. A patient requests copies of her medical records in an electronic format. The
hospital maintains a portion of the designated record set in a paper
... [Show More] format and a portion
of the designated record set in an electronic format. How should the hospital respond?
a. Provide the records in paper format only
b. Scan the paper documents so that all records can be sent electronically
c. Provide the patient with both paper and electronic copies of the record
d. Inform the patient that PHI cannot be sent electronically - Correct answer-c. Provide
the patient with both paper and electronic copies of the record
The HIPAA Privacy Rule states that the covered entity must provide individuals with
their information in the form that is requested by the individuals, if it is readily producible
in the requested format. The covered entity can certainly decide, along with the
individual, the easiest and least expensive way to provide the copies they request. Per
the request of an individual, a covered entity must provide an electronic copy of any and
all health information that the covered entity maintains electronically in a designated
record set. If a covered entity does not maintain the entire designated record set
electronically, there is not a requirement that the covered entity scan paper documents
so the documents can be delivered electronically (Thomason 2013, 102).
15. For an EHR to provide robust clinical decision support, what critical element must be
present?
a. Structured data
b. Internet connection
c. Physician portal
d. Standard vocabulary - Correct answer-If an EHR is to provide clinical decision
support it requires two things: structured data and a clinical data repository (Sandefer
2016a, 364).
14. Which of the following is considered a two-factor authentication system?
a. User ID and password
b. User ID and voice scan
c. Password and swipe card
d. Password and PIN - Correct answer-c. Password and swipe card
The three methods of two-factor authentication are something you know, such as a
password or PIN; something you have, such as an ATM card, token, or swipe/smart
AHIMA RHIA Exam Prep (7th Edition)
Questions And Answers 2023 Graded A+
card; and something you are, such as a biometric fingerprint, voice scan, iris, or retinal
scan (Sayles and Trawick 2014, 219).
Under RBRVS, which elements are used to calculate a Medicare payment?
a. Work value and extent of the physical exam
b. Malpractice expenses and detail of the patient history
c. Work value and practice expenses
d. Practice expenses and review of systems - Correct answer-Each Resource-Based
Relative Value Scale (RBRVS) comprises three elements: physician work, physician
practice expense, and malpractice, each of which is a national average available in the
Federal Register (Casto and Forrestal 2015, 150).
12. The predefined process icon is used in flowcharting to indicate:
a. A process in which actions are being performed by humans
b. A point in the process at which participants must evaluate the status of the process
c. Formal procedures that participants are expected to carry out the same way every
time
d. A point in the process at which the participants must record data in paper-based or
computer- based formats - Correct answer-The rectangle with double lines on the side
in a flowchart is a predefined process icon. This symbol represents the formal
procedure that participants are expected to carry out the same way every time (Shaw
and Carter 2015, 198).
. A researcher mined the Medicare Provider Analysis Review (MEDPAR) file. The
analysis revealed trends in lengths of stay for rural hospitals. What type of investigation
was the researcher conducting?
a. Content analysis
b. Effect size review
c. Psychometric assay
d. Secondary analysis - Correct answer-Secondary analysis is the analysis of the
original work of others. In secondary analysis, researchers reanalyze original data by
combining data sets to answer new questions or by using more sophisticated statistical
techniques. The work of others created the MEDPAR file (Forrestal 2016, 586).
In reviewing a patient chart, the coder finds that the patient's chest x-ray is suggestive of
chronic obstructive pulmonary disease (COPD). The attending physician mentions the
x-ray finding in one progress note, but no medication, treatment, or further evaluation is
provided. Which of the following actions should the coder take in this case?
a. Query the attending physician and ask him to validate a diagnosis based on the chest
x-ray results
b. Code COPD because the documentation substantiates it
c. Query the radiologist to determine whether the patient has COPD [Show Less]