MOA 180 - Health Information Management & HIPAA » Fall 2022 » Week 3 Quiz
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Question #1
The term concurrent analysis is also known as:
A.
business analysis.
B.
quantitative analysis.
C.
patient analysis.
D.
reviewing the record after the patient is discharged.
Question #2
Every healthcare facility that treats patients must keep which of the following?
A.
An EHR to keep track of each patient encounter
B.
A file cabinet for storing patient records
C.
An index card with each patient's contact information
D.
A record of each patient divided into individual encounters
Question #3
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.
Decentralized
B.
Centralized
C.
Systemized
D.
Localized
Question #4
One of the ways that disaster recovery might be supported for a smaller facility is by using:
A.
cloud services.
B.
tape backup.
C.
paper records.
D.
none of these.
Question #5
Several different types of data are gathered during the registration process. Administrative data include all of the following EXCEPT:
A.
diagnosis.
B.
phone number.
C.
full name.
D.
insurance name.
Question #6
A patient is admitted with symptoms of fever and abdominal pain. These presenting symptoms are an example of what type of data?
A.
Administrative data
B.
Diagnosis data
C.
Demographic data
D.
Clinical data
Question #7
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 #8
When a new patient is seen at a facility, what unique identifier is assigned for the encounter?
A.
Medical record number
B.
Registration number
C.
Master patient index
D.
Data element
Question #9
How often should a patient's administrative data be updated after his/her first visit?
A.
Administrative data should be reviewed on every visit and updated immediately if there is a change.
B.
The data are never changed.
C.
Administrative data should be updated every other year during a review process.
D.
Administrative data should be updated annually during a review process.
Question #10
How often is maintenance performed on the MPI?
A.
Continuously
B.
Bi-annually
C.
Bi-weekly
D.
Monthly
Question #11
A medical recordkeeping system that uses both paper and electronic content is known as a(n) ______ system.
A.
electronic
B.
hybrid
C.
paper
D.
ePaper
Question #12
Disaster planning was initially required under which act of Congress?
A.
Medical Care Act of 1965
B.
Health Insurance Portability and Accountability Act of 1996
C.
The Affordable Care Act of 2010
D.
Employee Health Care Protection Act of 2013
Question #13
When a patient is registered for admission to the healthcare facility, a notice is given to him/her regarding certain rights; that notice is called the:
A.
Patient's Bill of Rights.
B.
Healthcare Bill of Rights.
C.
Bill of Rights.
D.
Notice of Privacy Practices.
Question #14
A data integrity coordinator is a nontraditional role in HIM. What task(s) might that person be required to do?
A.
Maintain the integrity of the facility and the EMPI
B.
All of these
C.
Provide resolution to the EMPI duplicate records, overlays, and documentation errors
D.
Develop reports to audit, track, trend, and resolve duplicate records
Question #15
Facilitating and coordinating process improvement initiatives is part of what HIM job?
A.
Data integrity coordinator
B.
Compliance officer
C.
Privacy officer
D.
Supervisor of coding
Question #16
By definition, a legal health record is:
A.
none of these.
B.
one that a facility would present in response to a subpoena.
C.
any medical record in a facility regardless of designation.
D.
only an EHR record.
Question #17
Why may a paper record need to be retrieved from the file room?
A.
The patient is readmitted.
B.
It is needed for risk management review.
C.
Incomplete documentation has been submitted.
D.
All of these
Question #18
A patient was admitted to the hospital for an emergency appendectomy. The EMS responders hand off initial information about the patient's vitals to go in her health record. The nurse then updates and adds further information after an initial battery of tests. The doctor then includes pre-operative and post-operative reports. At this point in the healthcare process, what is the health record called?
A.
Concurrent record
B.
Hybrid record
C.
Live record
D.
Electronic record
Question #19
The traditional role of the medical transcriptionist has changed with use of EHRs and they are now considered to be a(n) _____ as opposed to a typist.
A.
clerk
B.
editor
C.
stenographer
D.
reader
Question #20
A transcriptionist who is using an EHR would typically look for what type(s) of error(s)? (Choose all that apply)
A.
Misdiagnoses or malpractice
B.
Incomplete or missing documentation
C.
Words that voice technology may not recognize
D.
Incorrect billing codes
Question #21
Manual signatures are almost obsolete with the advent of new technology. A signature provided through an EHR is called a(n):
A.
eSignature.
B.
iSignature.
C.
wet signature.
D.
no signature required on EHRs.
Question #22
Which of the following steps is necessary for a paper record but NOT for an electronic health record?
A.
Signature
B.
Assembly
C.
Review
D.
Filing
Question #23
Which of the following is a driving force in the high cost of healthcare in the United States?
A.
New laws and regulations
B.
Poor health outcomes
C.
Changes in Medicare/Medicaid rules
D.
The electronic health record
Question #24
Which measures were designed to change both healthcare delivery and payment to a more efficient model?
A.
HITECH
B.
Affordable Care Act
C.
American Recovery and Reinvestment Act
D.
All of these
Question #25
The ability of the nurse practitioner to view laboratory values online from the order entry application while making the appropriate pharmaceutical inventory available for reference is an example of:
A.
data mining.
B.
technical support.
C.
updating software.
D.
interoperability.
