What type of testimony is inappropriate for a health information manager serving as custodian of the record when he or she is called to be a witness in court?
A. whether the record is in the practitioner's possession
B. title and position held in the health care facility
C. whether the medical record was made in the usual course of business
D. interpretation of documentation in the record
If the patient record is involved in litigation and the physician requests to make a change to that record, what should the HIM professional do?
A. Refer request to legal counsel.
B. Allow the change to occur.
C. Notify the patient.
D. Say the record is unavailable.
One of the greatest threats to the confidentiality of health data is
A. when medical information is reviewed as a part of quality assurance activities.
B. disclosure of information for purposes ndt authorized in writing by the patient.
C. lack of written authorization by the patient.
D. when medical information is used for research or education.
HIM professionals are bound to protect the confidentiality of patient information under the
A. Patient Bill of Rights.
B. AHIMA's Code of Ethics.
C. Hippocratic oath.
D. JCAHO standards.
Upon learning that a court order violates state law, the HIM professional should
A. call the judge issuing the court order.
B. call the opposing attorney.
C. call the legal counsel for the health care institution.
D. ignore the court order.
When developing a record retention policy, the HIM professionals should consider all of the following EXCEPT
A. current storage space.
B. uses of and need for information.
C. all applicable statutes and regulations.
D. the thickness of the records.
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