Question

1. Yolanda is reviewing a medical record for a patient who is receiving psychotherapy. As a part of her training in medical record confidentiality, she is aware that there are special guidelines regarding psychotherapy notes. Which of the following statements is true of these guidelines?
A. Except when used for data aggregation, psychotherapy notes can't be used without the health care provider's authorization.
B. Except when used by the originator of the psychotherapy notes, they can't be used without the individual's authorization.
C. Psychotherapy notes can never be disclosed to the patient.
D. Psychotherapy notes can never be disclosed, even for health care operations.
Student Answer: A
Answer: Incorrect

3. A notice of use and disclosure is required for
A. new patients, but not established patients.
B. patients whose personal health information the doctor intends to disclose.
C. every patient a doctor treats.
D. patients treated for sensitive conditions, such as substance abuse or mental illness.
Student Answer: A
Answer: Incorrect

4. One requirement of the business records exception to the hearsay rule is that the
A. declarant must be deceased.
B. records must be accurate.
C. business must be a medical office.
D. records must be less than one year old.
Student Answer: C
Answer: Incorrect

9. Which of the following statements about HIV testing is true?
A. HIV testing is now conducted routinely as part of a standard general check-up for most patients.
B. Testing isn't normally necessary as HIV symptoms manifest early and are distinctive.
C. A positive HIV test result doesn't require follow-up tests, due to the high accuracy of the testing.
D. Some HIV tests can provide results in as little as 20 minutes.
Student Answer: B
Answer: Incorrect

11. Which one of the following steps can shield against discovery of an incident report?
A. Following HIPAA regulations
B. Reporting to the NPDB
C. Invoking the work product doctrine
D. Conducting a peer review
Student Answer: A
Answer: Incorrect

13. The technology that identifies people through body characteristics is known as
A. genetic testing.
B. psychometrics.
C. latent identification.
D. biometrics.
Student Answer: A
Answer: Incorrect

14. Margaret is a human resources professional who is staffing a temporary assignment for a small hospital. As a part of her recruitment efforts, she needs to review the competence and qualifications of 10 outpatient medical coders who will work from home as part of the assignment. This responsibility would fall under the heading of _______ for purposes of the HIPAA Privacy Rule.
A. medical employment classification
B. recruitment classification
C. health care operations
D. administrative operations
Student Answer: A
Answer: Incorrect

15. Which of the following statements is true in regard to limited data sets?
A. Those who receive limited data sets can pass them on without restrictions.
B. Limited data sets can contain some identifiers.
C. Limited data sets can't include a patient's city, state, age, or birth date.
D. Patients must authorize the use of limited data sets.
Student Answer: A
Answer: Incorrect

19. The _______ is the only person who can authenticate the information in a patient's medical record.
A. attending nurse
B. medical facility that's caring for the patient
C. attending physician
D. person who creates the data in the record
Student Answer: B
Answer: Incorrect

PLEASE HELP!

Answer 1

Except when used by the originator of the psychotherapy notes, they can't be used without the individual's authorization.

The true statements is except when used by the originator of the psychotherapy notes, they can't be used without the individual's authorization because, while it is true that psychotherapy notes should be held with considerable attention, and they cannot be used without the individual’s authorization, they can be used in specific situation if they are used by the originator of the notes.

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C. every patient a doctor treats.

A notice of use and disclosure is required for every patient a doctor treats. No matter what info or disease the doctor may cure, the notice must be done in every case, because health data are confidential and personal data that are important to keep private in the best way possible.

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A. declarant must be deceased.

One requirement of the business records exception to the hearsay rule is that the declarant must be deceased. The business records exception to the U.S. hearsay rule is based on Rule 803(6) of the Federal Rules of Evidence (FRE). It is sometimes referred to as the business entry rule.

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D. Some HIV tests can provide results in as little as 20 minutes.

The statements about HIV testing that is true is that  some HIV tests can provide results in as little as 20 minutes. Rapid tests are available, but at the moment there is still the possibilities of a false positive, so it is possible that a positive test result could be confirmed by a lab using the western blot.

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C. Invoking the work product doctrine

Invoking the work product doctrine is one step that could shield against discovery of an incident report. The work product doctrine it is also known as the work-product rule, the work-product immunity, and the work-product exception. It is sometimes mistakenly called the work-product privilege.

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D. biometrics.

The technology that identifies people through body characteristics is known as biometrics. It refers to metrics related to human characteristics. Biometrics authentication is used in computer science as a form of identification and access control and in groups that are under surveillance.

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C. health care operations

 As a part of her recruitment efforts, Margarets needs to review the competence and qualifications of 10 outpatient medical coders who will work from home as part of the assignment. This responsibility would fall under the heading of health care operations for purposes of the HIPAA Privacy Rule. This is what heath operation have as a meaning given such term in section 164.501 of title 45, Code of Federal Regulations.

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B. Limited data sets can contain some identifiers.

A limited data set is a limited set of identifiable patient information. This is the definition given in the Privacy Regulations issued under the Health Insurance Portability and Accountability (HIPAA). These set could be disclosed to an outside party without a patient’s authorization under specific circumstances.

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D. person who creates the data in the record

The person who creates the data in the record is the only person who can authenticate the information in a patient's medical record, because this person has such responsibility under the HIPAA regulation. The person have also other responsibilities under the same code.