Question #26
Meaningful Use compliance is intended to result in:
A.
decreased transparency for clinical providers.
B.
better clinical outcomes.
C.
decreased population health outcomes.
D.
standardized research data on pharmaceutical usage.
Question #27
Which of the following would NOT be included in the stages of Meaningful Use?
A.
Improved patient outcomes at discharge as a result of better data capture
B.
The capture and sharing of patient BMI between the EHR and a health exchange
C.
Decreased privacy concerns due to patient portals
D.
Decreased mortality rates through improved measurements
Question #28
Which of the following statements is consistent with Stage 3 of Meaningful Use?
A.
Advanced clinical outcomes through improved measurement and patient-directed exchanges
B.
None of these
C.
The capture and sharing of data by the electronic health record and health information exchanges
D.
Improved outcomes through coordination of elements and structures
Question #29
The electronic transmission of discharge summaries from an acute care facility to a long-term care facility should be accomplished under which stage of Meaningful Use?
A.
Stage 2
B.
Stage 1
C.
Stage 4
D.
Stage 3
Question #30
Patient access to tools and alert systems that may help them monitor and assess their own health should be accomplished under which stage of Meaningful Use?
A.
Stage 1
B.
Stage 4
C.
Stage 2
D.
Stage 3
Question #31
Kathy is utilizing a computer-based application to assign CPT codes to outpatient cases in which she answers a series of prompts based on the documentation available in the record. This system is called a(n):
A.
abstracting.
B.
encoder.
C.
grouper.
D.
computer-assisted coding.
Question #32
A computer application that shows the following prompts is characteristic of a: Enter Keyword – Cholelithiasis With cholecystitis? With obstruction? Including the common bile duct?
A.
logic-based grouper.
B.
none of these.
C.
logic-based encoder.
D.
book-based encoder.
Question #33
The ability of a computer to understand what is written in an EHR or to understand human speech is known as:
A.
encoding.
B.
natural language processing.
C.
computer-assisted coding.
D.
artificial intelligence.
Question #34
Which of the following is NOT collected through the UHDDS abstracting process?
A.
Date of procedure
B.
Principal diagnosis code
C.
Patient satisfaction
D.
Discharge date
Question #35
Release of information software that has interoperability with which system makes the logging requests and releases much more efficient?
A.
Master Patient Index
B.
Encoding
C.
Computer-assisted coding
D.
Grouping
Question #36
Which of the following statistical information on release of information must be available upon request?
A.
Number of requests fulfilled
B.
Number of breaches in disclosure
C.
All of these
D.
Number of valid requests
Question #37
Which of the following represents a HIPAA reporting capability as it relates to release of information?
A.
Annual profit/loss statement
B.
Quarterly income by pages of request
C.
Accounting of disclosures
D.
Outstanding invoices by quarter
Question #38
Which of the following is NOT included in the organization of the ONC Health IT standards?
A.
Clinical quality
B.
Clinical operations
C.
Administrative policy
D.
Privacy and security
Question #39
Using public health, clinical outcomes, or consumer health to organize standards is an example of:
A.
medication management.
B.
disease surveillance.
C.
educational domains.
D.
functionality.
Question #40
Which standard represents the standard for the actual health record and is an SML-based document that has been selected as acceptable under Meaningful Use?
A.
Clinical Document Architecture
B.
Systemized Nomenclature of Medicine - Clinical Terms
C.
Health Level-7
D.
Continuity of Care Document
Question #41
Which of the following is used for coding the data input from a medical encounter and is a part of the EHR requirement under Meaningful Use Stage 2?
A.
CCR
B.
HL-7
C.
SNOMED
D.
CCA
Question #42
Meaningful Use Stage 1 allowed certified EHRs to store patient data through either ICD-9 or which system?
A.
ICD-10-CM
B.
LOINC
C.
HCPCS
D.
SNOMED
Question #43
Which of the following is an example of electronic exchange that may meet the Meaningful Use criteria for electronic exchange of data?
A.
CD
B.
Fax
C.
Email
D.
Flash drives
Question #44
The organizations that provide the infrastructure and services allowing for the movement of health-related data between nonaffiliated stakeholders based on nationally established guidelines are known as:
A.
patient education centers.
B.
SQL reporting services.
C.
Meaningful Use networks.
D.
health information exchanges.
Question #45
Which exchange organization provides services only in a smaller region, usually a metropolitan area?
A.
HIO
B.
HIE
C.
CHIN
D.
IDN
Question #46
A key way in which health information exchange can improve care includes which of the following?
A.
A vendor-based exchange for principal diagnosis
B.
Medication reconciliation within the facility pharmacy
C.
An accurate continuity of care document
D.
A timely clinical document architecture
Question #47
A.
Public health
B.
Disease registry
C.
Clinical decision support
D.
Patient-generated data
Question #48
Which of the following is responsible for coordinating the activities that establish standards for health IT?
A.
ONC
B.
ITT
C.
HIT
D.
CMS
Question #49
The ONC Health IT Standards committee has identified how many outcomes for interoperability?
A.
5
B.
2
C.
3
D.
4
Question #50
Which of the following elements of interoperability include the support of validity, reliability, and usability of health information?
A.
Financial and clinical incentives
B.
Standards to support implementation and certification
C.
Privacy and Security
D.
Adoption and optimization of EHR and HIE services
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