In: Nursing
Which of the following does not have to be included in a covered entity’s notice of privacy practices?
Incorrect: Description of all the other purposes for which a covered entity is permitted or required to disclose PHI without consent or authorization
Correct: Signature of the patient and date the notice was given to the patient
The __________ is a component of ICD-10-CM.
Incorrect: Appendix of Mental Disorders
Correct Answer: Index to External Causes
Which of the following entities owns the physical hospital health record?
Incorrect: Patient
Correct Answer: Hospital that maintains the record
A health information management professional may attend legal proceedings and testify as to:
Incorrect: Reasons a defendant health care provider should not be sued
Correct Answer: The authenticity of the patient’s health record
why? You will provide a brief summary (3 sentences) about what you learned about the correct response and what you learned about the incorrect response chosen (3 sentences)
Incorrect: HIPAA privacy rule have terms consent and
authorization which control the patient..Authorization and consent
is a patient granting permission..covered entity use protected
health information(PHI) for treatment,service and payment..Consent
will be informal..Covered entity may disclose limited data set for
public health,research or health care operations without obtaining
consent..
correct: The law does not require patient sign,but health care
providers ask patients sign when they require a copy of the notice
of privacy practice..When patient refuse sign it will also provide
disclosing information permitted under HIPAA..provider may not
provide treatment if a patient refuse a sign for notice of privacy
practice..
Incorrect: The final set of criteria for ICD-10 help for assessment
can reduce data for the classification of disorder..clinical
description and diagnostic guidelines improves psychiatric
diagnosis..the Appendix provides suggestion for diagnosis which
will be useful in some condition it will not appear in the
ICD-10
Correct: Guidelines are set of rules developed to complement the
instruction provided in ICD-10-cm..Guidelines are based on coding
and sequencing guidelines in the Tabular list and Alphabetic
Index..Diagnostic codes will be under Tabular list and Alphabetic
Index..
Incorrect: The physician creates a record based on what is
happening to the patient..this physician have ownership with health
record which is created..patient allowed a copy of their medical
record,not original documents..
correct answer: Under federal and state law patient have legal
privacy,rights related to their health information..health care
providers own the records through media information should be
recorded...Health care providers are the legal custodian for
patient health record for protection and possession which have
legal rights and duties..
Incorrect: HIM professionals will take care of the operational
functions related to collecting,protecting the health record,and
information technology staff manage the technical infrastructure of
patient health record..Health information manager is the custodian
of the legal health record, he have collaboration with information
technology personal..he will supervise all the duplicate copy
records,he testify to the admissibility of the record..
Correct: Authentication is a attestation of the medical record to
show authorship and make responsibility for the act,event,condition
and diagnosis..All the entry in the health record must be
authenticated.. the author of the entry should be knowledgeable
person..Authentication of an entry is the legal process..electronic
signature as a verification of the identity for the author..