Health HIT Questions

Multiple Choice

1. One of the data fields within the HL7 specifications is for Provider Type. What does this mean !. It"s the type of healthcare facility the patient is #ein$ seen in. %. &pecifies the ma'or $roupin$ of the service or occupation of the practitioner (. It"s the type of insurer providin$ insurance covera$e for the patient. ). &pecifies the seniority level of the physician
ANS: B

*. Information such as your name+ date of #irth and social security num#er are all considered to #e protected health information. This information would fall into which of the followin$ cate$ories !. )e,Indentified Health Information %. Individually Identifia#le Health Information (. !rchived Health Information ). )emo$raphic Health Information
ANS: D

-. Which of the followin$ a$encies is responsi#le for protectin$ the well #ein$ of all health care wor.ers !. The /oint (ommission %. 0ood and )ru$ !dministration (. Occupational &afety and Health !dministration ). )epartment of Health and Human &ervices

ANS: C

1. ! visitin$ IT professional is at an O%234 practice and has #een $ranted access to the computer system+ #ut not the practice"s paper records it"s previous system of chartin$ for patients. It"s after standard wor. hours the IT professional is wor.in$ late. He .nows an e5,$irlfriend used to #e a patient at the practice and decides he wants to see her charts+ since he can"t find her in the computer. What simple Physical &afe$uard would help fulfill HIP!! #y protectin$ a$ainst the IT professional from accessin$ the practice"s PHI !. The paper records are in loc.ed the mo#ile chartin$ ca#inets in the chec.,in area. %. The paper records are color coded. (. The paper records are loc.ed in stora$e room. ). The paper records are .ept in a series of drawers only .nown to the Privacy Officer. !4&6 (

7. !ccordin$ to HIP!!+ how lon$ must a medical practice retain a patient"s medical records !. ten years %. five years (. three years ). HIP!! does not mandate how lon$. !4&6 ) 8. 3ou wor. in a healthcare clinic that has many patients that receive #enefits from a state pro$ram that helps low,income families with the costs of healthcare. 3ou have to wor. with the state office to chec. on the desi$n and deployment of healthcare information systems that can help chec. eli$i#ility policies and deploy electronic health

records in treatment and #illin$. What is one of the names of this .ind of pro$ram !. 9edicare %. 9edicaid (. Tricare ). 0:H% !4&6 %

7. This $roup can apply for incentive payments for the adaption+ implementation+ up$radin$ and;or meanin$ful use of certified electronic health record technolo$y+ due to provisions of the Health Information Technolo$y for :conomic and (linical Health !ct of *<<=. :ach correct answer represents a complete solution. (hoose all that apply. !. Hospitals %. Patients (. Healthcare (learin$house ). :li$i#le providers !4&6 !+)

>. Which of the followin$ types of health insurance allows the patient to direct his;her own care !. H9O

%. Indemnity Plan (. Point of &ervice ). PPO !4&6 %

=. 3ou are hired #y an Office 9ana$er at a #ranch of a home health care service company to help install software for client schedulin$+ #illin$ and insurance codin$ and payroll preparation. The office mana$er is impressed with your wor. and recommends your wor. to the ne5t level of administration within the or$ani?ation. What position mi$ht that #e :ach correct answer represents a complete solution. (hoose all that apply. !. %oard of )irectors %. %illin$ (oordinator (. &taffin$ (oordinator ). President !4&6 %+(

1<. !s part of your new 'o# at a hospital+ you are as.ed to o#tain a copy of the form that would allow re@uests for patient health information so that it can #e added to a data#ase of scanned le$al forms. What department would you $o to in order to o#tain this form :ach correct answer represents a complete solution. (hoose all that apply. !. !ccounts paya#le %. Aelease of Information Office (. Health Information 9ana$ement &ervices ). 9edical Aecords !4&6 %+(+)

11. Which of the followin$ is defined as the technical and procedural methods to control and mana$e confidential information !. (onformity %. Privacy (. (onfidentiality ). )ata &ecurity !4&6 )

1*. Which of the followin$ would refer to the handlin$ and stora$e of a patients (T scan !. :9T!L! %. Health Level 7 (. )I(O9 ). HIPP! !4&6 (

1-. 3our healthcare facility used to .eep all healthcare records permanently+ #ut the volume of healthcare information has #ecome you $reat your facility is developin$ a plan to destroy certain records after a suita#le period of time. There is a #road ran$e of state re$ulations and su$$ested professional standards for record retention. Which of these record types would li.ely #e .ept the lon$est !. Ae$ister of %irths

%. !dult patient medical records (. )ia$nostic ima$es B5,rays+ etc.C ). 0etal heart monitor records !4&6 !

11. 3ou need to under$o a sur$ical procedure to have your $all#ladder removed. This sur$ical procedure will not re@uire a hospital stay. To which type of healthcare facilities would you $o for this type of service !. 4onacute (are 0acililty %. &u#acute (are 0acility (. !cute (are 0acility ). !m#ulatory (are 0acility !4&6 )

17. Two employees+ the #illin$ supervisor and the insurance verification secretary+ email each other re$ardin$ a patient"s #illin$ situation. Which of the followin$ would #e the least effective way to ensure the PHI of the patient !. :mailin$ usin$ the employees email addresses that they have created for #usiness purposes themselves. %. :mailin$ directly to an in,office only email address+ accessi#le only #y the involved parties with passwords that maintain encryption. (. :mailin$ and followin$ with a phone call. ). :mailin$ on the company"s intranet. !4&6 !

18. ! medical practice .nows that its #illin$ office is open to pu#lic viewin$ #ecause it is attached to the front welcome,des. as a time,savin$ device for communication #etween #illin$ staff and front office staff. The practice .nows that other patients" PHI #illin$ information could easily #e viewed #y patients standin$ at the front des.+ #ut chooses not to chan$e the scenario. What .ind of penalty could the practice face !. 9inimum of D1+<<< %. This is not a civil violation+ only a criminal violation. (. 9inimum of D1<+<<< ). 9inimum of D1<< !4&6 (

17. Which of the followin$ refers to an in depth+ non,numerical description of the information contained in a patient"s medical record !. 9aster Patient Inde5 %. Quantitative !nalysis (. Qualitative !nalysis ). &tatistical !nalysis !4&6 ( 1>. Throu$hout your medical history you were dia$nosed with arthritis in your lum#ar spine. The term arthritis is defined as

!. &tudy of 'oints %. &ur$ical Incision of a 'oint (. Inflammation of a 'oint ). )isease of a 'oint !4&6 (

1=. Which of the followin$ is the process of ma.in$ a patient"s chart easier to handle after it has #ecome too cum#ersome durin$ an e5tended hospital stay !. &cannin$ %. !rchivin$ (. Thinnin$ ). (odin$ !4&6 (

*<. 3ou are employed at a lar$e facility that employs several file cler.s and sees numerous patients on a daily #asis. Which of the followin$ types of file systems would #e appropriate for this type of facility !. 9otori?ed Aevolvin$ 0iles %. 0ilin$ (a#inets with )rawers (. Open &helf 0iles ). (ompressi#le Enits with Open 0iles !4&6 (

*1. 3ou are as.ed to reduce medical records for a dental practice+ you can eliminate all records that are older than which of the followin$ !. 1 years %. 8 years (. 1< years ). -< years !4&6 !

**. In medical terminolo$y+ the suffi5 ,osis is used to descri#e which of the followin$ !. Openin$ %. &tudy of (. )isease ). Inflammation !4&6 (

*-. 3ou are wor.in$ with a contractor who is revampin$ three outpatient clinics that are part of (learwater Hospitals Outpatient &ervices. There are a lot of department in (learwater Hospital+ includin$ #oth inpatient and outpatient services. Which of the followin$ $roups is most li.ely to #e these three outpatient clinics. !. O%234+ OA+ 4I(E %. I(E+ P:)&+ P!(E (. Occupational Therapy+ ((E+ %ehavioral Health

). Physical Therapy+ :4T+ )ermatolo$y !4&6 )

*1. Which of the followin$ data types encompassed in a patient"s :HA would include an echocardio$ram !. Fideo %. Ima$es (. 4um#ers ). Foice !4&6 !

*7. 3ou are the parent of a foster child that re@uires medical care. The facility providin$ care for the child is le$ally o#li$ated not to disclose the child"s medical information to which of the followin$ !. The foster parents %. The foster child"s physician (. The #irth parents ). The foster child"s nurse !4&6 (

*8.

Which of the followin$ $overnin$ #odies uses the Health Plan :mployer )ata and Information &et BH:)I&C to measure and pu#lish information a#out mana$ed care plans for consumers and employers !. Occupational &afety and Health !dministration %. )epartment of Health and Human &ervices (. 4ational (ommittee on Quality !ssurance ). 4ational (ommittee on Fital and Health &tatistics !4&6 (

*7. Which of the followin$ payment terms is #ased on the patient"s a#ility to pay !. (ustomary (har$es %. (apitation (. &lidin$ &cale 0ee ). 0ee for &ervices !4&6 (

*>. 3ou .now that HIP!! re@uires you to have a contin$ency plan in the event of an emer$ency or failure of your in,house system that contains electronic protected health information B:PHIC. 3ou have an information technolo$y company that will host your electronic medical records #oth for #ac.up and for cloud access. ! #est practice to safe$uard a$ainst your medical office losin$ its :PHI for a dama$in$ amount of time is.

!. :nsure *1,hour access for the Privacy Officer to the IT company"s servers. %. :sta#lish a contractual clause in the %!! that includes monthly #ac.ups of :PHI and monthly reports to the Privacy Officer. (. (reate a contin$ency policy that lists the IT (ompany"s #ac.up. ). :sta#lish a &ervice Level !$reement which defines the rate+ scope+ and minimum standards to #e e5pected of the IT company for :PHI recovery to the in,house system servers if they crash. !4&6 )

*=. Part of the medical wor.flow process is when dictated voice,recorded reports a#out patient encounters are converted into te5t. This process is called. !. %illin$ %. Transcription (. !uditin$ ). (odin$ !4&6 %

-<. Which of the followin$ data types encompassed in a patient"s :HA would include an echocardio$ram !. Fideo %. Ima$es (. 4um#ers ). Foice

!4&6 !

-1. 3ou are the parent of a foster child that re@uires medical care. The facility providin$ care for the child is le$ally o#li$ated not to disclose the child"s medical information to which of the followin$ !. The foster parents %. The foster child"s physician (. The #irth parents ). The foster child"s nurse !4&6 (

-*. Which of the followin$ $overnin$ #odies uses the Health Plan :mployer )ata and Information &et BH:)I&C to measure and pu#lish information a#out mana$ed care plans for consumers and employers !. Occupational &afety and Health !dministration %. )epartment of Health and Human &ervices (. 4ational (ommittee on Quality !ssurance ). 4ational (ommittee on Fital and Health &tatistics !4&6 (

--.

Which of the followin$ payment terms is #ased on the patient"s a#ility to pay !. (ustomary (har$es %. (apitation (. &lidin$ &cale 0ee ). 0ee for &ervices !4&6 (

-1. 3ou .now that HIP!! re@uires you to have a contin$ency plan in the event of an emer$ency or failure of your in,house system that contains electronic protected health information B:PHIC. 3ou have an information technolo$y company that will host your electronic medical records #oth for #ac.up and for cloud access. ! #est practice to safe$uard a$ainst your medical office losin$ its :PHI for a dama$in$ amount of time is. !. :nsure *1,hour access for the Privacy Officer to the IT company"s servers. %. :sta#lish a contractual clause in the %!! that includes monthly #ac.ups of :PHI and monthly reports to the Privacy Officer. (. (reate a contin$ency policy that lists the IT (ompany"s #ac.up. ). :sta#lish a &ervice Level !$reement which defines the rate+ scope+ and minimum standards to #e e5pected of the IT company for :PHI recovery to the in,house system servers if they crash. !4&6 )

-7. Part of the medical wor.flow process is when dictated voice,recorded reports a#out patient encounters are converted into te5t. This process is called.

