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34 Cards in this Set
- Front
- Back
Who is the supervisor and administrator of the Privacy Act Program in the Navy?
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CNO.
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Three organizations that have legal value to the health record?
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Individual, survivors, and the US Govt.
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When do you verify a health record?
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Upon receipt, before transfer, at the time of a physical, and at least annually documented on an SF 600.
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What are the three dental classes and their color codes?
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Class 1: White, no pathological conditions.
Class 2: Green, minor pathologic conditions. Class 3: Yellow, with pathological conditions. Class 4: Red, unknown or missing information. |
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What is the stipulation regarding a GMO conducting a physical exam?
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Must have completed accredited internship.
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What form would you use to request reimbursement for expenditure for non-federal treatment?
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SF 1164. Must include itemized bill and have the words, "services rendered were satisfactory," hand-written.
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Who may be designated as certifying official on an SF-1164?
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MDR, health benefits advisor, or senior officer.
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What is the format for a health record amendment request?
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Be in writing, provide information to identify and locate record, description of information to be amended and reason for amendment, and contain evidence supporting the request.
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What forms must be completed when conducting a physical exam?
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DD 2807-1 and DD 2808.
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Who is responsible for opening a new record if one is lost or destroyed?
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Cognizant custodian.
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During a normal CONUS PCS, what do you do with the record prior to transfer?
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Verify health record, complete 6150/7 (pink card).
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What is the Privacy Act instruction?
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SECNAVINST 5211.5.
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During inprocessing, what form must be read and signed?
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Privacy Act statement, DD 2005.
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What is the form number for the Record of Disclosure?
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OPNAV 5211/9.
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What are the three penalties for violating HIPAA?
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1. Knowingly obtain information: fined not more than $50,000, imprisoned not more than 1 year.
2. Under false pretenses: fined not more than $100,000, imprisoned not more than 5 years. 3. With intent: fined not more than $250,000, imprisoned not more than 10 years. |
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Who has the medical authority to reccomend a waiver of standards?
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Chief, BUMED.
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For a patient with NKDA and no sensitivities, what do you mark on the "allergies" box on the front of the jacket?
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Leave it blank.
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How many days prior to a member's EAOS must a separation physical be completed?
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180 days.
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What do you do to a health record when an enlisted member gets commissioned?
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Make entries to indicate new grade. Create an SF 600 and NAVMED 6150/4 with date, time, and grade.
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What are the four record category tape colors?
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1. Red: outpatient, active duty.
2. Black: outpatient, all others. 3. Blue: inpatient, all. 4. Green: dental. |
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When an MTF has cognizant control of a member's health record, who maintains the dental record?
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Local dental treatment facility.
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What do you do with a health record when a member is hospitalized in a foriegn country?
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Provide copies of only the appropriate forms.
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What information goes on the top quarter of the 6150/7 (pink card)?
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Patient demographics.
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Where do you file completed 2807-1's and 2808's?
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Section 3.
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What is an SF 539?
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Abbreviated medical record.
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What forms are pre-printed in sections 2 and 3?
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DD 2005 (privacy act) and OPNAV 5211/9 (disclosure form).
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What form is used to request a health record?
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DD 877.
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Up to what age can a dependent in college receive healthcare?
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23.
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Upon relieving an IDC, where are your noted discrepancies sent to?
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CO.
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In regards to appropriation, what three things must Congress know?
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1. Amount of money to be used.
2. What the money will be used for. 3. When the funds will be available for use. |
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Where is medical equipment valued <$5000 funded?
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OPTAR.
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What is the open purchase form?
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DD 1149.
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How often does NMLC issue AMMAL changes?
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Monthly.
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Which SAMS supply sub-module is used to produce specific, personal reports?
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Ad hoc.
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