Medical Records Lesson 7 Practice Quiz

1. Generally the hospital may release what information. The Condition of Admission Form covers this information.

2. What is a subpoena duces tecum? Is the consent of the patient required?

3. In a medical emergency can medical information be released without the patient’s consent? How would you document this?

4. In federal hospitals what information can be released without the patient’s consent?

5. When attorney request medical record information—is a patient’s consent required? What type of consent?

6. In teaching facilities medical research will be done. What steps will the physician need to complete for this medical information.

7. If the doctor publishes the findings of the research how is the patient’s right to confidentiality maintained?

8. If the patient’s treatment is for a general medical or surgical condition, any information in the records may be released how?

9. Depending on the hospital’s contract with the insurance company, the insurance company will normally need what for a billing audit.

10. What is FOIA?

11. Under the FOIA what does the law specify?

12. What is the Federal Privacy Act of 1974?

13. Substance abuse treatment records are covered under which law?

14. What does the substance abuse treatment record law state?

15. The substance abuse treatment law specifies elements that must be contained in the written consent. What are those elements?

16. When releasing psychiatric records what kind of consent is used?

17. Explain the step-by-step procedure for handling mail requests? 18. Release of information by telephone request-following state and federal regulations-what information can be released?

19. Can you verify dates of treatment? If so, what type of treatment could not be released?

20. When a physician’s office calls to obtain information for use in billing and insurance information-How would you handle the call?

21. When can records be faxed?

22. How would a request for no identifiable record be handled?

23. All requests for information should be entered into what?

24. What following items should be checked on a subpoena before accepting service?

25. In the hospital what is the procedure for using a copy service?

26. Once the subpoena has been accepted, how would you process it?

27. How can HIV test results be released?

28. In releasing psychiatric records-How would you handle information pertaining to other persons that the patient be handled?

29. The federal Confidentiality of Alcohol and Drug Abuse Patient Records regulations state that you cannot acknowledge what about the patient?

30. What are the two options for a department that receives a subpoena for substance abuse records?

31. In hospitals with federally funded substance abuse treatment programs, federal law requires that prior to release of the records what should to be completed?