!. %illin$ %. Transcription (. !uditin$ ). (odin$ !4&6 %

-8. Part of your 'o# duties includes ma.in$ sure all patient"s history and physicals are dictated and transcri#ed in the appropriate time frame. 3ou are re$ulated #y the /oint (ommission for the !ccreditation of Healthcare Or$ani?ations to have history and physicals transcri#ed and dictated within which of the followin$ time frames !. 1> hours %. *1 hours (. 8 hours ). 1* hours !4&6 %

-7. 3ou have the ri$ht choose not to have your medical information disclosed to your parents or other family mem#ers. Which of the followin$ defines this ri$ht !. (onfidentiality %. )ata &ecurity (. Privacy ). (onformity !4&6 (

->. If you are wor.in$ for a contractor or #usiness associate of a hospital and are sent in to wor. on part of an electronic healthcare record system containin$ sensitive patient information+ what a$reement needs to #e in place #etween your employer and the hospital !. ! #usiness associate a$reement that outlines that your employer must follow all necessary HIP!! re$ulations with re$ards to protected health information privacy and security %. ! waiver of lia#ility (. ! memorandum of understandin$ that you and your employer will not access or release patient information ). ! #usiness associate a$reement that states you and your employer will not access or release any patient information !4&6 !

-=. 3our facility is purchasin$ a healthcare IT software pac.a$e to help with archivin$ of protected health information throu$h document mana$ement. 3our facility wants to $uarantee certain levels of service and support standards li.e time to receive technical help+ the fre@uency of software updates and performance metrics for the system. What time of le$al document can help $uarantee those standards are met #y the document mana$ement vendor !. 9emorandum of Enderstandin$ B9OEC %. %usiness !ssociate !$reement B%!!C (. Waiver of Lia#ility ). &ervice Level !$reement B&L!C !4&6 )

1<. While on the 'o# in a healthcare facility+ you notice a $roup of individuals tourin$ and inspectin$ the facility+ the $roup is evaluatin$ and insurin$ the facility is providin$ the hi$hest @uality of care. Which a$ency is performin$ this inspection !. The /oint (ommission %. )epartment of Health and Human &ervices (. 0ood and )ru$ !dministration ). Occupational &afety and Health !dministration !4&6 !

11. Which of the followin$ $overnin$ #odies standardi?es the transmission of healthcare data !. )epartment of Health and Human &ervices %. The /oint (ommission (. Occupational &afety and Health !dministration ). 4ational (ommittee on Fital and Health &tatistics !4&6 )

1*. While on the 'o# in a healthcare facility+ you notice a $roup of individuals tourin$ and inspectin$ the facility+ the $roup is evaluatin$ and insurin$ the wor.place is a safe environment for all employees. Which a$ency is performin$ this inspection !. Occupational &afety and Health !dministration %. 0ood and )ru$ !dministration (. )epartment of Health and Human &ervices

). The /oint (ommission !4&6 !

1-. 3our responsi#ility as a health care information technolo$ist is to ensure the accuracy and efficiency of all dru$ prescriptions+ la#oratory tests and medical procedures. Which of the followin$ types of information technolo$y are you responsi#le for !. (linical IT %. Infrastructure IT (. 0inancial IT ). !dministrative IT !4&6 !

11. 3our Privacy Officer has as.ed you as the IT administrator for the practice to help her fulfill the re@uirements under HIP!! re$ardin$ physical safe$uards in the wor.place. 3ou could su$$est a variety of different proposals that fulfill the re@uirements. Which of the followin$ however mi$ht lead rather than prevent violations under HIP!! !. !ll e@uipment containin$ PHI+ such as testin$ machines+ must re@uire users to swipe their employee I) throu$h the e@uipment to access it. %. !ll computers must have a loc. latch over their power #uttons+ only availa#le to authori?ed individuals. (. !ll computers must #e secured to locations viewa#le #y all staff mem#ers to prevent individual staff mem#ers from misusin$ authori?ed PHI access. !ll old computers and their components Bhard drives+ etc.C must #e recycled. ). !ll computers must #e securely loc.ed to their wor.places.

!4&6 (

17. ! mem#er of your family is sufferin$ from !l?heimer"s )isease and is una#le to care for themselves at home. To which of the followin$ healthcare facilities would you contact for lon$ term care of this individual !. &u#acute (are 0acility %. 4onacute (are 0acililty (. !m#ulatory (are 0acility ). !cute (are 0acility !4&6 %

18. 3our primary duty is to transmit protected health information electronically from your facility to a central data#ase. 3ou are performin$ this duty #ased on the re$ulation set forth #y which of the followin$ $overnin$ #odies !. The /oint (ommission %. )epartment of Health and Human &ervices (. 4ational (ommittee on Fital and Health &tatistics ). Occupational &afety and Health !dministration !4&6 (

17. 3ou have the responsi#ility of insurin$ all patients medical records have the appropriate components and content. 3ou must insure this #y adherin$ to the

$uidelines set forth #y which of the followin$ pu#lications !. :1-8> %. :1-=* (. :1->1 ). :1-77 !4&6 (

1>. The /oint (ommission for the !ccreditation of Healthcare or$ani?ations re@uires a history and physical #e dictated and transcri#ed within what period of time for chronic care patients !. 11 days %. 7 days (. -< days ). *1 hours !4&6 (

1=. The /oint (ommission for the !ccreditation of Healthcare or$ani?ations re@uires a history and physical #e dictated and transcri#ed within what period of time for acute care patients !. 1> hours %. 1* hours (. 8 hours ). *1 hours

!4&6 )

7<. )i$ital si$natures from physicians are an important part of many electronic health information systems. Which of the followin$ applications do use di$ital si$natures :ach correct answer represents a complete solution. (hoose all that apply. !. 9edicare certifications %. Aemote site visit patient records (. Aeferrals ). (omputeri?ed Physician Order :ntry !4&6 !+%+(+)

71. When wor.in$ in a healthcare or$ani?ation email communication presents special pro#lems. Thou$h a very useful tool+ it can also present pro#lems for an or$ani?ation. Which of the followin$ is 4OT a potential pro#lem re$ardin$ email communication !. Protected health information must #e encrypted in order to send PHI via email+ in case an email is intercepted durin$ transmission. %. 9any emails re$ardin$ treatment+ payment and #usiness operations can #y #oth HIP!! and &ar#anes O5ley law #e re@uired to #e retained as part of the le$al record and stored for years. (. If any protected health information is $oin$ to #e sent throu$h email+ authentication of the recipient is crucial for protection of PHI. !ccess control systems must #e in place to authenticate sender and recipient of any email containin$ PHI. ). If patient"s re@uest the service+ email can #e used for appointment reminders+ prescription refill completion and other low,sensitivity messa$es. !4&6 )

7*. 3ou have #een hired at a small private practice to install a #asic document mana$ement system and scanner so that the practice can start convertin$ from paper to electronic medical records. 3ou have a QE:&TIO4 4O6 system should #e or$ani?ed. Who are you most li.ely to tal. to re$ardin$ this issue !. The medical assistants %. The technical support team of the manufacturer of the system. (. The office mana$er ). The physician headin$ the practice. !4&6 (

7-. (overed entities and #usiness associates may soon #e re@uired to ma.e a lo$ of all disclosures of protected health information+ #oth for treatment+ payment and operations as well as any other purposes. Previously+ there was an e5ception for TPO purposes. What part of healthcare re$ulation first re@uired lo$$in$ methodolo$y of electronic protected health information disclosures !. HIP!! Privacy Aule %. HIP!! &ecurity Aule (. P&QI! ). HIT:(H !4&6 %

71. Which of the followin$ pieces of le$islation encompasses the ei$ht ri$hts every individual has as a recipient of medical care

!. Patient %ill of Ai$hts %. 9IPP! (. :9T!L! ). HIPP! !4&6 !

77. 3ou have to under$o a sur$ical procedure in which will re@uired a five day hospital stay. To which of the followin$ types of healthcare facilities will you #e admitted !. !m#ulatory (are 0acility %. 4onacute (are 0acililty (. &u#acute (are 0acility ). !cute (are 0acility !4&6 )

78. !n >< year old man is dissatisfied with several aspects of his hospital stay+ which of the followin$ pieces of le$islation allows him to file a formal complaint !. 9IPP! %. HIPP! (. :9T!L! ). Patient %ill of Ai$hts !4&6 )

77. Which of the followin$ refer to the act of sendin$ physical files to a permanent location that is .ept under loc. and .ey and can #e physically accessed !. (odin$ %. &cannin$ (. !rchivin$ ). Thinnin$ !4&6 (

7>. 3our healthcare facility receives complaints this year with re$ard to violations of privacy practices and is cited for noncompliance with the HIP!! Privacy Aule for *- infractions for inadvertent compliance failure. (ivil penalties are enforced+ as there has #een no wron$ful conduct with false pretenses and patient health information has not #e .nowin$ly o#tained or disclosed. What is the minimum amount that can your healthcare facility #e fined for compliance failure !. D*-+<<< %. D7<+<<< (. D*-<+<<< ). D*-<< !4&6 !

7=. Which of the followin$ payment terms is #ased on the cost of the provider to perform services !. &lidin$ &cale 0ee %. (ustomary (har$es (. (apitation ). 0ee for &ervices

!4&6 )

8<. 3our hospital"s e@uipment vendor provides many life,savin$ devices+ from heart, monitors to :G2"s+ that store and sort PHI data for retrieval #y the hospital"s :9A system. In your &ervice Level !$reements B&L!C+ you want to ma.e sure that e@uipment vendors have a$reed to the essentials that HIP!! and 4I&T recommend are in place for a contin$ency situation for covered entities. Which of the followin$ would not #e a 4I&T recommendation !. !llowa#le outa$e times for the piece of e@uipment %. 0inancial penalties for the vendor failin$ to meet the recovery deadlines (. )eadlines for providin$ restoration of data ). ! list of recovery strate$ies to restore IT operations @uic.ly #etween e@uipment and the :9A system !4&6 %

81. This recent part of ma'or le$islation helped fund investment in health information technolo$y throu$hout the nation. This act was desi$ned to increase the use of electronic health records and information technolo$y in healthcare+ and $rants are availa#le for trainin$ and implementation. :ach correct answer represents a complete solution. (hoose all that apply. !. EH(I! %. HIT:(H (. !AA! ). HIP!!

!4&6 %+(

8*. Which of the followin$ data types encompassed in a patient"s :HA would include dischar$e summaries !. Ima$es %. 4um#ers (. Te5t ). &i$nals !4&6 (

8-. 3our company is in char$e of computer repairs in the #illin$ office of an out,patient sur$ical facility. While on,site+ you are as.ed #y the #illin$ staff+ who you"ve .nown for five years+ if you would li.e to help them sell some of the PHI to mar.eters for D1<+<<<+ #ut without tellin$ the #oss. They need your help to $et the information out of the systems to sell to a mar.etin$ company owned #y their friends. If you do the ma5imum penalty you could end up is !. 1< years in prison %. ! D*<+<<< fine. (. 1< years in prison and D*7<+<<< fine ). With a civil penalty of D1<<+<<< !4&6 (

81.

3ou are wor.in$ on implementin$ a new system for sendin$ reim#ursement claims to 9edicare+ 9edicaid and Third Party payers. Which of this HL7 se$ments mi$ht you #e usin$ often in your data e5chan$e :ach correct answer represents a part of the solution. (hoose all that apply. !. %L2 %. PI) (. O%A ). !L1 !4&6 !+%

87. Which of the followin$ refers to the process of applyin$ proper numerical values to medical services o#tained in order to achieve proper #illin$ practices !. !rchivin$ %. (odin$ (. Thinnin$ ). &cannin$ !4&6 %

88. While on the 'o# in a healthcare facility+ you notice a $roup of individuals tourin$ and inspectin$ the facility+ the $roup is evaluatin$ and insurin$ the wor.place is a safe environment for all employees. Which a$ency is performin$ this inspection !. Occupational &afety and Health !dministration %. 0ood and )ru$ !dministration (. )epartment of Health and Human &ervices

). The /oint (ommission !4&6 !

