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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?
CNO.
Three organizations that have legal value to the health record?
Individual, survivors, and the US Govt.
When do you verify a health record?
Upon receipt, before transfer, at the time of a physical, and at least annually documented on an SF 600.
What are the three dental classes and their color codes?
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.
What is the stipulation regarding a GMO conducting a physical exam?
Must have completed accredited internship.
What form would you use to request reimbursement for expenditure for non-federal treatment?
SF 1164. Must include itemized bill and have the words, "services rendered were satisfactory," hand-written.
Who may be designated as certifying official on an SF-1164?
MDR, health benefits advisor, or senior officer.
What is the format for a health record amendment request?
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.
What forms must be completed when conducting a physical exam?
DD 2807-1 and DD 2808.
Who is responsible for opening a new record if one is lost or destroyed?
Cognizant custodian.
During a normal CONUS PCS, what do you do with the record prior to transfer?
Verify health record, complete 6150/7 (pink card).
What is the Privacy Act instruction?
SECNAVINST 5211.5.
During inprocessing, what form must be read and signed?
Privacy Act statement, DD 2005.
What is the form number for the Record of Disclosure?
OPNAV 5211/9.
What are the three penalties for violating HIPAA?
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.
Who has the medical authority to reccomend a waiver of standards?
Chief, BUMED.
For a patient with NKDA and no sensitivities, what do you mark on the "allergies" box on the front of the jacket?
Leave it blank.
How many days prior to a member's EAOS must a separation physical be completed?
180 days.
What do you do to a health record when an enlisted member gets commissioned?
Make entries to indicate new grade. Create an SF 600 and NAVMED 6150/4 with date, time, and grade.
What are the four record category tape colors?
1. Red: outpatient, active duty.
2. Black: outpatient, all others.
3. Blue: inpatient, all.
4. Green: dental.
When an MTF has cognizant control of a member's health record, who maintains the dental record?
Local dental treatment facility.
What do you do with a health record when a member is hospitalized in a foriegn country?
Provide copies of only the appropriate forms.
What information goes on the top quarter of the 6150/7 (pink card)?
Patient demographics.
Where do you file completed 2807-1's and 2808's?
Section 3.
What is an SF 539?
Abbreviated medical record.
What forms are pre-printed in sections 2 and 3?
DD 2005 (privacy act) and OPNAV 5211/9 (disclosure form).
What form is used to request a health record?
DD 877.
Up to what age can a dependent in college receive healthcare?
23.
Upon relieving an IDC, where are your noted discrepancies sent to?
CO.
In regards to appropriation, what three things must Congress know?
1. Amount of money to be used.
2. What the money will be used for.
3. When the funds will be available for use.
Where is medical equipment valued <$5000 funded?
OPTAR.
What is the open purchase form?
DD 1149.
How often does NMLC issue AMMAL changes?
Monthly.
Which SAMS supply sub-module is used to produce specific, personal reports?
Ad hoc.