Exam 4: Data Quality and Management

Which part of the Health Insurance Portability and Accountability Act (HIPAA) requires covered entities to perform a risk assessment and establish administrative, technical, and physical safeguards?

The medical assistant wrote that the patient had "pain in the arm," which left the provider wondering whether it was the left arm or right arm, as well as where on the arm the patient felt pain. The problem with the medical assistant's note is that it lacks

The process of ___________ identifies or names a part of the record so that it can be located in the computer-based health record.

The medical assistant is curious why her brother-in-law, who is the patient of a provider at a different branch of the health care organization, has so many doctor's appointments. Is it legal for her to look at his health record? Why or why not?

Sam, the HIM Director at Providence Hospital, suspects that some of his employees have been viewing patient records that they do not need to access for their work. What should Sam do?

Access to a patient's health record is tracked using a(n)

Quantitative analysis is usually performed by a(n)

Which patient would be found on a discharge register for May 1st?

Under the Health Insurance Portability and Accountability Act (HIPAA), which is a business associate?

The HIM department can verify which patient records are available for processing by referring to the

Using _____________, many paper documents are digitized at once, after which software sorts the documents into the correct record by bar code.

When an individual enters a user identification and password into the EHR system, the content shown is

In health care, documentation from previous patient care allows physicians and scientists to __________, gaining knowledge to improve, develop, or change patient care and technology.

Each element of the record must be properly dated, timed, and ______________ in accordance with the rules and regulations of state or accrediting agencies that apply to the facility, with the authors clearly identified.

The processing status of records is listed on the

Which is an external use of health information?

The new nursing supervisor is discussing her plans for the unit with you. She wants to hang a board on the wall of the nursing unit listing each patient's name, room number, working diagnosis, and medication schedule. You advise her that:

The release of information function is part of the ___________ component of record retention.

Before creating a new patient health record, registrars always check the _______________ patient index to see if an individual has been a patient at the facility before.

Which is a detective control?