87. Which of the followin$ types of health insurance allows the patient to choose a provider each time healthcare service is re@uired !. PPO %. H9O (. Point of &ervice ). Indemnity Plan !4&6 (

8>. The HIP!! compliance act re@uires no restrictions on the use of which type of health information !. !rchived Health Information %. :lectronic Health Information (. Paper Health Information ). )e,Identified Health Information !4&6 )

8=.

While wor.in$ on installin$ a new data#ase pro$ram in an outpatient dermatolo$y clinic+ you see one datafield includes the term HP(PH. What does this term most li.ely mean in this settin$ !. Prior ceilin$ protocol %. Pneumocystis pneumonia (. Primary (are Physician ). The dru$+ Phencyclidine !4&6 (

7<. While wor.in$ on up$radin$ software on a wor.station in the emer$ency department of a hospital+ a multi,car pileup occurs and the in'ured are #rou$ht into the :A as trauma cases. There"s noise+ confusion and a lot of chaos. What is the #est eti@uette for dealin$ with this situation :ach correct answer represents a complete solution. (hoose all that apply. !. :vacuate the area durin$ hi$h traffic. %. Try to find out the patient"s condition and see if there is anythin$ you can do to help. (. )on"t stare into patient"s rooms or at patient"s as they $o #y on $urneys or in wheelchairs. ). (ontinue your pro'ect+ while movin$ if anyone needs access to systems or files near your position. !4&6 (+)

71. 3ou are a minor+ under the a$e of ei$hteen+ that re@uires medical care. 0or which of the followin$ conditions are you a#le to see. medical care without consent of your parents

!. Pre$nancy %. )ru$ and !lcohol !#use (. :atin$ )isorders ). O#esity !4&6 %

7*. ! 11 year old female presents to the emer$ency room with chest pain. &he is denied care #ecause she is uninsured. Which of the followin$ pieces of le$islation has #een violated !. Patient %ill of Ai$hts %. :9T!L! (. HIPP! ). 9IPP! !4&6 %

7-. 3ou are a healthcare IT technician. 3our mana$er provides you a stora$e media havin$ PHI data and wants you to perform low level format on it. Which form of secure disposal of PHI are you performin$ !. &aniti?in$ %. )e$aussin$ (. Piercin$ ). &hreddin$ !4&6 %

71. Which of the followin$ titles of HIP!! protects health insurance covera$e for wor.ers and their families when they chan$e or lose their 'o#s !. Title I %. Title II (. Title III ). Title IF !4&6 !

77. Which of the followin$ is defined as the le$al and ethical o#li$ation of health care professionals to meet the e5pectation of privacy from patients !. Privacy %. (onformity (. )ata &ecurity ). (onfidentiality !4&6 )

78. Which of the followin$ refers to a facility that offers a wide ran$e of medical+ sur$ical+ pediatric and o#stetric services that re@uire a hospital stay of less than -< days !. &u#acute (are 0acility %. !cute (are 0acility (. 4onacute (are 0acililty ). !m#ulatory (are 0acility

!4&6 %

77. 3our medical practice is #ein$ audited #y a physician reviewer of a PPO with whom your practice has a contract. In order to determine the medical competency of all the physicians at your practice+ the partners of the practice wish to review five charts from your patient files to review provider performance re$ardin$ the newer associate doctors. In this situation what do you need to do comply with HIP!! !. :nsure that the patients have si$ned an authori?ation to allow for their information to #e reviewed #y doctors other than their own doctor. %. (opy the files and remove or #lac.,out identifyin$ information (. The associate doctors are re@uired to si$n a %usiness !ssociate a$reement. ). &imply ma.e sure that the patients had si$ned the HIP!! privacy notification. !4&6 )

7>. 3our primary care physician re@uires you to see a pulmonolo$ist. Pulmonolo$y is defined as !. &tudy of the lun$s %. )isease of the lun$s (. Inflammation of the lun$s ). &ur$ical Incision of the lun$s !4&6 !

7=. Which of the followin$ refers to information contained within a patient"s :HA #ein$ converted from words to num#ers !. Quantitative !nalysis %. 9aster Patient Inde5 (. &tatistical !nalysis ). Qualitative !nalysis !4&6 !

><. 3ou are responsi#le for applyin$ the appropriate I(),= code for all services o#tained for patients at your facility. Which of the followin$ types of data are you responsi#le for !. 4um#ers %. Te5t (. Ima$es ). &i$nals !4&6 !

>1. 3ou have #een as.ed to analy?e a patient"s medical recor!+ )ssi$n a numerical value to all services this patient has received. Which of the followin$ tas.s have you #een as.ed to perform " !. &cannin$ %. (odin$ (. !rchivin$

). Thinnin$ !4&6 %

>*. 3ou wor. for a lar$e health care system that consists of ei$ht hospitals. 3ou are as.ed to install an information system which will allow all ei$ht hospitals to share information. Which of the followin$ types of information systems would you install for this purpose !. )epartmental &ystem %. Intradepartmental &ystem (. :nterprise &ystem ). :5ternal &ystem !4&6 (

>-. Healthcare facilities need to have strict policies a#out mo#ile devices and remote access to the or$ani?ation"s networ. when access to protected health information is involved. 3ou are as.ed #y a healthcare provider to help her set up a way to access her account while she is at a conference in )enver. What are some policies that your or$ani?ation mi$ht have to this .ind of arran$ement :ach correct answer represents a complete solution. (hoose all that apply. !. 4o remote access is allowed for any reason due to the possi#ility of protected health information #ecomin$ vulnera#le. %. It is necessary to install a FP9 or virtual private networ. on the provider"s laptop+ one that is approved #y the IT staff and has #een demonstrated to #e secure. (. !s lon$ as the des.top is loc.ed for access with a password+ networ. access to the providers personal computer shouldn"t #e a pro#lem. ). 4o PHI may #e stored on a home or personal computer for any reason+ and a home or personal computer should never #e considered a secure location.

!4&6 !+%+)

>1. 0or what period of time do all primary medical records #e retained !. -< years %. 8 years (. 1< years ). 1 years !4&6 (

>7. Which of the followin$ pieces of le$islation re@uires health care facilities to provide emer$ency care re$ardless of a#ility to pay !. 9IPP! %. :9T!L! (. Patient %ill of Ai$hts ). HIPP! !4&6 %

>8. Which of the followin$ #ranches of medical science is included in O%234 :ach correct answer represents a part of the solution. (hoose two.

!. O#stetrics %. Ophthalmolo$y (. 2ynecolo$y ). 2enealo$y !4&6 !+(

>7. !s a healthcare information technolo$ist+ one of your primary duties is to ensure that all I,rays and (T scan are incorporated into all patient"s electronic health records. Which of the followin$ duties are you responsi#le for !. )evice (apture %. )ocument !rchivin$ (. (linical Ima$in$ ). )ocument Ima$in$ !4&6 (

>>. In esta#lishin$ the IT lo$istics #etween two universities en$a$ed in 'oint medical research+ you are most li.ely $oin$ to #e $overned #y an 9OE B9emorandum of Enderstandin$C rather than an &L!. In addition to protectin$ the :PHI+ what is the ultimate $oal of the 9OE !. :n$enders a mutual commitment to maintainin$ the hi$hest level of medical care. %. Provides 4I&T with annual review method. (. :na#les rapid transfer of data. ). 0ulfills $overnin$ auspices need for institutional contractual lan$ua$e. !4&6 (

>=. !n open heart sur$ical procedure is re@uired to save your life. 3ou choose not to have the sur$ery. This is your ri$ht #ased on which of the followin$ pieces of le$islation !. HIP!! %. (O%A! (. :9T!L! ). Patient &elf )etermination !ct !4&6 )

=<. ! physician practice suspects that a patient was involved in the theft of dru$s from its storeroom. The police have arrive!+ )re as.in$ for the information the practice has a#out this patient+ li.e the patient"s name+ last .nown address+ and patient status. The practice can. !. Aeveal only the Patient"s name. %. Only corro#orate information that the police already have. (. Aeveal this information to the police+ provided that they have an authori?ation. ). Provide the information+ without an authori?ation+ if it #elieves it will serve as evidence. !4&6 )

=1. The HIP!! act prevents disclosure of health information to which of the followin$ !. The Patient %. Patient Aepresentatives

(. )epartment of Health and Human &ervices ). Patient :mployer !4&6 )

=*. 3ou are sufferin$ from an a#dominal disorder in which your physician feels re@uires a colostomy. ! colostomy is defined as !. &tudy of the colon %. )isease of the colon (. To cut into the colon ). Inflammation of the colon !4&6 (

=-. ! physician maintains a series of pro$ress notes on a patient durin$ the patient"s stay at the hospital. These notes are entered into an electronic medical record at a wor.station. What does the physician need to maintain durin$ this process :ach correct answer represents a complete solution. (hoose all that apply. !. The physician needs to maintain the inte$rity of the record. &he cannot erase any information+ only add chan$es or corrections and she needs to electronically si$n at appropriate points in the record. %. The physician needs to maintain the confidentiality of the record. They have to ma.e sure that the wor.station is lo$$ed out of when not in use+ so that no unauthori?ed individuals can have access to patient data. (. The physician needs to maintain the security of the record. They have to chec. that no one else has viewed or altered the record from outside sources.

). The physician needs to maintain the accessi#ility of the record. They have to provide access to the patient or their desi$nated representatives. !4&6 !+%

=1. 3ou are the privacy officer in char$e of settin$ up the policies and procedures for protectin$ patient information within your covered entity. 3ou have studied HIP!!"s re@uirements and are now faced with determinin$ what .inds of policies you need to implement. Which of the follow do you 4OT need to implement !. ! policy limitin$ staff mem#ers from namin$ the covered entity for which they wor. outside the office. %. ! policy $overnin$ the on$oin$ trainin$ of how to handle PHI for employees. (. ! policy outlinin$ which employees have access to electronic protected health information B:PHIC. ). ! policy definin$ what role mana$ement will play in the oversi$ht and compliance for security controls. !4&6 !

=7. Which of the followin$ titles of HIP!! is .nown as the !dministrative &implification B!&C provisions+ and re@uires the esta#lishment of national standards for electronic health care transactions and national identifiers for providers+ health insurance plans+ and employers !. Title II %. Title IF (. Title III

). Title I !4&6 !

=8. 3our roommate is recoverin$ from a cold+ and you are feelin$ under the weather yourself. 3ou are scheduled to update software on a wor.station in the critical care center of a hospital. What should you do :ach correct answer represents a complete solution. (hoose all that apply. !. Wash hands thorou$hly throu$hout the day+ cover your mouth when you cou$h or snee?e and wash hands after any contact with #odily fluids. %. Where a sur$ical mas. while wor.in$. (. (all in to your supervisor and e5plain that you may #e ill and may need to wor. on an alternate pro'ect today. ). Ta.e cold medicine. !4&6 !+(

=7. This type of clinical module allows a small private practice of physicians to mana$e the day to day operations of a medical practice+ includin$ patient demo$raphics+ schedulin$+ lists of insurance payers+ #illin$ tas.s and report $eneration. !. Trac.in$;!uditin$ %. &chedulin$ (. Order :ntry ). Practice 9ana$ement &oftware !4&6 )

=>. 0or what period of time do all primary dental records #e retained !. 1 years %. 8 years (. -< years ). 1< years !4&6 !

==. !m#ulatory &ur$ical (enters provide outpatient sur$eries+ pain mana$ement and dia$nostic procedures. These often use the latest in electronic health records and health mana$ement software systems+ and re@uire the services of healthcare IT personnel. !s a healthcare IT professional+ who are you most li.ely to deal with durin$ your employment at an am#ulatory sur$ical center !. (hief :5ecutive Officer %. 4ursin$ 9ana$er (. (hief of 9edical &taff ). !dministrator !4&6 )

1<<. ! 11 year old female presents to the emer$ency room with chest pain. &he is denied care #ecause she is uninsured. Which of the followin$ pieces of le$islation has #een violated

!. :9T!L! %. HIPP! (. 9IPP! ). Patient %ill of Ai$hts !4&6 !

