MOA115 Medical Records and
Insurance Week 1 Assignment – Health
Records
Part 1 – Releasing Information and NPP
Directions: Answer the following questions. Use your Kinn’s The Medical Assistant e-book as a
resource. Type your answers below the question.
1. Describe when a release form must be signed and indicate what information is
included on the release form.
A valid release of information form must be signed by the patient authorizing the
provider to release patient specific information to a third parties’ groups. What’s
included in a release form is a signature and date that the information is signed by an
individual or an individuals representative.
2. Describe the Notice of Privacy Practices (NPP) – what is it? Why is it important for
patients to receive the information? (Hint: Use the Index to find the NPP in the
textbook.)
It describes the patients rights in accessing and controlling his or her information. Its
important before your health records are shared of any other reason. The organizations
duties is to protect health information privacy.
Part 2– Study Guide Questions
Directions: Use the Kinn’s The Medical Assistant – Study Guide and Procedure Checklist Manual
for this assignment. You will also need to use the Kinn’s The Medical Assistant textbook as a
resource.
Assigned Study Guide Questions:
Chapter 10 Health Records
Skills and Concepts
A. Health Record Basics (Answer #1-3)
1. Describe the following types of information found in a patient’s health
record. Demographics:
, Must include Patient full name, date of birth, age, marital status, gender, address,
contact information, social security number, race , ethnicity, preferred language,
religion, education and occupation.
Past health history: Previous illnesses/injuries, previous hospitalizations, and previous
surgeries.
Family history: Physical condition of various members of patient’s family, any
illnesses/diseases individual members may have had, and cause of death.
Social history:
Living situation, marital status, employment, tobacco use, alcohol/drug use, exercise
and nutrition
Chief complaint:
Nature, location, frequency, duration of pain, when patient first noticed symptoms,
treatments patient may have tried before seeing provider, patient has had or similar
condition in the past, and other medical treatment received for same
condition.
Vital signs and anthropometric measurements:
Include taking the patient vital signs, (Temperature, pulse, respiration, blood pressure,
and pulse oximetry reading) Obtaining the patient anthropometric measurement
include, (height and weight)
Diagnosis:
Based on all evidence provided in patient’s history, provider’s examination, and any
supplementary tests, provider notes his or her diagnosis of patient’s condition in health
record.
Progress notes:
Are instructions to the patient to return or follow-up treatments and how things are
progressing.
2. Explain the importance of data backup:
Insurance Week 1 Assignment – Health
Records
Part 1 – Releasing Information and NPP
Directions: Answer the following questions. Use your Kinn’s The Medical Assistant e-book as a
resource. Type your answers below the question.
1. Describe when a release form must be signed and indicate what information is
included on the release form.
A valid release of information form must be signed by the patient authorizing the
provider to release patient specific information to a third parties’ groups. What’s
included in a release form is a signature and date that the information is signed by an
individual or an individuals representative.
2. Describe the Notice of Privacy Practices (NPP) – what is it? Why is it important for
patients to receive the information? (Hint: Use the Index to find the NPP in the
textbook.)
It describes the patients rights in accessing and controlling his or her information. Its
important before your health records are shared of any other reason. The organizations
duties is to protect health information privacy.
Part 2– Study Guide Questions
Directions: Use the Kinn’s The Medical Assistant – Study Guide and Procedure Checklist Manual
for this assignment. You will also need to use the Kinn’s The Medical Assistant textbook as a
resource.
Assigned Study Guide Questions:
Chapter 10 Health Records
Skills and Concepts
A. Health Record Basics (Answer #1-3)
1. Describe the following types of information found in a patient’s health
record. Demographics:
, Must include Patient full name, date of birth, age, marital status, gender, address,
contact information, social security number, race , ethnicity, preferred language,
religion, education and occupation.
Past health history: Previous illnesses/injuries, previous hospitalizations, and previous
surgeries.
Family history: Physical condition of various members of patient’s family, any
illnesses/diseases individual members may have had, and cause of death.
Social history:
Living situation, marital status, employment, tobacco use, alcohol/drug use, exercise
and nutrition
Chief complaint:
Nature, location, frequency, duration of pain, when patient first noticed symptoms,
treatments patient may have tried before seeing provider, patient has had or similar
condition in the past, and other medical treatment received for same
condition.
Vital signs and anthropometric measurements:
Include taking the patient vital signs, (Temperature, pulse, respiration, blood pressure,
and pulse oximetry reading) Obtaining the patient anthropometric measurement
include, (height and weight)
Diagnosis:
Based on all evidence provided in patient’s history, provider’s examination, and any
supplementary tests, provider notes his or her diagnosis of patient’s condition in health
record.
Progress notes:
Are instructions to the patient to return or follow-up treatments and how things are
progressing.
2. Explain the importance of data backup:
