MOA 180 - Electronic Medical Records » Fall 2020 » Exam 1

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Question #1
Which of the following is a FALSE statement concerning the Affordable Care Act?
A.   The Act will improve quality of care through expanded measurements.
B.   The Act will restrict the types of insurance coverage available.
C.   The Act will streamline administrative processes.
D.   The Act will reduce costs by introducing new models of payment.
Question #2
The ACA mandates that individuals under this age can remain on their parent's health insurance policy if they do not qualify for coverage on their own.
A.   30
B.   26
C.   18
D.   21
Question #3
HITECH is a part of what larger Act?
A.   ONC
B.   HIPAA
C.   ACA
D.   ARRA
Question #4
HITECH provides incentive payments in order to support the development of what type of electronic health record?
A.   Certified
B.   Interoperable
C.   Meaningful
D.   All of these
Question #5
The maximum range for incentive payments among Medicare and Medicaid incentive programs for the electronic health record is:
A.   $44,000–$63,750.
B.   $50,000–$75,750.
C.   $25,775–$50,755.
D.   $10,000–$20,000.
Question #6
Stage 3 Meaningful Use can be illustrated by:
A.   digital and telemedicine enhancements in treatments.
B.   collecting information for patient engagement.
C.   improved outcomes.
D.   all of these.
Question #7
Communications, information sharing, and decision making that include the patient and are managed by both the patient and the provider are part of:
A.   meaningful use of documentation.
B.   patient-centric care.
C.   health information management.
D.   clinical decision support.
Question #8
After rounds, the nurse practitioner enters the patient characteristics, symptomatology, and lab values into a database that provides instructions and directives for possible treatment and care plans according to the diagnosis. This is illustrative of a(an):
A.   patient portal.
B.   electronic health record.
C.   clinical decision support system.
D.   Meaningful Use component.
Question #9
In a single course of illness, the patient was seen by her primary care physician, referred to a specialist, admitted for outpatient surgery, and then discharged with home health. These episodes are an example of a(an):
A.   patient engagement.
B.   continuum of care.
C.   high-level medical encounter.
D.   managed care plan.
Question #10
A large research hospital facility, such as the Mayo Clinic, that performs procedures on a clinical trial basis and trains various levels of interns and residents would be referred to as what type of care?
A.   Tertiary
B.   Quarternary
C.   Secondary
D.   Primary
Question #11
What type of ambulatory care is provided for patients who are seen without a prior appointment for problems that need prompt attention but are not emergency in level?
A.   Urgent care center
B.   Ambulatory surgery center
C.   Independent practice association
D.   Ambulatory clinic
Question #12
A group of physicians that contracts with a managed care organization to provide care at a pre-determined, pre-negotiated rate is a(an):
A.   integrated delivery network.
B.   independent practice association.
C.   ambulatory practice association.
D.   capitated practice.
Question #13
Which credential is held by a cancer registrar?
A.   CMRS
B.   CCS
C.   AAPC
D.   CTR
Question #14
Recovery audit contractors, whose purpose is to recover improper Medicare funds, were instituted under which act of Congress?
A.   Affordable Healthcare Act of 2010
B.   Health Insurance Portability and Accountability Act of 1996
C.   American Recovery and Reinvestment Act of 2009
D.   Medicare Modernization Act of 2013
Question #15
The internal RAC coordinator position requires that a person do which of the following?
A.   Send bills to insurance companies
B.   Code charts
C.   Coordinate claims reimbursement
D.   Audit charts for deficiencies
Question #16
Health information professionals, previously known as "record librarians," were first organized where?
A.   Blue Cross of Texas
B.   Baylor University
C.   Johns Hopkins University
D.   Massachusetts General Hospital
Question #17
The first credential for a HIM professional was:
A.   RHIA.
B.   ART.
C.   RRL.
D.   CCS.
Question #18
What was the purpose for establishing the professional organization ARLNA in 1928?
A.   To elevate the status of individuals who processed medical records
B.   To assist with documentation
C.   To write laws for compliance and security
D.   To teach individuals how to code correctly
Question #19
What group was formed in 1951 to survey facilities with a set of standards and, if the facility met those standards, it became accredited?
A.   The Joint Commission
B.   OASIS
C.   HEDIS
D.   Office of Inspector General
Question #20
AMIA focuses on which part of electronic health information?
A.   Technology
B.   Security
C.   Compliance
D.   Integrity
Question #21
Software that recognizes the dictation of a provider is called:
A.   transcription software.
B.   epic voice recognition software.
C.   speech conversion software.
D.   voice recognition software.
Question #22
The independent accrediting organization that serves the public interest by establishing and enforcing quality educational standards in health information is known as:
A.   HIMSS.
B.   AHIMA.
C.   CAHIIM.
D.   OASIS.
Question #23
What does RHIA mean?
A.   Recommended Health Information Accessor
B.   Registered Health Information Accessor
C.   Registered Health Integrity Administrator
D.   Registered Health Information Administrator
Question #24
What requirements are needed for an individual to obtain the RHIA credential?
A.   Associate degree and pass the RHIT exam
B.   Bachelor's degree only
C.   Associate degree only
D.   Bachelor's degree and pass the RHIA exam
Question #25
Which of the following is NOT a qualifying factor to sit for the CCS credential?
A.   RHIT, RHIA, or CCA credential
B.   2 years' coding experience
C.   Master's in health informatics
D.   Successful completion of a coding certificate program
Question #26
A goal of IDNs is to:
A.   move healthcare towards nursing centered care.
B.   increase government profitability for Meaningful Use technology.
C.   accomplish the standards of Meaningful Use.
D.   advance the skills of allied health technicians.
Question #27
Using a certified EHR to improve quality, safety, and efficiency while engaging the patient to improve the coordination of care and public health is known as:
A.   population health management.
B.   integrated delivery network.
C.   health information exchange.
D.   Meaningful Use.
Question #28
  