1<1. 3ou need a patient"s medical information for a research pro'ect. Which type of medical information can you o#tain without consent from the patient !. !rchived Health Information %. Paper Health Information (. :lectronic Health Information ). )e,Identified Health Information !4&6 )

1<*. Which of the followin$ standards lists the components and content of the patient"s medical record and includes definitions that conform to standard nomenclature !. :1-8> %. :1-=* (. :1-77 ). :1->1 !4&6 )

1<-. Which of the followin$ data types encompassed in a patient"s :HA would include #ody wei$ht and temperature readin$s !. &i$nals %. Ima$es (. Te5t ). 4um#ers !4&6 )

1<1. 3ou are wor.in$ on installin$ a e,prescri#in$ system in an outpatient clinic which has many H9O patients. One of the advanta$es of a e,prescri#in$ system was the a#ility within the pro$ram to chec. a$ainst insurance covera$e for the patient to see which of several possi#le medications for the patient"s health condition is covered #y the patient"s insurance covera$e. What is this feature called !. 0ormulary chec.in$ %. !ller$y interactions (. (overa$e authori?ation ). 9edication Aeconciliation !4&6 !

1<7. Which of the followin$ payment terms is #ased on the cost of the provider to perform services

!. 0ee for &ervices %. (ustomary (har$es (. (apitation ). &lidin$ &cale 0ee !4&6 !

1<8. HIP!! re@uires detailed or$ani?ation and efforts #y healthcare or$ani?ations to remain in compliance with healthcare re$ulation. To promote this or$ani?ation+ the HIP!! &ecurity Aule states clearly the need for which of the followin$ !. 0ollowin$ e5act methodolo$y laid out in &ecurity Aule for each security standard. %. Policy and Procedures and )ocumentation (. The use of outside consultants to set up or$ani?ational framewor. ). The use of or$ani?ational enterprise software !4&6 %

1<7. 3ou need a patient"s medical information for a research pro'ect. Which type of medical information can you o#tain without consent from the patient !. :lectronic Health Information %. !rchived Health Information (. )e,Identified Health Information ). Paper Health Information !4&6 (

1<>. 3ou need to under$o a sur$ical procedure to have your $all#ladder removed. This sur$ical procedure will not re@uire a hospital stay. To which type of healthcare facilities would you $o for this type of service !. &u#acute (are 0acility %. 4onacute (are 0acililty (. !cute (are 0acility ). !m#ulatory (are 0acility !4&6 )

1<=. Which of the followin$ types of hospital information systems are desi$ned to share information amon$ all departments included in a lar$e health system !. )epartmental &ystem %. :nterprise &ystem (. Intradepartmental &ystem ). :5ternal &ystem !4&6 %

11<. ! patient re@uests an accountin$ of all the instances in which her Protected Health Information BPHIC has #een disclosed in the last si5 years. 3ou are in char$e of puttin$ this accountin$ to$ether. It seems li.e a monumental tas.. What disclosures must #e listed in this accountin$ !. )isclosures for treatment+ payment or healthcare operations

%. )isclosures incidental to another allowed use or disclosure (. 4ational security or intelli$ence disclosures ). )isclosures that were made without a re@uired written authori?ation !4&6 )

111. )urin$ your wor. at a nursin$ facility+ you need to send and receive fa5es to communicate with your superior at your contractin$ employer. 3ou o#serve that to send a fa5+ it is necessary to implement several procedures #efore a fa5 can #e received+ such as which of the followin$. :ach correct answer represents a complete solution. (hoose all that apply. !. 0a5es should #e used in place of other communication methods such as phone or email. %. 0a5es should not #e located in areas easily accessi#le to the $eneral pu#lic. (. Incomin$ fa5es should #e removed immediately and filed appropriately ). Aeceipt of fa5 should #e confirmed #y telephone. !4&6 %+(+)

11*. Which of the followin$ is the #ranch of medicine dealin$ with the medical care of infants+ children+ and adolescents !. 2ynecolo$y %. Pedolo$y (. Pediatrics ). )ermatolo$y !4&6 (

11-. Which of the followin$ refers to the $roup of health care su#'ect matter e5perts and information scientists who create the standards for e5chan$e+ mana$ement and inte$ration of electronic health records !. )I(O9 %. Health Level 7 (. :9T!L! ). HIPP! !4&6 %

111. While wor.in$ a healthcare facility+ you notice a patient"s :HA does not contain any electronic si$natures verifyin$ the contents of the :HA. This :HA does not meet compliance standards set forth #y which of the followin$ titles !. Title *1 (0A Part 11 %. Title *1 (0A Part 7 (. Title *1 (0A Part *1 !4&6 !

117. 3ou have a family mem#er with terminal cancer who suddenly develops pneumonia. Which of the followin$ types of healthcare facilities is #est e@uipped to handle this scenario !. 4onacute (are 0acililty %. &u#acute (are 0acility (. !cute (are 0acility

). !m#ulatory (are 0acility !4&6 %

118. 3ou are an information technolo$ist at a lon$ term care facility that cares form chronically ill patients. One of your 'o# duties is to ensure the history and physicals for these patients are dictated and transcri#ed in the appropriate time frame. 3ou are re@uired #y The /oint (ommission for the !ccreditation of Healthcare Or$ani?ations to have the history and physicals to #e dictated and transcri#ed within which of the followin$ time frames !. 7 days %. -< days (. 11 days ). *1 hours !4&6 %

117. Which of the followin$ people do 4OT have access to medical records of foster children !. The foster parents %. The foster child"s nurse (. The #irth parents ). The foster child"s physician !4&6 (

11>. Which of the followin$ pieces of le$islation insures the privacy and security of personal health information !. Patient %ill of Ai$hts %. HIPP! (. :9T!L! ). 9IPP! !4&6 %

11=. Which of the followin$ types of health insurance refers to a networ. of physicians and healthcare or$ani?ations who provide medical services at a discounted rate in return for hi$her patient volume !. Point of &ervice %. H9O (. PPO ). Indemnity Plan !4&6 (

1*<. While wor.in$ a healthcare facility+ you notice a patient"s :HA does not contain any electronic si$natures verifyin$ the contents of the :HA. This :HA does not meet compliance standards set forth #y which of the followin$ titles !. Title *1 (0A Part 7 %. Title *1 (0A Part 11 (. Title *1 (0A Part *1

!4&6 %

1*1. 9inor children can receive medical care without parental consent in which of the followin$ circumstances !. :atin$ )isorders %. Pre$nancy (. )ru$ and !lcohol !#use ). O#esity !4&6 (

1**. Which of the followin$ cate$ories of information technolo$y in the health care settin$ involve staff schedulin$ and patient re$istration !. 0inancial IT %. (linical IT (. !dministrative IT ). Infrastructure IT !4&6 (

1*-. Which of the followin$ refers to a conversation #etween patient and physician that encompasses the medical procedure #ein$ performed+ the reason the procedure is #ein$ performed+ the #enefits of the procedure #ein$ performed and the ris.s of the

procedure #ein$ performed !. Patient"s %ill of Ai$hts %. &afe 9edical )evice !ct (. Informed (onsent ). HIPP! !4&6 (

1*1. 0or what period of time do all records containin$ HIPP! information #e retained !. 1 years %. 8 years (. -< years ). 1< years !4&6 %

1*7. When en$a$ed in :)I B:lectronic )ata Interchan$eC of PHA BPersonal Health AecordsC #etween two covered entities or #etween a covered entity and a contracted entity that has entered into a$reement with a covered entity+ the covered entities must corro#orate that the information e5chan$ed comes from the entity who claims to #e sendin$ it. Which of the followin$ is not a way of authenticatin$ the sender !. to.en systems %. two or three,way handsha.es (. callin$ #ac. #y telephone ). passwords :. parity e5chan$e !4&6 :

1*8. 3ou are fortunate to have a health care plan that allows you to see. care from whichever facility or health care provider you choose. Which of the followin$ types of healthcare plans do you su#scri#e to !. Point of &ervice %. H9O (. PPO ). Indemnity Plan !4&6 )

1*7. 3ou and your department are doin$ and audit to ma.e sure that you are compliant with HIP!! &ecurity &tandards laid out in detail in the &ecurity Aule. Which of the followin$ is 4OT a type of security standard you would #e responsi#le for !. !dministrative &afe$uards %. Physical &afe$uards (. Technical &afe$uards ). Procedural &afe$uards !4&6 )

1*>. &ometimes it is necessary for patients to receive information li.e test results over the phone. This .ind of protected health information can #e very sensitive. In which of the followin$ situations would it #e accepta#le to discuss protected health information over the phone. !. With the patient who has confirmed a detail of their identity+ such as #irth date or address.

%. With a family mem#er of the adult patient. (. With a cowor.er of the patient at their wor.place. ). With an answerin$ machine at the num#er desi$nated if the name matches the patient"s. !4&6 !

1*=. !s a healthcare information technolo$ist+ you are re@uired to ensure that all data in every patients electronic health data remains confidential. Which of the followin$ descri#es this duty !. (onformity %. Privacy (. (onfidentiality ). )ata &ecurity !4&6 )

1-<. Which of the followin$ payment terms is #ased on the patient"s a#ility to pay !. (apitation %. 0ee for &ervices (. &lidin$ &cale 0ee ). (ustomary (har$es !4&6 (

1-1. 0ederal Health (are Aeform mandates the #e$innin$ of movement to electronic medical records for all hospitals and clinics startin$ in *<17+ and this impacts rural hospital especially hard. !s a healthcare IT professional+ if you are hired at a rural hospital to help convert a paper #ased system to an electronic health record system you may #e wor.in$ with limited resources and hi$her levels of responsi#ility+ #ut ma.e a #i$ impact. Which of the followin$ is true a#out healthcare IT opportunities at rural hospitals !. Aural hospitals #and to$ether to ma.e #est use of healthcare IT professionals and resources and share across distances. %. The federal $overnment awards $rants to help with implementation of electronic records and some of this is focused on rural clinics and hospitals. (. There is a real shorta$e of Healthcare IT professionals in rural settin$s. ). There is an e5ception for rural hospitals in the electronic medical record re@uirements. !4&6 !+%+(

1-*. !ccordin$ to the !merican Hospital !ssociation+ which of the followin$ types of hospitals are re@uired to provide dia$nosis and treatment for individuals who are disa#led !. &pecialty Hospital %. Aeha#ilitation Hospital (. Psychiatric Hospital ). 2eneral Hospital !4&6 %

1--.

Which of the followin$ parts of the (ode of 0ederal Ae$ulations refers to the 0)! $uidelines on electronic records and electronic si$natures !. Title *1 (0A Part 11 %. Title *1 (0A Part *1 (. Title *1 (0A Part 7 !4&6 !

1-1. 3ou choose to have your $all#ladder removed at a hospital that provides radiolo$ical services and la#oratory services as well as sur$ical services. What type of medical facility have you chosen for your care !. 2eneral Hospital %. &pecialty Hospital (. Aeha#ilitation Hospital ). Psychiatric Hospital !4&6 !

1-7. !n >< year old man is dissatisfied with several aspects of his hospital stay+ which of the followin$ pieces of le$islation allows him to file a formal complaint !. Patient %ill of Ai$hts %. 9IPP! (. HIPP! ). :9T!L! !4&6 !

1-8. While wor.in$ at a private physician practice+ you are as.ed to convert a patient"s paper chart to a di$ital format. What type of medical record have you #een as.ed to create !. :lectronic 9edical Aecord %. )emo$raphic Health Information (. !rchived Health Information ). :lectronic Health Aecord !4&6 !

