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 index card with each patient's contact information
B.
A file cabinet for storing patient records
C.
An EHR to keep track of each patient encounter
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.
Systemized
B.
Centralized
C.
Decentralized
D.
Localized
Question #4
One of the ways that disaster recovery might be supported for a smaller facility is by using:
A.
paper records.
B.
cloud services.
C.
none of these.
D.
tape backup.
Question #5
Several different types of data are gathered during the registration process. Administrative data include all of the following EXCEPT:
A.
phone number.
B.
diagnosis.
C.
insurance name.
D.
full 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.
Demographic data
C.
Clinical data
D.
Diagnosis data
Question #7
What is the retention period for the Master Patient (Person) Index?
A.
20–30 years
B.
There is no retention period. It's permanent.
C.
1–5 years
D.
10–15 years
Question #8
When a new patient is seen at a facility, what unique identifier is assigned for the encounter?
A.
Medical record number
B.
Master patient index
C.
Registration number
D.
Data element
Question #9
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 reviewed on every visit and updated immediately if there is a change.
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.
paper
B.
electronic
C.
ePaper
D.
hybrid
Question #12
Disaster planning was initially required under which act of Congress?
A.
Health Insurance Portability and Accountability Act of 1996
B.
Medical Care Act of 1965
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.
Notice of Privacy Practices.
B.
Patient's Bill of Rights.
C.
Bill of Rights.
D.
Healthcare Bill of Rights.
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.
Provide resolution to the EMPI duplicate records, overlays, and documentation errors
C.
All of these
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.
Compliance officer
B.
Privacy officer
C.
Supervisor of coding
D.
Data integrity coordinator
Question #16
By definition, a legal health record is:
A.
any medical record in a facility regardless of designation.
B.
one that a facility would present in response to a subpoena.
C.
only an EHR record.
D.
none of these.
Question #17
Why may a paper record need to be retrieved from the file room?
A.
All of these
B.
Incomplete documentation has been submitted.
C.
The patient is readmitted.
D.
It is needed for risk management review.
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.
Electronic record
D.
Live 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.
reader
B.
editor
C.
stenographer
D.
clerk
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.
Incorrect billing codes
C.
Words that voice technology may not recognize
D.
Incomplete or missing documentation
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.
no signature required on EHRs.
C.
wet signature.
D.
iSignature.
Question #22
Which of the following steps is necessary for a paper record but NOT for an electronic health record?
A.
Signature
B.
Review
C.
Filing
D.
Assembly
Question #23
Which of the following is a driving force in the high cost of healthcare in the United States?
A.
The electronic health record
B.
Changes in Medicare/Medicaid rules
C.
Poor health outcomes
D.
New laws and regulations
Question #24
Which measures were designed to change both healthcare delivery and payment to a more efficient model?
A.
HITECH
B.
All of these
C.
Affordable Care Act
D.
American Recovery and Reinvestment Act
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.
technical support.
B.
interoperability.
C.
updating software.
D.
data mining.
Question #26
Meaningful Use compliance is intended to result in:
A.
decreased population health outcomes.
B.
better clinical outcomes.
C.
standardized research data on pharmaceutical usage.
D.
decreased transparency for clinical providers.
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.
Decreased mortality rates through improved measurements
C.
Decreased privacy concerns due to patient portals
D.
The capture and sharing of patient BMI between the EHR and a health exchange
Question #28
Which of the following statements is consistent with Stage 3 of Meaningful Use?
A.
None of these
B.
The capture and sharing of data by the electronic health record and health information exchanges
C.
Advanced clinical outcomes through improved measurement and patient-directed 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 1
B.
Stage 2
C.
Stage 3
D.
Stage 4
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 4
B.
Stage 2
C.
Stage 1
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.
computer-assisted coding.
D.
grouper.
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 encoder.
B.
book-based encoder.
C.
none of these.
D.
logic-based grouper.
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.
artificial intelligence.
C.
natural language processing.
D.
computer-assisted coding.
Question #34
Which of the following is NOT collected through the UHDDS abstracting process?
A.
Discharge date
B.
Date of procedure
C.
Principal diagnosis code
D.
Patient satisfaction
Question #35
Release of information software that has interoperability with which system makes the logging requests and releases much more efficient?
A.
Grouping
B.
Encoding
C.
Master Patient Index
D.
Computer-assisted coding
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.
Outstanding invoices by quarter
B.
Quarterly income by pages of request
C.
Accounting of disclosures
D.
Annual profit/loss statement
Question #38
A.
Clinical operations
B.
Privacy and security
C.
Administrative policy
D.
Clinical quality
Question #39
Using public health, clinical outcomes, or consumer health to organize standards is an example of:
A.
educational domains.
B.
medication management.
C.
disease surveillance.
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.
Continuity of Care Document
B.
Systemized Nomenclature of Medicine - Clinical Terms
C.
Clinical Document Architecture
D.
Health Level-7
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.
HL-7
B.
SNOMED
C.
CCA
D.
CCR
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.
HCPCS
C.
LOINC
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.
Fax
B.
Flash drives
C.
CD
D.
Email
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.
SQL reporting services.
B.
patient education centers.
C.
health information exchanges.
D.
Meaningful Use networks.
Question #45
Which exchange organization provides services only in a smaller region, usually a metropolitan area?
A.
CHIN
B.
HIE
C.
HIO
D.
IDN
Question #46
A key way in which health information exchange can improve care includes which of the following?
A.
An accurate continuity of care document
B.
A timely clinical document architecture
C.
A vendor-based exchange for principal diagnosis
D.
Medication reconciliation within the facility pharmacy
Question #47
A.
Public health
B.
Patient-generated data
C.
Disease registry
D.
Clinical decision support
Question #48
Which of the following is responsible for coordinating the activities that establish standards for health IT?
A.
ITT
B.
ONC
C.
HIT
D.
CMS
Question #49
The ONC Health IT Standards committee has identified how many outcomes for interoperability?
A.
4
B.
3
C.
2
D.
5
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.
Adoption and optimization of EHR and HIE services
D.
Privacy and Security
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