Impermissible use and disclosure of PHI Discussion.docx
1. Impermissible use and disclosure of PHI Discussion
Impermissible use and disclosure of PHI DiscussionImpermissible use and disclosure of PHI
DiscussionQuestion 1Which statement below was NOT a primary issue that Congress
focused on when creating the 1996 legislation known as HIPAA?Hospitals own hospital
recordsCourts have ruled that patients have no right to own the x-rays or slidesPhysicians
own the portion of the hospital record on which they document carePatients have right of
access to medical records but do not own the original record5 pointsQuestion 2PHI includes
information which is created or received by several types of organizations. Which of the
following organizations is (are) not one of those that creates PHI?PhysiciansHealth
insurerEmployersAll of the above create PHI5 pointsQuestion 3According to the
Department of HHS website, which of the following privacy rule compliance issues are not
among those most often investigated?Impermissible use and disclosure of PHILack of
patient access to their PHITransferring PHI through electronic meansDistributing more
than the minimal information necessary for the purpose5 pointsQuestion 4How did one
court rule in a case that involved a hospital where nurses were permitted to ‘chart by
exception’ in postoperative monitoring?The court found that the record keeping was
incomplete, which inferred negligenceThe court found that the patient was not informed
and the hospital was negligentThe court found that charting by exception was adequate as
the practice was common at the hospital and was documented in hospital policies and
proceduresThe court found that paper notes kept by the nurse in her pocket were an
adequate means of record keeping and communicating with others5 pointsQuestion
5Computerized recordkeeping provides advantages and disadvantages that includeMore
standardization of datakeepingThey assist in the reduction of medical errorsComputerized
systems are costly Impermissible use and disclosure of PHI DiscussionAll of the above5
pointsQuestion 6When a provider accepts a pre-established amount to provide services
over a period of time, this is known as a method of payment
calledcapitationfixedpremiumsub-capitationORDER NOW FOR CUSTOMIZED, PLAGIARISM-
FREE PAPERS5 pointsQuestion 7When the provider agrees to accept as payment in full
whatever amount the insurance allows or approves, the provider is agreeing toaccept
assignmentassignment of benefitsauthorize servicescoordination of benefits5
pointsQuestion 8Which document is used to generate the patient’s financial and medical
record?Encounter formPatient insurance cardPatient ledgerPatient registration form5
pointsQuestion 9Case law is based on court decisions that establish precedent, and is also
called ______ law.commonregulatorymandatedstatutory5 pointsQuestion 10The recognized
2. difference between fraud and abuse iscostintentpayertiming5 pointsQuestion 11The ICD-9-
CM system classifiesmorbiditymortality dataprovider servicessupplies and services5
pointsQuestion 12The following is true about MedicareIt is a two part program with Part A
and B and the program includes Parts C and D Impermissible use and disclosure of PHI
DiscussionIt only consists of Parts A and BIt is a two part program where Part A pays for
doctor’s servicesIt consists of Part A only