1-7. 3ou have #een hired to create a software pro$ram that will remove all the identifyin$ information from patient records who were involved in a cancer research pro'ect+ so that the outcomes of a particular treatment can #e shared at a medical conference. HIP!! re@uires that you remove many types of information that could #e used to identify the patient or could+ in con'unction with other information that the receiver has+ #e used to identify the patient. Which information #elow would you 4OT #e re@uired to remove. !. Health plan #eneficiary num#ers %. We# addresses (. 0a5 num#ers ). %irth year if the patientBsC is under the a$e of >= !4&6 )

1->. The emer$ency department has 'ust had a patient #rou$ht in who is unconscious+ #ut their identification indicates that they are the family mem#er of a staff mem#er at the hospital and their medical file is restricted access for that reason. The individual in

human resources with access codes to access this file is on maternity leave+ and the patient needs care now. What protocol #uilt into access control systems would allow access to the patient file :ach correct answer represents a complete solution. (hoose all that apply. !. &taff :5ception Handlin$ %. %rea. the 2lass (. (ode Aed !ccess ). :mer$ency (hart !ccess !4&6 %+)

1-=. It is time for your medical practice"s annual sprin$ cleanin$. 3our employer has instructed you that all medical records #elon$in$ to patients who haven"t #een a part of the practice for at least five years need to #e destroyed. 9any of those patients were charted usin$ paper medical records+ #efore the practice adopted its current :9A system. Ender the privacy laws+ what can you do !. )ump them in the dumpster #ehind the practice. %. %oth %+ (. (. &ecurin$ the records until an outside vendor who has a %!! with you can pic. them up to destroy them. ). &hreddin$ them yourself. !4&6 %

11<. %illin$ systems in healthcare use numerical medical codes from several different systems in order to specific dia$nosis information and procedures performed in treatment. Which of the followin$ is 4OT a codin$ system used in medical #illin$

!. I()1< %. 9&)A2 (. P:T ). (PT !4&6 (

111. 3ou are furlou$hed from your position as a healthcare IT specialist. 3our employer failed to offer you the option to continue your medical insurance for at least ninety days. Which piece of le$islation has #een i$nored #y your employer !. HIP!! %. :9T!L! (. (O%A! ). Patients %ill of Ai$hts !4&6 (

11*. While wor.in$ on up$radin$ a system in the :mer$ency )epartment+ you hear a warnin$ over the P! system for a H(ode %lueH+ followed #y what loo.s li.e people runnin$ everywhere. What"s $oin$ on !. The hospital is #ein$ evacuated. 3ou need to leave the #uildin$. %. The hospital is so full that all incomin$ patients are #ein$ diverted to other hospitals for care. 3ou need to stay calm and continue your wor.. (. There"s a flood in the restroom that"s threatenin$ to $et out into the hallways. 3ou need to ma.e sure computer e@uipment is off the floor. ). ! patient is in cardiac arrest and needs immediate resuscitation and critical care

services. 3ou need to stay calm and continue your wor.. !4&6 )

11-. Wor.flow mana$ement+ interview software and electronic medical records can streamline the process of a physician e5am #y $ivin$ the physician access to a lot of information a#out the patient #efore they even wal. in the e5am room. What parts of a typical e5am can #e made more efficient #y use of an electronic health record technolo$y :ach correct answer represents a part of the solution. (hoose all that apply. !. Transcription of dictation and filed in medical record %. !s.in$ @uestion. the dia$nosis (. !s.in$ why the patient has sou$ht care ). )ictatin$ recollection of history as told #y patient+ data from chart+ e5am details !4&6 %+(+)

111. 3our healthcare facility is developin$ a policy for movin$ some records off,site as they have moved from #ein$ HactiveH to HinactiveH records. Of the followin$+ which is a li.ely reason for a record #ecomin$ HinactiveH !. The record is a short record of an emer$ency department case in which a minor would was stitched up and the patient has not #een seen in the facility for two years. %. The record is for a patient who is part of an assessment study of heart sur$ery patients over the last ten years. (. The record is for a patient with a chronic illness who is often seen for

complications of their illness. ). The record is involved in a le$al case where there have #een several re@uests for release of information to parties in a lawsuit. !4&6 !

117. 3our healthcare facility is involved in a lawsuit where protected health information is important to the case. (an your facility disclose this information and still #e within HIP!! compliance !. 4o. It is not in the #est interests of the healthcare or$ani?ation to disclose protected health information at any time. %. 4o. The or$ani?ation should not disclose that information under these circumstances #ecause it ris.s fallin$ into HIP!! noncompliance. (. 3es. The needs of the lawsuit outwei$h the HIP!! law and the information should #e disclosed even at the ris. of HIP!! compliance. ). 3es. The or$ani?ation will still #e within HIP!! compliance if it discloses PHI within a le$al proceedin$. !4&6 )

118. Which of the followin$ pieces of le$islation preserves the patient"s wishes+ ri$hts+ healthcare options and advanced directives even if the decision results in the death of the patient !. Patient &elf )etermination !ct %. HIP!! (. (O%A!

). :9T!L! !4&6 !

117. )urin$ your yearly medical physical+ your doctor dia$noses you with leu.ocytosis. Leu.ocytosis is defined as !. &tudy of white #lood cells %. &ur$ery involvin$ white #lood cells (. Inflammation of the white #lood cells ). )isease of the white #lood cells !4&6 )

11>. ! mem#er of your family is sufferin$ from !l?heimer"s )isease and is una#le to care for themselves at home. To which of the followin$ healthcare facilities would you contact for lon$ term care of this individual !. 4onacute (are 0acililty %. &u#acute (are 0acility (. !m#ulatory (are 0acility ). !cute (are 0acility !4&6 !

11=.

3ou are wor.in$ at a teachin$ hospital at a ma'or university that is involved in healthcare research as well as providin$ care to patients. 3ou are concerned that some of the information #ein$ used in a research study may involve protected health information and could #e a violation of privacy law. There are three criteria that are necessary for a piece of information to #e considered protected health information. Which one of these is 4OT a criterion for #ein$ classified as protected health information !. Information must identify the patient or $ive a reasona#le #asis to #elieve that the patient could #e identified. %. Information must relate to a patient"s past+ present or future physical or mental health condition+ the provision of healthcare+ or the payment for the provision of healthcare (. Information must #e held or transmitted #y a covered entity or it"s #usiness associates. ). Information must #e contain useful content for the research purposes. !4&6 )

17<. Which of the followin$ payment terms is #ased on what a reasona#le fee would #e for the service provided !. (ustomary (har$es %. (apitation (. &lidin$ &cale 0ee ). 0ee for &ervices !4&6 !

171. Which of the followin$ refers to information that relates to any individual"s past+

present or future physical or mental health !. )e,Indentified Health Information %. !rchived Health Information (. )emo$raphic Health Information ). Individually Identifia#le Health Information !4&6 )

17*. Which of the followin$ pieces of le$islation was devised to assist wor.ers who lose their health care #enefits !. :9T!L! %. HIP!! (. Patients %ill of Ai$hts ). (O%A! !4&6 )

17-. 4ursin$ facilities and nursin$ homes are increasin$ly usin$ electronic medical records and computeri?ed order systems to care for comple5 patients. !s an Healthcare IT professional+ what .ind of professionals will you #e wor.in$ with to implement these .inds of systems within a nursin$ home are often run #y a )irector of 4ursin$+ who is a re$istered nurse+ and staffed #y licensed nurses BLP4C and non,licensed nursin$ assistants. :ach correct answer represents a complete solution. (hoose all that apply. !. Licensed Practical 4urses BLP4sC %. 4ursin$ assistant staff

(. Physicians ). Ae$istered 4urses BA4sC !4&6 !+%+)

171. 3ou are wor.in$ at a dermatolo$y practice and inte$ratin$ the electronic medical system with the patient #illin$ system. What term would #e used to discuss a system of codes used in #illin$ for this office to e5plain what procedures had #een performed !. (PT %. P!(& (. (() ). (&W !4&6 !

177. There are millions of insurance #illin$ claims #ein$ sent out to hundreds of difference insurance carriers everyday+ and with many different formats for claim forms and the need for error chec.in$+ there"s a need for a service to mana$e electronic claims in one accessi#le format for #illin$ offices to contact if there is a pro#lem. If you have a pro#lem with a #illin$ transaction pro$ram+ you will li.ely contact one of these services durin$ your employment. What is the name of this .ind of entity !. 9edical %illin$ (learin$house %. Insurance &erver (. (laims mana$er ). :lectronic traffic controller !4&6 !

178. 3our responsi#ility as a healthcare information technolo$ist is to ensure the proper functionin$ of voice reco$nition for medical transcription and proper functionin$ of #ar codin$ applications for medical devices. Which of the followin$ types of information technolo$y are you responsi#le for !. (linical IT %. 0inancial IT (. !dministrative IT ). Infrastructure IT !4&6 )

177. Which of the followin$ cate$ories of information technolo$y in the health care settin$ involve orderin$ medical procedures !. (linical IT %. !dministrative IT (. 0inancial IT ). Infrastructure IT !4&6 !

17>. While wor.in$ at a private physician practice+ a new patient is comin$ for an initial visit. 3ou are as.ed to o#tain medical records from every healthcare facility this patient has ever sou$ht care. Which of the followin$ types of medical records have you #een as.ed to compile

!. :lectronic Health Aecord %. :lectronic 9edical Aecord (. )emo$raphic Health Information ). !rchived Health Information !4&6 !

17=. 3ou su#scri#e to a health care plan that entitles you to choose a different healthcare provider each and every time you need health care services. Which of the followin$ types of healthcare plans do you su#scri#e to !. H9O %. Point of &ervice (. Indemnity Plan ). PPO !4&6 %

18<. ! nursin$ station in one area of a hospital wishes to set up a chat pro$ram to discuss patient details with the pharmacy whenever there is a pro#lem with the computeri?ed physician order entry pro$ram. While you are wor.in$ on a separate issue+ a nurse as.s you to install such a pro$ram. Is this possi#le :ach correct answer represents a complete solution. (hoose all that apply. !. 4o. The computeri?ed physician order entry pro$ram should already have a system in place to deal with potential pro#lems. %. 4o+ no unauthori?ed software should not #e installed on a wor.station without the approval of IT staff+ the security administration+ networ. administrator+ and the (hief &ecurity Officer. (. Only approved secure chat pro$rams that are internal to the or$ani?ation and to not

$o outside the firewall+ and are HIP!!,complaint could #e used to communicate PHI #etween departments. ). 4o+ internet messa$in$ systems are hi$hly insecure+ and information is in the hands of the I9 providers who control user messa$es+ lo$s and connection information. I9 pro$rams should not #e installed on wor.stations. !4&6 !+%+)

181. In the a#ove e5ample J11+ what is the #est practice the nurse could say to maintain HIP!! compliance !. H3es+ sure 'ust let me as. the front office what time your mother"s appointment finishes.H %. HI don"t .now if we have a patient here #y that nameK however+ if you have a family code I can try to find out.H (. H(an you tell me the patient"s date of #irth and mother"s maiden name H ). H(an you tell me your date of #irth and your relationship to the patient H !4&6 %

(odes on the other hand are controlled #y the practice itself.

18*. 3ou have #een the victim of a terri#le auto accident that has left you paraly?ed from the waist down. Which of the followin$ types of medical facilities would you choose for your medical care

!. &pecialty Hospital %. 2eneral Hospital. (. Aeha#ilitation Hospital ). Psychiatric Hospital !4&6 (

18-. Which of the followin$ a$encies is responsi#le for protectin$ the health of all !mericans !. )epartment of Health and Human &ervices %. Occupational &afety and Health !dministration (. 0ood and )ru$ !dministration ). The /oint (ommission !4&6 !

181. 3ou are furlou$hed from your position as a healthcare IT specialist. 3our employer failed to offer you the option to continue your medical insurance for at least ninety days. Which piece of le$islation has #een i$nored #y your employer !. :9T!L! %. (O%A! (. HIP!! ). Patients %ill of Ai$hts !4&6 %

187.

