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.
patient analysis.
B.
reviewing the record after the patient is discharged.
C.
business analysis.
D.
quantitative analysis.
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 record of each patient divided into individual encounters
C.
A file cabinet for storing patient records
D.
An index card with each patient's contact information
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.
Decentralized
C.
Centralized
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.
paper records.
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.
insurance name.
B.
diagnosis.
C.
full name.
D.
phone number.
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.
Clinical data
B.
Demographic data
C.
Administrative data
D.
Diagnosis data
Question #7
What is the retention period for the Master Patient (Person) Index?
A.
1–5 years
B.
There is no retention period. It's permanent.
C.
20–30 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.
Registration number
B.
Data element
C.
Master patient index
D.
Medical record number
Question #9
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.
The data are never changed.
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.
Bi-annually
B.
Monthly
C.
Continuously
D.
Bi-weekly
Question #11
A medical recordkeeping system that uses both paper and electronic content is known as a(n) ______ system.
A.
paper
B.
hybrid
C.
electronic
D.
ePaper
Question #12
Disaster planning was initially required under which act of Congress?
A.
Health Insurance Portability and Accountability Act of 1996
B.
Employee Health Care Protection Act of 2013
C.
Medical Care Act of 1965
D.
The Affordable Care Act of 2010
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.
Bill of Rights.
C.
Notice of Privacy Practices.
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.
Provide resolution to the EMPI duplicate records, overlays, and documentation errors
B.
Maintain the integrity of the facility and the EMPI
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.
Data integrity coordinator
B.
Compliance officer
C.
Supervisor of coding
D.
Privacy officer
Question #16
By definition, a legal health record is:
A.
any medical record in a facility regardless of designation.
B.
only an EHR record.
C.
none of these.
D.
one that a facility would present in response to a subpoena.
Question #17
Why may a paper record need to be retrieved from the file room?
A.
Incomplete documentation has been submitted.
B.
It is needed for risk management review.
C.
The patient is readmitted.
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.
Live record
B.
Concurrent record
C.
Hybrid 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.
stenographer
B.
editor
C.
clerk
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.
Incorrect billing codes
B.
Incomplete or missing documentation
C.
Misdiagnoses or malpractice
D.
Words that voice technology may not recognize
Question #21
Manual signatures are almost obsolete with the advent of new technology. A signature provided through an EHR is called a(n):
A.
iSignature.
B.
no signature required on EHRs.
C.
wet signature.
D.
eSignature.
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.
Assembly
D.
Filing
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.
Poor health outcomes
C.
New laws and regulations
D.
Changes in Medicare/Medicaid rules
Question #24
Which measures were designed to change both healthcare delivery and payment to a more efficient model?
A.
American Recovery and Reinvestment Act
B.
HITECH
C.
Affordable Care 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.
updating software.
B.
data mining.
C.
technical support.
D.
interoperability.
Question #26
Meaningful Use compliance is intended to result in:
A.
decreased population health outcomes.
B.
decreased transparency for clinical providers.
C.
standardized research data on pharmaceutical usage.
D.
better clinical outcomes.
Question #27
Which of the following would NOT be included in the stages of Meaningful Use?
A.
Decreased privacy concerns due to patient portals
B.
Improved patient outcomes at discharge as a result of better data capture
C.
Decreased mortality rates through improved measurements
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.
Advanced clinical outcomes through improved measurement and patient-directed exchanges
B.
The capture and sharing of data by the electronic health record and health information exchanges
C.
Improved outcomes through coordination of elements and structures
D.
None of these
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 4
C.
Stage 1
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 4
B.
Stage 3
C.
Stage 1
D.
Stage 2
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.
computer-assisted coding.
C.
encoder.
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.
none of these.
B.
book-based encoder.
C.
logic-based encoder.
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.
computer-assisted coding.
B.
encoding.
C.
natural language processing.
D.
artificial intelligence.
Question #34
Which of the following is NOT collected through the UHDDS abstracting process?
A.
Principal diagnosis code
B.
Date of procedure
C.
Discharge date
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.
Master Patient Index
B.
Computer-assisted coding
C.
Grouping
D.
Encoding
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 valid requests
C.
All of these
D.
Number of breaches in disclosure
Question #37
Which of the following represents a HIPAA reporting capability as it relates to release of information?
A.
Accounting of disclosures
B.
Quarterly income by pages of request
C.
Annual profit/loss statement
D.
Outstanding invoices by quarter
Question #38
A.
Clinical operations
B.
Administrative policy
C.
Privacy and security
D.
Clinical quality
Question #39
Using public health, clinical outcomes, or consumer health to organize standards is an example of:
A.
disease surveillance.
B.
functionality.
C.
educational domains.
D.
medication management.
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.
Health Level-7
C.
Systemized Nomenclature of Medicine - Clinical Terms
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.
HL-7
B.
CCR
C.
CCA
D.
SNOMED
Question #42
Meaningful Use Stage 1 allowed certified EHRs to store patient data through either ICD-9 or which system?
A.
HCPCS
B.
LOINC
C.
ICD-10-CM
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.
Email
B.
CD
C.
Flash drives
D.
Fax
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.
Meaningful Use networks.
B.
patient education centers.
C.
health information exchanges.
D.
SQL reporting services.
Question #45
Which exchange organization provides services only in a smaller region, usually a metropolitan area?
A.
IDN
B.
HIO
C.
CHIN
D.
HIE
Question #46
A key way in which health information exchange can improve care includes which of the following?
A.
Medication reconciliation within the facility pharmacy
B.
A timely clinical document architecture
C.
A vendor-based exchange for principal diagnosis
D.
An accurate continuity of care document
Question #47
Using hospital mandatory reporting of infectious diseases through an online system is representative of what type of use, in which health information exchanges can improve healthcare?
A.
Disease registry
B.
Clinical decision support
C.
Public health
D.
Patient-generated data
Question #48
Which of the following is responsible for coordinating the activities that establish standards for health IT?
A.
HIT
B.
CMS
C.
ITT
D.
ONC
Question #49
The ONC Health IT Standards committee has identified how many outcomes for interoperability?
A.
3
B.
5
C.
2
D.
4
Question #50
Which of the following elements of interoperability include the support of validity, reliability, and usability of health information?
A.
Standards to support implementation and certification
B.
Adoption and optimization of EHR and HIE services
C.
Privacy and Security
D.
Financial and clinical incentives
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