Patient Administration Division (PAD) Module 1 Practice Test

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Which principle supports granting access by role within PAD systems?
Correct Answer:
Least privilege or role-based access control (RBAC)
Explanation:
Access in PAD systems is controlled by assigning permissions to roles rather than to individuals. This follows the principle of least privilege implemented through role-based access control. By linking what a user can do to their job role, you ensure they have only the permissions necessary to perform their tasks and nothing more. This reduces the risk of exposing patient data to people who don’t need it, makes auditing easier, and supports privacy and security requirements. Think of distinct PAD roles—front-desk staff, billing personnel, scheduling coordinators, medical records clerks, supervisors—each with a defined set of allowed actions and data access. When someone changes roles or a new user is added, permissions shift with the role, not with the person. This approach also accommodates checks like separation of duties and temporary access workflows if there’s a legitimate need for broader access for a limited time. Why the other options don’t fit: granting access on a first-come, first-served basis is arbitrary and unsafe for sensitive patient data; giving everyone full access defeats privacy and security safeguards; tying access to seniority doesn’t reflect actual job requirements and could either restrict needed tasks or grant unnecessary privileges.

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