Implementin$ an electronic health information system for hospital dru$ prescri#in$ can reduce medication errors #y upwards of 77L. If you are installin$ a dru$ prescri#in$ system where doctor prescriptions are forwarded to the pharmacy via computer+ what is this system #etter .nown as !. Leapfro$ %. :ncoder (. ePharmacy ). (omputeri?ed Physician Order :ntry !4&6 )

188. !s a healthcare information technolo$ist+ it is your le$al o#li$ation to maintain patients privacy and not disclose protected health information. Which of the followin$ descri#es this o#li$ation !. )ata &ecurity %. Privacy (. (onformity ). (onfidentiality !4&6 )

187. In medical terminolo$y+ the suffi5 ,itis is used to descri#e which of the followin$ conditions !. &tudy of

%. Inflammation (. Openin$ ). )isease !4&6 %

18>. 3ou need a patient"s medical information for a research pro'ect. Which type of medical information can you o#tain without consent from the patient !. Paper Health Information %. )e,Identified Health Information (. !rchived Health Information ). :lectronic Health Information !4&6 %

18=. 3ou have a routine chest 5,ray performed at your physician"s office. Which of the followin$ $overnin$ #odies is responsi#le for approvin$ the 5,ray unit to #e used on humans !. Occupational &afety and Health !dministration %. The /oint (ommission (. 0ood and )ru$ !dministration ). )epartment of Health and Human &ervices !4&6 (

17<. Which of the followin$ types of hospital systems is used inte$rated various departmental systems for a health care facility !. )epartmental &ystem %. :nterprise &ystem (. :5ternal &ystem ). Hospital Wide &ystem !4&6 )

171. 3ou are the newly hired privacy officer for a dermatolo$y practice. 3our first step in fulfillin$ HIP!! is also the first thin$ you will need to do to acclimati?e yourself to your 'o#. familiari?e yourself with the environment under your auspices. 3ou .now that you have to perform a Hris. assessmentH under HIP!! . What would you #e loo.in$ for !. !ssess the ris.s to the practice"s finances in maintainin$ an :PHI system %. !ssess the ris.s to patients and the practice if :PHI were violated or e5posed (. !ssess the ris.s to the confidentiality+ inte$rity and availa#ility of the :PHI there ). !ssess the ris.s to the physical safe$uards that protect :PHI !4&6 (

17*. 3ou are ridin$ in an elevator with several physicians discussin$ the care of a patient. The patient"s name is used in the conversation+ which piece of le$islation has #een violated

!. 9IPP! %. Patient %ill of Ai$hts (. :9T!L! ). HIPP! !4&6 )

17-. Which of the followin$ data types encompassed in a patient"s :HA would include tracin$s from an ::2 or :G2 !. Ima$es %. 4um#ers (. Te5t ). &i$nals !4&6 )

171. Which of the followin$ acronyms is a system used to classify medical dia$noses+ si$ns and symptoms into a set of numeric codes for use in #illin$ and analysis !. HL7 %. 4)(I) (. &nowmed ). I()1< !4&6 )

177. !s part of a privacy and security trainin$ pro$ram+ the hospital staff are $iven a series of documents to loo. over and #ecome familiar with. These documents are important for HIP!! re$ulation and for preventin$ unauthori?ed use and disclosure of PHI. 9any patients are $iven one or more of these documents to si$n or loo. over when they are first treated at a healthcare facility. Which of these is a HIP!! re@uired document to #e $iven to all patients !. &u#poena ducus tecum %. Aelease of Information (. 4otice of Privacy Practices ). 4otice of %illin$ Practices !4&6 (

178. 3ou are wor.in$ out a pro#lem with file transmission to an insurance company that handles wor.ers compensation claims. 3ou have concerns with some of the security they have+ #ut they tell you that since they are not a covered entity+ that they do not have to follow HIP!! re$ulations. !. This is TAE:. 2roup health plans and insurance plans are not covered entities+ and the insured si$n away ri$hts to have their health information protected when they are covered #y the insurance. %. This is 0!L&:. 2roup plans and insurance plans that pay for medical care are covered entities and do have to follow HIP!! re$ulations. (. This is TAE:. 2roup plans and insurance plans that pay for medical care do not have to follow HIP!! re$ulations. ). This is 0!L&:. !lthou$h $roup plans and insurance plans that pay for medical care are not covered entities+ there are special HIP!! re$ulations for them. !4&6 %

177. The HIP!! Privacy Aule provide a list of e5ceptions where protected health information can #e disclosed without the authori?ation of the patient+ and several of these e5ceptions involve le$al matters. Which of the followin$ is 4OT one of those e5ceptions to authori?ed disclosure !. )isclosure to report a#use+ ne$lect or domestic violence. %. )isclosure to family mem#ers durin$ a custody case. (. )isclosure to law enforcement officials to locate a fu$itive+ suspect or missin$ person. ). )isclosure for 'udicial proceedin$s !4&6 %

17>. 3ou have a family mem#er with terminal cancer who suddenly develops pneumonia. Which of the followin$ types of healthcare facilities is #est e@uipped to handle this scenario !. !m#ulatory (are 0acility %. &u#acute (are 0acility (. !cute (are 0acility ). 4onacute (are 0acililty !4&6 %

17=. 3our or$ani?ation receives a wide variety of email as communication #oth within the or$ani?ation and from outside. &ome email may need to #e retained as part of the le$al health record accordin$ to HIP!! re$ulations. Which of the followin$ may need to #e archived for at least si5 years in accordance with HIP!! re$ulation :ach correct answer represents a complete solution. (hoose all that apply.

!. :mail from a patient complainin$ that her hus#and could hear two doctors loudly discussin$ her medical condition in a hallway. %. :mail from an outside vendor re@uestin$ a meetin$ to discuss a proposal for physical improvements to an 5,ray facility. (. :mail #etween two employees a#out a mana$ement meetin$ after lunch on 1*;-;*<<=. ). :mail discussin$ implementation of chan$es to wor.force trainin$ procedures on wor.station use. !4&6 !+)

1><. !ccordin$ to the !merican Hospital !ssociation+ which of the followin$ types of hospitals are re@uired to provide dia$nosis and treatment for specific disorders !. Aeha#ilitation Hospital %. &pecialty Hospital (. Psychiatric Hospital ). 2eneral Hospital. !4&6 %

1>1. 3ou are wor.in$ on the information systems of a nursin$ facility that wor.s with elderly patients over the a$e of si5ty five. 3ou have specific QE:&TIO4 4O6 of the Health Insurance Porta#ility and !ccounta#ility !ct rules with re$ards to a new information system you are installin$. What a$ency can you contact for help :ach correct answer represents a complete solution. (hoose all that apply. !. (9& %. 4I&T (. HH& ). O&H!

!4&6 !+(

1>*. !n >< year old man is dissatisfied with several aspects of his hospital stay+ which of the followin$ pieces of le$islation allows him to file a formal complaint !. :9T!L! %. 9IPP! (. Patient %ill of Ai$hts ). HIPP! !4&6 (

1>-. Which of the followin$ refers to medical information that is protected+ #ut contains nothin$ re$ardin$ the patient"s illness or treatment !. Individually Identifia#le Health Information %. )emo$raphic Health Information (. !rchived Health Information ). )e,Indentified Health Information !4&6 %

1>1. While installin$ a wor.station in a nursin$ station in an o#stetrics ward+ a frantic father

comes into the ward and demands to .now where his wife is. What do you do !. Loo. up the name of the wife in the patient re$istry and direct him to the correct room. %. Tell the man that you are una#le to answer his QE:&TIO4 4O6 to wait for a nurse who should #e #ac. shortly. (. (on$ratulate the man and offer him a ci$ar. ). :scort the man down the hallway so he can loo. in each room until he finds his wife. !4&6 %

1>7. Which of the followin$ types of #ud$et predicts future volume #y analy?in$ historical data !. Operatin$ %ud$et %. 9aster %ud$et (. Or$ani?ational %ud$et ). &tatistical %ud$et !4&6 ) 1>8. !s a healthcare information technolo$ist+ there are standards in which you must a#ide #y for mana$in$ and inte$ratin$ electronic healthcare information. Which of the followin$ is responsi#le for institutin$ those standards !. HIPP! %. :9T!L! (. Health Level 7 ). )I(O9 !4&6 (

1>7. Which of the followin$ refers to an electronic version of the paper record a physician may have .ept on a patient for years !. :lectronic 9edical Aecord %. )emo$raphic Health Information (. :lectronic Health Aecord ). !rchived Health Information !4&6 !

1>>. One .ey clinical process in the functionin$ of a private practice or a hospital is for patient encounters+ pro$ress notes and other physician reports to #e recorded. 9ost often+ physicians use audio recorders that $enerate either tapes or audio files to spea. an account of the visit and their findin$s. This process is referred to as. !. )ictation %. 4otation (. Patient :ncounter ). Aecordin$ !4&6 !

1>=. Which of the followin$ a$encies is responsi#le for protectin$ the pu#lic health #y insurin$ safety of cosmetics and medical devices !. 0ood and )ru$ !dministration

%. )epartment of Health and Human &ervices (. The /oint (ommission ). Occupational &afety and Health !dministration !4&6 !

1=<. 3ou are su#scri#ed to a health care plan that re@uires you to see certain physicians #ecause they are part of a networ. that has a$reed to provide healthcare services at a discounted rate in e5chan$e for a hi$her @uantity of patients Which of the followin$ types of health care plans do you su#scri#e to !. PPO %. H9O (. Point of &ervice ). Indemnity Plan !4&6 !

1=1. This federal or$ani?ation helps with testin$ healthcare information technolo$y initiatives+ certification of :lectronic Health Aecord technolo$y+ conformance testin$+ and provides tools and resources for Health IT testin$ and support+ as well as white papers on healthcare IT issues. !. (9& %. 4I&T (. HH& ). O4( !4&6 %

1=*. 3ou have the duty of ensurin$ patient"s medical records are completed in the re@uired amount of time. 3ou are re@uired #y the /oint (ommission for the !ccreditation of Health Or$ani?ations to have a patient"s medical record complete within how many days after dischar$e !. 11 days %. 7 days (. *1 hours ). -< days. !4&6 )

1=-. !s a mem#er of the healthcare IT team+ you are as.ed to send a patient"s 9AI e5am from the 9AI department to a P!(& system for permanent archival. Which of the followin$ would you depend on for transmission of these ima$es !. :9T!L! %. HIPP! (. )I(O9 ). Health Level 7 !4&6 (

1=1. 3our mana$er tells another employee that they have to chan$e the security level on certain files to fit with the HIP!! standard of Hminimum necessaryH. What does this mean

!. Enless a covered entity has a written policy which states e5plicitly that a piece of information is necessary for a particular purpose and has a 'ustification for that purpose+ the information cannot #e released. %. (overed entities should limit the access to all protected health information unless a person has the minimum necessary security clearance for access. (. The HIP!! Privacy Aule $enerally re@uires covered entities to ta.e reasona#le steps to limit the use or disclosure of+ and re@uests for+ protected health information to the minimum necessary persons to accomplish the intended purpose. ). Where protected health information is disclosed to+ or re@uested #y+ health care providers for treatment purposes+ the minimum necessary standard applies to provider access. !4&6 (

1=7. !ccordin$ to the !merican Hospital !ssociation+ which of the followin$ types of hospitals are re@uired to provide dia$nosis and treatment for #ehavioral health disorders !. &pecialty Hospital %. 2eneral Hospital (. Aeha#ilitation Hospital ). Psychiatric Hospital !4&6 )

1=8. What word is used in HIP!! re$ulation to descri#e all of these documents. insurance claims+ encounter information+ enrollment and disenrollment from insurance plans+ eli$i#ility documents+ payment and remittance devices+ coordination of #enefits and first report of in'ury

!. Health Plan Procedures %. Transactions (. :5planation of %enefits ). Patient 9edical Aecord !4&6 %

1=7. 3ou are ridin$ in an elevator with several physicians discussin$ the care of a patient. The patient"s name is used in the conversation+ which piece of le$islation has #een violated !. :9T!L! %. Patient %ill of Ai$hts (. 9IPP! ). HIPP! !4&6 )

1=>. 3ou are a#out to under$o a sur$ical procedure+ the physician e5plains the reasons for the procedure+ the ris.s and rewards of the procedure and answers any @uestion. . Which of the followin$ pieces of le$islation has the physician followed !. &afe 9edical )evice !ct %. HIPP! (. Patient"s %ill of Ai$hts ). Informed (onsent !4&6 )

1==. When a patient is first seen in a private practice or in a hospital in a non,emer$ency situation+ a cler. as.s the patient to fill out a variety of paperwor. includin$ information on name+ address+ contact information+ ne5t of .in+ insurance #illin$+ aller$ies+ medications and prior health conditions amon$ other information. The start of a healthcare wor.flow process+ what is this procedure called :ach correct answer represents a complete solution. (hoose all that apply. !. Ae$istration %. Inta.e (. !dmittin$ ). Information 2atherin$ !4&6 !+(

*<<. 3our healthcare or$ani?ation had a hac.er #rea. into the patient re$istry and the information of 717 patients may have #een compromised durin$ the attac.. What piece of healthcare le$islation mandates that your or$ani?ation inform those patients whose information may have #een seen of a #reach in your security !. O4( %. HIP!! (. 4I&T ). !AA! !4&6 )

*<1.

