AHIMA RHIA Exam Prep (7th Edition)
Questions And Answers
2025/2026
17. A patient requests copies of her medical records in an electronic format. The
hospital maintains a portion of the designated record set in a paper format and a portion
of the designated record set in an electronic format. How should the hospital respond?
a. Provide the records in paper format only
b. Scan the paper documents so that all records can be sent electronically
c. Provide the patient with both paper and electronic copies of the record
d. Inform the patient that PHI cannot be sent electronically - ANSWER-c. Provide the
patient with both paper and electronic copies of the record
The HIPAA Privacy Rule states that the covered entity must provide individuals with
their information in the form that is requested by the individuals, if it is readily producible
in the requested format. The covered entity can certainly decide, along with the
individual, the easiest and least expensive way to provide the copies they request. Per
the request of an individual, a covered entity must provide an electronic copy of any and
all health information that the covered entity maintains electronically in a designated
record set. If a covered entity does not maintain the entire designated record set
electronically, there is not a requirement that the covered entity scan paper documents
so the documents can be delivered electronically (Thomason 2013, 102).
15. For an EHR to provide robust clinical decision support, what critical element must be
present?
a. Structured data
b. Internet connection
c. Physician portal
d. Standard vocabulary - ANSWER-If an EHR is to provide clinical decision support it
requires two things: structured data and a clinical data repository (Sandefer 2016a,
364).
14. Which of the following is considered a two-factor authentication system?
a. User ID and password
b. User ID and voice scan
c. Password and swipe card
d. Password and PIN - ANSWER-c. Password and swipe card