A.   Meaningful Use.
B.   integrated delivery networks.
C.   population health management.
D.   health information exchange.
Question #29
The goal of what healthcare model is to pay providers to improve the health outcomes of a group of patients and therefore reduce health inequities across the population regardless of environmental and cultural constraints?
A.   Integrated health delivery
B.   Integrated health delivery network
C.   Population health management
D.   Health care exchange
Question #30
The reimbursement scheme for population health management is also referred to as:
A.   shared savings.
B.   all of these.
C.   pay-for-performance.
D.   fee-for-value.
Question #31
In the United States, the current reimbursement scheme is shifting:
A.   towards pay-for-performance.
B.   towards fee-for-service.
C.   away from pay-for-performance.
D.   away from value-based performance.
Question #32
CMS expects the majority of healthcare in the United States to be delivered through shared savings organizations by:
A.   2040
B.   2030
C.   2050
D.   2020
Question #33
Which of the following points will be of major importance under pay-for-performance reimbursement schemes in the United States?
A.   Language barriers between patients and providers
B.   Number of patients covered
C.   Level of improvement of patient population
D.   Poverty level of patients assigned
Question #34
Accountable care requires frequent, high-quality:
A.   interventions.
B.   office visits.
C.   long-term care.
D.   preventative care.
Question #35
In order to move to pay-for-performance, providers need to compare data across the delivery system from physician offices, acute care hospitals, and long-term care providers. The collection of data to provide information for this transition will demand increased:
A.   all of these.
B.   infrastructure.
C.   interoperability.
D.   software applications.
Question #36
Being able to extract information from the data system within an ACO and to construct a plan of care for the patient at the time of his/her encounter and subsequent discharge is characteristic of:
A.   all of these.
B.   data mining.
C.   real-time data analysis.
D.   population health management.
Question #37
Every healthcare facility that treats patients must keep which of the following?
A.   An index card with each patient's contact information
B.   A record of each patient divided into individual encounters
C.   An EHR to keep track of each patient encounter
D.   A file cabinet for storing patient records
Question #38
The time that a record is retained by a facility is:
A.   indefinitely.
B.   according to a policy written by the facility that addresses the length of time.
C.   five years.
D.   ten years.
Question #39
In the warehousing method of archiving, medical records are filed:
A.   by date of retention expiration.
B.   alphabetically.
C.   by medical record number.
D.   by the date the patient was last seen.
Question #40
When storing digital records, which of the following is too expensive to use?
A.   Optical disk
B.   Magnetic tape storage
C.   Printing and warehousing
D.   Server storage
Question #41
The term concurrent analysis is also known as:
A.   reviewing the record after the patient is discharged.
B.   quantitative analysis.
C.   business analysis.
D.   patient analysis.
Question #42
Every healthcare facility that treats patients must keep which of the following?
A.   A file cabinet for storing patient records
B.   A record of each patient divided into individual encounters
C.   An index card with each patient's contact information
D.   An EHR to keep track of each patient encounter
Question #43
A patient arrives at a hospital to have a pre-operative consultation with an ENT. The information mailed to the patient stated that the patient should report to the registration department on arrival before going to the department of otolaryngology. This is an example of what type of registration process?
A.   Systemized
B.   Localized
C.   Centralized
D.   Decentralized
Question #44
One of the ways that disaster recovery might be supported for a smaller facility is by using:
A.   cloud services.
B.   paper records.
C.   none of these.
D.   tape backup.
Question #45
Several different types of data are gathered during the registration process. Administrative data include all of the following EXCEPT:
A.   diagnosis.
B.   full name.
C.   phone number.
D.   insurance name.
Question #46
A patient is admitted with symptoms of fever and abdominal pain. These presenting symptoms are an example of what type of data?
A.   Demographic data
B.   Diagnosis data
C.   Clinical data
D.   Administrative data
Question #47
What is the retention period for the Master Patient (Person) Index?
A.   20–30 years
B.   10–15 years
C.   1–5 years
D.   There is no retention period. It's permanent.
Question #48
When a new patient is seen at a facility, what unique identifier is assigned for the encounter?
A.   Master patient index
B.   Data element
C.   Medical record number
D.   Registration number
Question #49
How often should a patient's administrative data be updated after his/her first visit?
A.   Administrative data should be updated every other year during a review process.
B.   Administrative data should be reviewed on every visit and updated immediately if there is a change.
C.   Administrative data should be updated annually during a review process.
D.   The data are never changed.

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