3ou are involved in administratin$ an IA% and need a waiver of authori?ation to allow for access to chart reviews for participants or potential participants who had not authori?ed their information to #e shared. HIP!! allows for this if certain minimum re@uirements are met. Which of the followin$ is not a re@uirement !. The affected patient population must certify consent in advance of the waiver #y %. The research could not practica#ly #e conducted without access to the PHI (. The research could not practica#ly #e conducted without the waiver ). The privacy ris.s are reasona#le in relation to the anticipated #enefits :. Ese or disclosure involves no more than minimal ris. to privacy for the individual !4&6 !

*<*. ! patient has had a two month e5tended stay in the hospital. Over that period of time+ her chart has #ecome too lar$e and cum#ersome to handle. 3ou are as.ed to ma.e this chart easier to wor. with. Which of the followin$ tas.s have you #een as.ed to perform !. &cannin$ %. (odin$ (. !rchivin$ ). Thinnin$ !4&6 )

*<-. 3ou are wor.in$ on a system to maintain the completeness and accessi#ility of the le$al health record for 0acility I. Which of the followin$ types of information would 4OT #e included in this le$al health record of 0acility I !. Physician notes %. )ischar$e summary

(. Aeport to an accreditation a$ency ). I,rays+ either di$ital or on film !4&6 %

*<1. 3ou have #een the victim of a house fire that has left you with #urns over a si$nificant percenta$e of your #ody. Which of the followin$ type of medical facilities would you choose to treat your condition !. &pecialty Hospital %. Aeha#ilitation Hospital (. Psychiatric Hospital ). 2eneral Hospital !4&6 !

*<7. In addition to conductin$ a ris. assessment+ HIP!! re@uires that you put to$ether policies a#out your ris. assessment procedures. !s the privacy officer in the dermatolo$y practice+ what types of issues mi$ht you address in your ris. assessment policies !. What procedures to follow once a ris. has #een identified %. What areas a ris. assessment would review (. How fre@uently a ris. assessment should occur ). !ll of the a#ove !4&6 )

*<8. 3ou have a medical condition that re@uires a len$thy stay at the hospital. The hospital has a le$al o#li$ation to prevent your medical records from #ein$ released to which of the followin$ !. Patient :mployer %. The Patient (. Patient Aepresentatives ). )epartment of Health and Human &ervices !4&6 !

*<7. 3our responsi#ility as healthcare information technolo$ist is to ensure the #illin$ and accountin$ practices of the facility are performed in the most efficient manner. Which of the followin$ types of information technolo$y are you responsi#le for !. (linical IT %. Infrastructure IT (. 0inancial IT ). !dministrative IT !4&6 (

*<>. Which of the followin$ data types encompassed in a patient"s :HA would include the dictation of a chest 5,ray from an interpretin$ radiolo$ist !. &i$nals

%. Foice (. Ima$es ). 4um#ers !4&6 %

*<=. Which of the followin$ types of health information systems is desi$ned to #e shared #y many health or$ani?ations to report information re@uired #y re$ulatory a$encies !. )epartmental &ystem %. :5ternal &ystem (. Hospital Wide &ystem ). :nterprise &ystem !4&6 %

*1<. ! patient comes into the hospital with pain in her chest and the physician wants to determine if there are a#normalities in the electrical impulses of her heart that could indicate dama$e. What medical device measures the electrical si$nal of the heart and often prints it out in a waves format !. :G2 %. (T (. ::2 ). Eltrasound !4&6 !

*11. The /oint (ommission for the !ccreditation of Healthcare Or$ani?ations re@uires a hospital medical record to #e completed with what time frame after dischar$e !. 11 days %. 7 days (. -< days ). *1 hours !4&6 (

*1*. Which of the followin$ actions refer to the transmission of medical information directly from a medical device !. )evice (apture %. (linical Ima$in$ (. )ocument Ima$in$ ). )ocument !rchivin$ !4&6 !

*1-. One important aspect of access security for #oth wor.stations and porta#le devices to protect PHI is the implementation of loc.outs. What is a loc.out !. Once an employee is terminated+ resi$ns or ends his or her affiliation with the or$ani?ation+ their access is loc.ed out promptly %. ! stop point in a data#ase where information cannot #e added until an audit is performed of previous entries.

(. ! physical loc. on the access device or .ey#oard prevents unauthori?ed users for usin$ the device or wor.station ). Wor.ers are lo$$ed off or loc.ed out of a clinical application automatically after a predetermined period of inactivity+ such as ten minutes. !4&6 )

*11. ! private medical record or health record is a comple5 file that can include information from a wide variety of sources within an or$ani?ation. Which of the followin$ documents would #e part of a patient health record :ach correct answer represents a complete solution. (hoose all that apply. !. !ccreditation report status of hospital %. (onsultation reports from providers other than patient"s primary physician (. )ischar$e summary ). :5planation of #enefits !4&6 %+(

*17. 3ou are helpin$ to #uild a system to ta$ different pieces of data within an electronic health record system with I9L ta$s for whether or not a piece of information is protected health information+ whether an individual has consented to a procedure+ whether an piece of information involves mental health information+ and other .ey cate$ories of information. !s part of an access control system+ these ta$s can help determine access to information #ased on clearance level. What term is used in the healthcare information field to refer to these .inds of information ta$s

!. &ensitivity la#els %. (learance level ta$s (. PHI ta$$in$ ). Health I9L !4&6 !

*18. 3ou are an IT specialist wor.in$ for a transcription company that does the transcription of medical notes into electronic charts for medical practices. HIP!! applies to you #ecause you are. !. ! covered entity %. ! healthcare provider (. ! #usiness associate ). ! healthcare mana$er !4&6 (

*17. Which of the followin$ data types encompassed in a patient"s :HA would include an 9AI !. Ima$es %. Foice (. 4um#ers ). &i$nals !4&6 !

*1>.

3ou are as.ed to reduce medical records for a dental practice+ you can eliminate all records that are older than which of the followin$ !. 1< years %. 8 years (. -< years ). 1 years !4&6 )

*1=. 3ou are helpin$ to wor. out inte$ration pro#lems with a health information system module that allows physicians to send out instructions for patient care to the pharmacy+ la#oratory+ radiolo$y department or other departments in the hospital. What is this module called !. :ncoder %. A,!)T (. (PO: ). ()& !4&6 (

**<. There are many times in the Healthcare Insurance Porta#ility and !ccounta#ility !ct when important privacy e5ceptions or re$ulations are made for HTPOH uses. What does TPO stand for in HIP!! and other healthcare re$ulations !. Treatment+ Payments and Operations %. Ta5+ Purchase and Oversi$ht

(. Time+ Privacy and O#'ectives ). Treatment+ Providers and Or$ani?ations !4&6 !

**1. Two employees+ the #illin$ supervisor and the insurance verification secretary+ email each other re$ardin$ a patient"s #illin$ situation. Which of the followin$ would #e the least effective way to ensure the PHI of the patient !. :mailin$ usin$ the employees email addresses that they have created for #usiness purposes themselves. %. :mailin$ and followin$ with a phone call. (. :mailin$ directly to an in,office only email address+ accessi#le only #y the involved parties with passwords that maintain encryption. ). :mailin$ on the company"s intranet. !4&6 !

***. There are some circumstances in which a patient"s ri$ht to access their own medical record under HIP!! le$islation can #e denied. Which of the followin$ is 4OT a circumstance in which patient access can #e denied !. Patient re@uests the release of information that may #e used a$ainst another person who caused the patient in'ury re@uirin$ medical treatment. %. Patient re@uests the release of their information and is a prison inmate. (. Patient re@uests the release of information that may #e current #ein$ used in the course of medical research. ). Patient re@uests the release of psychotherapy notes.

!4&6 !

**-. 3ou are the privacy officer for a medical practice and the senior practice partner is auditin$ your Physical &afe$uards to see if you have complied with HIP! ! . He"s concerned with the access controls you have in place for the practice to protect PHI. Ender HIP!!+ which of the followin$ is not a re@uired Physical &afe$uard for PHI !. Fisitor si$n,in %. %usiness !ssociate !$reement (. Fisitor escorts ). &ecurity plans for the facility !4&6 %

**1. Which of the followin$ wor. divisions is characteri?ed #y each mem#er of the team performin$ several different tas.s !. Enit !ssem#ly %. Enilateral (. Parallel ). &erial !4&6 (

**7. 3ou are wor.in$ to put in place a role,#ased access control system for a healthcare facility that will allow certain employees holdin$ certain 'o# functions to have different

levels of access to different types of patient information. 4ame a reason why this type of information access control helps an or$ani?ation stay in compliance with HIP! ! .:ach correct answer represents a complete solution. (hoose all that apply. !. Aelease of Information re$ulations %. 9inimum necessary standard (. Termination policy re@uirements in the &ecurity Aule ). TPO e5ceptions !4&6 %+(

**8. 3ou are assi$ned the duty of creatin$ an in depth+ non,numerical description of the information contained in a patient"s medical record. Which of the followin$ have you #een as.ed to create !. &tatistical !nalysis %. Quantitative !nalysis (. 9aster Patient Inde5 ). Qualitative !nalysis !4&6 )

**7. 3ou have #een dia$nosed with #ipolar disorder. Which of the followin$ types of medical facilities would you choose to treat your condition !. &pecialty Hospital %. Aeha#ilitation Hospital (. 2eneral Hospital ). Psychiatric Hospital

!4&6 )

**>. 3our responsi#ilities as a healthcare information technolo$ist is to ensure that all schedulin$+ patient re$istration and payroll procedures can #e performed in the most efficient manner. Which of the followin$ types of information technolo$y are you responsi#le for !. 0inancial IT %. Infrastructure IT (. (linical IT ). !dministrative IT !4&6 )

**=. Which of the followin$ a$encies is responsi#le for accreditin$+ certifyin$ and evaluatin$ health care or$ani?ations to insure they are providin$ the hi$hest @uality of care !. The /oint (ommission %. Occupational &afety and Health !dministration (. 0ood and )ru$ !dministration ). )epartment of Health and Human &ervices !4&6 !

*-<.

