fine for the willful neglect?
• What is the primary purpose of the Health Information Management (HIM) program in an Army Medical Treatment Facility (MTF)?
• Which item is NOT typically included in an inpatient discharge record?
• Which form is described as not being a consent or authorization form?
• Why is it important to have standardized forms and templates?
• Wrongful disclosure
• What is the purpose of auditing the Master Patient Index (MPI)?
• When a patient requests amendments to PHI, which is true?
• What is the role of audit trails in electronic health records?
• Which practice supports disaster recovery by ensuring off-site copies of medical records are available?
• Code 41 stands for which category?
• For physically or mentally incompetent patients, who may sign to disclose PHI?
• Which right allows patients to request that PHI not be shared and restrict sharing?
• Code 41 represents which category?
• Which competencies are essential for Army HIM staff?
• When disclosing PHI, which statement best describes the standard practice?
• How should out-of-date records be handled?
• Which is NOT a main stage of the medical records life cycle?
• What is the per-violation penalty under HIPAA when violations occur?
• What is a key difference between source-oriented medical records (SoR) and problem-oriented medical records (PoR)?
• Which agency handles disability benefits claims at the state level?
• Which category includes dependents aged 60-69?
• Audit trails in medical records support which function?
• Which designation indicates a civilian emergency status?
• Which term refers to a parent’s spouse that is not a blood relative?
• False pretenses
• What is the role of quality improvement in HIM?
• When can a medical record be released without a patient authorization?
• Maximum prison term for false pretenses?
• Which term is often paired with Mother and Father in dependency lists as in-laws?
• What best describes content integrity in medical records?
• When releasing information from a medical record, how much information should be released?
• How does the Army handle patient transfers to ensure continuity of care?
• What is a primary role of the HIM program in legal compliance?
• The privacy act statement and the Military Health System notice of privacy practices are associated with which form?
• Which category does code 41 represent?
• Military exclusions to HIPAA include which of the following?
• Which of the following is NOT a typical recipient of PHI for authorized purposes?
• What are examples of exceptions to the right to inspect and copy PHI?
• Why is content completeness important in chart documentation during external audits?
• When should you consult the legal office or staff judge advocate regarding a medical records release?
• What must be maintained when records are moved to off-site storage?