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 restrict the types of insurance coverage available.
B.   The Act will improve quality of care through expanded measurements.
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.   21
C.   18
D.   26
Question #3
HITECH is a part of what larger Act?
A.   ONC
B.   HIPAA
C.   ARRA
D.   ACA
Question #4
HITECH provides incentive payments in order to support the development of what type of electronic health record?
A.   Certified
B.   All of these
C.   Interoperable
D.   Meaningful
Question #5
The maximum range for incentive payments among Medicare and Medicaid incentive programs for the electronic health record is:
A.   $50,000–$75,750.
B.   $10,000–$20,000.
C.   $25,775–$50,755.
D.   $44,000–$63,750.
Question #6
Stage 3 Meaningful Use can be illustrated by:
A.   collecting information for patient engagement.
B.   improved outcomes.
C.   digital and telemedicine enhancements in treatments.
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.   patient-centric care.
B.   health information management.
C.   clinical decision support.
D.   meaningful use of documentation.
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.   clinical decision support system.
C.   Meaningful Use component.
D.   electronic health record.
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.   high-level medical encounter.
B.   patient engagement.
C.   continuum of care.
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.   Secondary
B.   Primary
C.   Tertiary
D.   Quarternary
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.   Ambulatory surgery center
B.   Ambulatory clinic
C.   Independent practice association
D.   Urgent care center
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.   capitated practice.
B.   independent practice association.
C.   ambulatory practice association.
D.   integrated delivery network.
Question #13
Which credential is held by a cancer registrar?
A.   CTR
B.   CCS
C.   CMRS
D.   AAPC
Question #14
Recovery audit contractors, whose purpose is to recover improper Medicare funds, were instituted under which act of Congress?
A.   American Recovery and Reinvestment Act of 2009
B.   Medicare Modernization Act of 2013
C.   Affordable Healthcare Act of 2010
D.   Health Insurance Portability and Accountability Act of 1996
Question #15
The internal RAC coordinator position requires that a person do which of the following?
A.   Audit charts for deficiencies
B.   Send bills to insurance companies
C.   Code charts
D.   Coordinate claims reimbursement
Question #16
Health information professionals, previously known as "record librarians," were first organized where?
A.   Massachusetts General Hospital
B.   Baylor University
C.   Blue Cross of Texas
D.   Johns Hopkins University
Question #17
The first credential for a HIM professional was:
A.   RHIA.
B.   ART.
C.   CCS.
D.   RRL.
Question #18
What was the purpose for establishing the professional organization ARLNA in 1928?
A.   To teach individuals how to code correctly
B.   To write laws for compliance and security
C.   To assist with documentation
D.   To elevate the status of individuals who processed medical records
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.   OASIS
B.   The Joint Commission
C.   HEDIS
D.   Office of Inspector General
Question #20
AMIA focuses on which part of electronic health information?
A.   Compliance
B.   Technology
C.   Security
D.   Integrity
Question #21
Software that recognizes the dictation of a provider is called:
A.   speech conversion software.
B.   voice recognition software.
C.   epic voice recognition software.
D.   transcription 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.   CAHIIM.
B.   OASIS.
C.   HIMSS.
D.   AHIMA.
Question #23
What does RHIA mean?
A.   Recommended Health Information Accessor
B.   Registered Health Information Accessor
C.   Registered Health Information Administrator
D.   Registered Health Integrity Administrator
Question #24
What requirements are needed for an individual to obtain the RHIA credential?
A.   Associate degree only
B.   Bachelor's degree only
C.   Associate degree and pass the RHIT exam
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.   Master's in health informatics
B.   2 years' coding experience
C.   RHIT, RHIA, or CCA credential
D.   Successful completion of a coding certificate program
Question #26
A goal of IDNs is to:
A.   advance the skills of allied health technicians.
B.   accomplish the standards of Meaningful Use.
C.   move healthcare towards nursing centered care.
D.   increase government profitability for Meaningful Use technology.
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.   health information exchange.
B.   population health management.
C.   Meaningful Use.
D.   integrated delivery network.
Question #28
  
A.   integrated delivery networks.
B.   population health management.
C.   Meaningful Use.
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.   Population health management
B.   Integrated health delivery
C.   Integrated health delivery network
D.   Health care exchange
Question #30
The reimbursement scheme for population health management is also referred to as:
A.   all of these.
B.   shared savings.
C.   fee-for-value.
D.   pay-for-performance.
Question #31
In the United States, the current reimbursement scheme is shifting:
A.   away from value-based performance.
B.   towards pay-for-performance.
C.   away from pay-for-performance.
D.   towards fee-for-service.
Question #32
CMS expects the majority of healthcare in the United States to be delivered through shared savings organizations by:
A.   2050
B.   2020
C.   2030
D.   2040
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.   Poverty level of patients assigned
C.   Level of improvement of patient population
D.   Number of patients covered
Question #34
Accountable care requires frequent, high-quality:
A.   long-term care.
B.   preventative care.
C.   office visits.
D.   interventions.
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.   software applications.
C.   infrastructure.
D.   interoperability.
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.   population health management.
B.   data mining.
C.   real-time data analysis.
D.   all of these.
Question #37
Every healthcare facility that treats patients must keep which of the following?
A.   A record of each patient divided into individual encounters
B.   An EHR to keep track of each patient encounter
C.   An index card with each patient's contact information
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.   ten years.
D.   five years.
Question #39
In the warehousing method of archiving, medical records are filed:
A.   alphabetically.
B.   by date of retention expiration.
C.   by the date the patient was last seen.
D.   by medical record number.
Question #40
When storing digital records, which of the following is too expensive to use?
A.   Magnetic tape storage
B.   Optical disk
C.   Printing and warehousing
D.   Server storage
Question #41
The term concurrent analysis is also known as:
A.   quantitative analysis.
B.   business analysis.
C.   reviewing the record after the patient is discharged.
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.   Localized
B.   Decentralized
C.   Centralized
D.   Systemized
Question #44
One of the ways that disaster recovery might be supported for a smaller facility is by using:
A.   cloud services.
B.   none of these.
C.   tape backup.
D.   paper records.
Question #45
Several different types of data are gathered during the registration process. Administrative data include all of the following EXCEPT:
A.   full name.
B.   diagnosis.
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.   Diagnosis data
B.   Demographic data
C.   Clinical data
D.   Administrative data
Question #47
What is the retention period for the Master Patient (Person) Index?
A.   There is no retention period. It's permanent.
B.   10–15 years
C.   1–5 years
D.   20–30 years
Question #48
When a new patient is seen at a facility, what unique identifier is assigned for the encounter?
A.   Registration number
B.   Master patient index
C.   Medical record number
D.   Data element
Question #49
How often should a patient's administrative data be updated after his/her first visit?
A.   The data are never changed.
B.   Administrative data should be updated every other year during a review process.
C.   Administrative data should be updated annually during a review process.
D.   Administrative data should be reviewed on every visit and updated immediately if there is a change.

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