Which of the followin$ is defined as the patient"s ri$ht to control disclosure of his or her personal information !. (onfidentiality %. (onformity (. Privacy ). )ata &ecurity !4&6 (

*-1. 3ou are the privacy officer for a medical practice and are ma.in$ sure that you have created and secured written #usiness associate a$reements with your #usiness associates. With which of the followin$ would you not have to create a %!! B%usiness !ssociate !$reementC !. The data shreddin$ company that destroys all PHI from patients no lon$er with the practice. %. The accreditation #oard for your local hospital who decides which of your physicians $oes on their panel of emer$ency providers and may need to review PHI durin$ this process. (. 3our postal carrier who carries protected health information in the mail. ). 3our practice"s malpractice lawyer who reviews PHI durin$ case reviews. !4&6 (

*-*. One of your 'o# duties is to review all delin@uent medical records. 3ou are re@uired #y the /oint (ommission for the !ccreditation of Health Or$ani?ations to perform this tas. at least once per which of the followin$ time frames

!. -< days %. 8< days (. =< days ). 1*< days !4&6 (

*--. While wor.in$ in a private physician practice+ you are as.ed to eliminate all unnecessary medical records. 3ou can eliminate all medical records that are older that which of the followin$ !. 1 years %. 8 years (. -< years ). 1< years !4&6 )

*-1. While installin$ a printer in a newly remodeled office at a lar$e physician"s practice+ you consider what the #est placement for the printer mi$ht #e in order to protect patient"s health information. Which of the followin$ is a $ood $uideline for printer;fa5;copier policy !. PHI should never #e printed on a shared or networ.ed printer. %. PHI in hardcopy form should #e disposed of as soon as possi#le. (. Printers and copiers used for printin$ of PHI should #e in a secure+ non,pu#lic location. If the e@uipment is in a pu#lic location+ the information #ein$ printed or copied is re@uired to #e strictly monitored.

). Physical access to the printer should #e restricted only to providers. !4&6 (

*-7. Health plans and $overnment pro$rams may not always a$ree to pay for certain services. 9edicare will not pay for services unless it #elieves them to #e Hreasona#le and necessaryH. 9edicare $uidelines state that a patient must #e notified in writin$ that 9edicare may deny payment for a particular service+ as well as the reason for the li.ely denial+ #efore service is performed. What is the name of this document :ach correct answer represents a complete solution. (hoose all that apply. !. Waiver of lia#ility %. !dvanced %eneficiary 4otice (. Intent to Inform ). Payment Aesponsi#ility !4&6 !+%

*-8. In medical terminolo$y+ the suffi5 ,otomy is used to descri#e which of the followin$ !. &tudy of %. To cut into (. Inflammation ). )isease !4&6 %

*-7. ! hospital wants to set up an :9A Belectronic medical recordsC system that allows specialists to have e@ual access to the PHI re$ardin$ a patient who has multiple in'uries. The hospital can allow more than one type of physician to o#tain the information without additional authori?ation+ if it involves. !. ! physician who is not treatin$ the patient #ut would li.e to mar.et his services %. There are no situations where information can #e e5chan$ed without additional authori?ation. (. (onsults #etween the patient"s care providers Bi.e. heart sur$eon and $eneral sur$eonC ). ! visitin$ a nurse from another facility would li.e to see how the :9A system wor.s. !4&6 (

*->. While on the 'o# in a healthcare facility+ you notice a $roup of individuals tourin$ and inspectin$ the facility+ the $roup is evaluatin$ and insurin$ the facility is providin$ the hi$hest @uality of care. Which a$ency is performin$ this inspection !. 0ood and )ru$ !dministration %. The /oint (ommission (. Occupational &afety and Health !dministration ). )epartment of Health and Human &ervices !4&6 %

*-=. 3our employer is a small private practice of several physicians who treat many patients

who use Part % of 9edicare. The physician and nursin$ staff would li.e to replace the current system of paper medical records with an electronic medical record system+ #ut are concerned a#out the costs of installation and trainin$. 3ou .now of a pro$ram with the (enters for 9edicare and 9edicaid that will distri#ute incentive payments to eli$i#le providers who adopt electronic medical records and can show what !. 9eanin$ful Ese %. Improvin$ pu#lic health (. Patient demand ). 0inancial need !4&6 !

*1<. 3ou are helpin$ set up the software for a research study of patients with dia#etes. One of the devices that needs data downloaded on a re$ular #asis to chec. #lood su$ar measurements for these patients is the followin$. !. 9AI %. 2lucose monitor (. Fitals cuff ). P:T !4&6 %

*11. !s the Privacy Officer at the &an 0rancisco (ommunity Hospital+ you are wor.in$ to develop the policies for non,annual+ situations which should tri$$er a ris. assessment of the hospital"s :PHI systems and policies. Which of the followin$ mi$ht you su$$est

!. Aeor$ani?ation of the hospital"s mana$ement or #usiness structure %. 4ew awnin$ at the hospital"s entrance (. Aedevelopment of the downtown and patient #ase that fre@uents the hospital ). Aeor$ani?ation of the hospital"s mar.etin$ !4&6 !

*1*. 3ou are a#out to under$o a sur$ical procedure+ the physician e5plains the reasons for the procedure+ the ris.s and rewards of the procedure and answers any Question. Which of the followin$ pieces of le$islation has the physician followed !. Informed (onsent %. Patient"s %ill of Ai$hts (. HIPP! ). &afe 9edical )evice !ct !4&6 !

*1-. One of your 'o# duties is to send patient"s medical records to a permanent location that is .ept under loc. and .ey #ut can also #e physically accessed. Which of the followin$ is part of your 'o# re@uirements !. (odin$ %. Thinnin$ (. &cannin$ ). !rchivin$

!4&6 )

*11. 3ou are #illed D17<.<< for medical services received from your primary care physician. 3ou can only afford to pay D=<.<< and your physician accepts that amount. This is an e5ample of which of the followin$ payment terms !. &lidin$ &cale 0ee %. (apitation (. (ustomary (har$es ). 0ee for &ervices !4&6 !

*17. The /oint (ommission for the !ccreditation of Healthcare Or$ani?ations re@uires a review of all delin@uent medical records at least once per which of the followin$ time frames !. 8< days %. 1*< days (. -< days ). =< days !4&6 )

*18.

Which of the followin$ types of health insurance offers healthcare services for a prepaid+ fi5ed amount of reim#ursement !. Point of &ervice %. Indemnity Plan (. H9O ). PPO !4&6 (

*17. Hospitals usually have several levels of vertical mana$ement+ startin$ with service providers+ patient care mana$ers+ department administrators and chief officers. What $roup is ultimately at the top of mana$ement for a hospital !. The %oard of )irectors %. (hief of 9edical &taff (. (hief :5ecutive Officer ). President of Operations !4&6 !

*1>. 3our past medical records includin$ hospitali?ations+ physician visits and medication prescription are all e5amples of which of the followin$ !. !rchived Health Information %. Individually Identifia#le Health Information (. )emo$raphic Health Information

). )e,Indentified Health Information !4&6 %

*1=. Which of the followin$ refers to an electronic version of patient data that is compiled from several different facilities and healthcare providers !. !rchived Health Information %. :lectronic Health Aecord (. :lectronic 9edical Aecord ). )emo$raphic Health Information !4&6 %

*7<. Which of the followin$ cate$ories of information technolo$y in the health care settin$ involve #illin$ and accountin$ applications !. 0inancial IT %. Infrastructure IT (. (linical IT ). !dministrative IT !4&6 !

*71.

3ou are wor.in$ on a pro#lem in a system which sendin$ insurance #illin$ information to a remote site. The systems uses messa$in$ with HL7 interface specifications. What is the messa$e identifier field for insurance information !. I41 %. O%A (. 9&! ). &(H !4&6 !

*7*. Which of the followin$ payment terms is a pre,paid amount that is offered re$ardless of the service provided !. (ustomary (har$es %. 0ee for &ervices (. (apitation ). &lidin$ &cale 0ee !4&6 (

*7-. The 1==8 Healthcare Insurance Porta#ility and !ccounta#ility !ct included important re$ulation with re$ard to access and protection of healthcare information. Two HrulesH are often referred to in discussions of healthcare information re$ulation in the industry+ what are these two HIP!! HAulesH !. Privacy and &ecurity %. !ccounta#ility and Porta#ility

(. Protection and Inte$rity ). (onfidentiality and &afety !4&6 !

*71. ! patient has had a two month e5tended stay in the hospital. Over that period of time+ her chart has #ecome too lar$e and cum#ersome to handle. 3ou are as.ed to ma.e this chart easier to wor. with. Which of the followin$ tas.s have you #een as.ed to perform !. Thinnin$ %. &cannin$ (. (odin$ ). !rchivin$ !4&6 !

*77. 3ou are the responsi#le for the medical records of a hi$h profile+ well .nown+ adult patient. Which of the followin$ do not re@uire a disclosure of information form in order for medical records #e released !. 4ews 9edia %. Patient"s !ttorney (. Physician other than Primary (are Physician ). Patient"s Parents !4&6 !

*78. Which of the followin$ do not re@uire a disclosure of patient information form to #e si$ned !. 4ews 9edia %. Parents of an adult child (. Patient"s !ttorney ). Physician other than Primary (are Physician !4&6 !

*77. When the attendin$ physician for a patient #rin$s in another physician+ such as a specialist li.e a cardiolo$ist+ a dermatolo$ist or a neurolo$ist in to loo. in on a patient and $ive their medical opinion re$ardin$ the patient"s dia$nosis and process+ what is that process called !. (onsultation %. )ictation (. &peciali?ation ). Aeferral !4&6 !

*7>. !ccordin$ to the !merican Hospital !ssociation+ which of the followin$ types of hospitals are re@uired to provide dia$nosis and treatment for medical services which include Aadiolo$y+ la#oratory services and sur$ical services

!. Aeha#ilitation Hospital %. &pecialty Hospital (. Psychiatric Hospital ). 2eneral Hospital !4&6 )

*7=. 3ou su#scri#e to a health care plan that provides health care services for a prepaid+ fi5ed amount of reim#ursement. Which of the followin$ types of health insurance do you su#scri#e to !. H9O %. Point of &ervice (. PPO ). Indemnity Plan !4&6 !

*8<. 3ou are wor.in$ as a privacy officer at a lar$e medical clinic in a town with a population where everyone .ind of .nows everyone else. 3ou have 'ust finished reviewin$ the incidents that have #een reported to you #y the clinic"s staff where it is #elieved that a #reach of patient"s privacy ri$hts may have occurred. 3ou have to decide which incidents re@uire notifyin$ the patient and HH&. Ender the HIT:(H !ct"s %reach and Harm Threshold (onsiderations+ which of the followin$ would situations would constitute a reason for notifyin$ the patient. !. ! #ill was mailed to the patient"s previous address containin$ information a#out an &T) test+ #ut was returned opened. %. !n email was sent to the wron$ #illin$ ad'uster in the clinic"s #usiness office and contained the patient"s PHI. (. ! nurse hands a patient a medical report for a different patient+ #ut @uic.ly reali?es

it and as.s $ets it returned. ). !n inter,office fa5 with the patient"s PHI went to a different department than intended+ #ut was promptly returned to the sendin$ office. !4&6 !

*81. The !fforda#le (are !ct+ which was si$ned into law in *<1<+ was esta#lished in order to reform health insurance in the Enited &tates. Which of the followin$ $overnin$ #odies is most li.ely responsi#le for this piece of le$islation !. The /oint (ommission %. Occupational &afety and Health !dministration (. 0ood and )ru$ !dministration ). )epartment of Health and Human &ervices !4&6 )

*8*. !s a mem#er of the healthcare IT team+ you are as.ed to send a patient"s 9AI e5am from the 9AI department to a P!(& system for permanent archival. Which of the followin$ would you depend on for transmission of these ima$es !. HIPP! %. )I(O9 (. :9T!L! ). Health Level 7 !4&6 %

*8-. In medical terminolo$y+ the suffi5 ,olo$y is used to descri#e which of the followin$ !. )isease %. Inflammation (. &tudy of ). Openin$ !4&6 (

*81. Which of the followin$ cate$ories of information technolo$y in the health care settin$ involves #ar codin$ applications !. (linical IT %. Infrastructure IT (. !dministrative IT ). 0inancial IT !4&6 %