WorksheetsConfidentiality & Paperwork - Unit 4 Test
Total questions: 38
Worksheet time: 20mins
Which of the following statements would be subjective?
The patient’s range of motion was 76 degrees.
The patient described their pain as sharp and stinging.
The patient has blood pressure of 120 over 80.
The patient’s x-rays were negative for a broken bone.
What are some behaviors that can lead to HIPAA or FERPA violations?
Discussing patient information in public.
Failing to secure physical or electronic PHI.
Improper disposal of PHI.
All of the above.
What does HIPAA stand for?
Health Insurance Privacy and Accountability Act
Health Insurance Portability and Accreditation Act
Health Insurance Portability and Accountability Act
Health Insurance Persons for Accountability Act
What is the purpose of CPT codes?
Describe what was done for the patient—the treatment or service provided.
Describe what is wrong with the patient—the diagnosis or condition being treated.
To organize patient information.
All of the above.
Who can a high school athletic trainer share student health information with?
Parents of other students
Media
The student’s parents
Students in the building
What are some examples of legal consequences of violating HIPAA or FERPA?
Fines from $100-$250,000
Up to 10 years in prison
Loss of federal funding
All of the above
Which of the following statements would be objective?
The patient said they have had a temperature for 3 days.
The patient said they were feeling worried about surgery.
The patient reported their symptoms started yesterday at noon.
Upon palpation, the patient’s ankle felt swollen.
What does Liability mean?
The ability of individuals to maintain health insurance when they change jobs.
When PHI is exposed or used in a way that it shouldn’t be.
Legal Responsibility healthcare providers have to their patients.
None of the above.
Why would a health care professional use SOAP notes over HOPS notes?
Because they are better for injury evaluation—especially on the field assessment
Better legal protection and compliance
Provides justification for billing and insurance
It's the only thing they know how to do.
Who does FERPA protect?
The insurance company
The School District
The Hospital
The Student
What does Portability mean?
Legal responsibility healthcare providers have to their patients.
The ability to plug and play different treatment modalities for individuals.
The ability of individuals to maintain health insurance coverage during job loss, change in employment, or birth of a child.
When PHI is exposed or used in a way that it shouldn’t be.
What evaluations are involved in patient assessment?
A patient’s Physical abilities
A patient’s Functional abilities
A patient’s Cognitive abilities
All of the above
What is the purpose of HIPAA?
Protect student educational records
Protect healthcare professionals from being sued
Protect insurance companies from fraud
Protect patient’s rights, secure health information, make healthcare system work more efficiently and fairly.
Why is accurate documentation crucial for patient care?
Serves a legal record for care provided to the patient.
Ensures treatment is safe, effective, and coordinated.
Ensures insurance companies bill the right people.
None of the above
How can healthcare providers assist their patients in understanding Portability?
Provide documentation/ coordinate with insurance
By following the security and privacy rule
Educate patients on their rights under HIPAA
There is nothing a healthcare provider can do to help
What is the purpose of ICD 10 codes?
Describe what was done for the patient-the treatment or service provided.
Describe what is wrong with the patient-the diagnosis or condition being treated.
To protect insurance companies.
All of the above.
Why is confidentiality important?
So insurance companies don’t get sued.
Protects patient privacy and builds trust.
Because people should be able to maintain insurance coverage when they change jobs or experience certain life events.
None of the above
What does SOAP stand for?
Subjective, Objective, Assessment, Palpation
Subjective, Observations, Assessment, Plan
Special Tests, Objective, Assessment, Palpation
Subjective, Objective, Assessment, Plan
What does HOPS stand for?
History, Observation, Palpation, Special Tests
History, Objective, Plan, Subjective
History, Observation, Plan, Special Tests
Hospital, Objective, Palpation, Services
What does FERPA stand for?
Family Educational Rights and Portability Act
Family Educational Rights and Privacy Act
Federal Educational Rights and Privacy Act
Federal Educational Rights and Privacy Act
How can a healthcare provider ensure they are following HIPAA’s transactions and code sets rules?
Use electronic systems correctly
Apply the correct code sets for the right diagnosis and procedures
Train Staff
All of the above
What does ePHI stand for?
electronic personal health information
electronic physical health information
electronic protected health information
electronic patient health information
Which of the following statements is an example of an assessment?
The patient has a grade 3 CFL sprain.
The patient will begin physical therapy three times per week.
The patient will increase medication to twice per day.
The patient will continue rehabilitation treatment as planned.
Which of the following statements is an example of a plan?
The patient has a fracture of the right fibula.
Decrease patient medication to once per day.
The patient has exercise induced asthma.
The patient has a grade 3 CFL sprain.
What are some examples of documentation used in a rehabilitation setting?
Discharge Summary
Treatment Notes
Progress Notes
All of the above
How can healthcare providers ensure they are following HIPAA Security Rule requirement?
Have administrative safeguards such as policies for handling PHI and ePHI.
Control access to servers and computers.
Install firewalls, antivirus, and anti-malware software on computers.
All of the above.
What is Protected Health Information?
Educational Records
Information the patient gave consent to be shared
Patient name, address, social security number, medical records, billing information, and health conditions.
Any information the patient shares on social media
Why is accurate documentation crucial for legal purposes?
Communicates goals and plans
Supports the patient circle of care
It serves as a legal record of care provided to the patient.
Helps to show patient progress
When can a high school athletic trainer share health information about a student athlete?
Once the athlete has recovered from injury
If the athlete is sub-varsity
When there is a health or safety concern
During Media Days
Who does HIPAA protect?
The student
The school district
The insurance company
The individual
Why would a health care professional use SOAP notes?
Organize patient information
Track progress over time
Legal and Professional Documentation
All of the above
What should a health care provider do if a breach occurs?
Notify the patient and all other affected individuals
Notify the department of Health and Human Services
Sweep it under the rug
None of the above
What are some examples of professional consequences of violating HIPAA or FERPA?
Fines of up to $250,000
Up to 10 years in prison
Loss of employment, licensure, reputation, and trust.
Loss of federal funding
How can healthcare providers be sure to follow HIPAA Privacy Rule requirement?
Limit access to information
Keep records secure
Implement policies and procedures for handling PHI
All of the above
What does PHI stand for?
personal health information
physical health information
patient health information
protected health information
What does Breach mean?
Apply the correct code sets for the right diagnosis and procedures
The ability of individuals to maintain health insurance coverage during job loss, change in employment, or birth of a child.
When PHI is exposed or used in a way that it shouldn't be, potentially putting a patient's privacy at risk.
Legal responsibility to the patient
Why would a health care professional use HOPS notes over SOAP notes?
For evaluating an injury-especially during on the field assessment.
Because they are better for organizing information and tracking progress.
Because they provide better justification for billing and insurance.
All of the above
What is the purpose of FERPA?
Protect patient privacy and confidentiality
To accurately describe medical procedures
Ensure the Privacy of student educational records.
To standardize PHI
