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.   reviewing the record after the patient is discharged.
C.   patient analysis.
D.   quantitative analysis.
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.   An EHR to keep track of each patient encounter
C.   A file cabinet for storing patient records
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.   Systemized
C.   Localized
D.   Centralized
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.   full name.
B.   insurance name.
C.   diagnosis.
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.   Administrative data
B.   Clinical data
C.   Diagnosis data
D.   Demographic data
Question #7
What is the retention period for the Master Patient (Person) Index?
A.   20–30 years
B.   1–5 years
C.   There is no retention period. It's permanent.
D.   10–15 years
Question #8
When a new patient is seen at a facility, what unique identifier is assigned for the encounter?
A.   Master patient index
B.   Registration number
C.   Data element
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 annually during a review process.
B.   Administrative data should be reviewed on every visit and updated immediately if there is a change.
C.   The data are never changed.
D.   Administrative data should be updated every other year during a review process.
Question #10
How often is maintenance performed on the MPI?
A.   Bi-annually
B.   Continuously
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.   hybrid
C.   electronic
D.   ePaper
Question #12
Disaster planning was initially required under which act of Congress?
A.   The Affordable Care Act of 2010
B.   Employee Health Care Protection Act of 2013
C.   Health Insurance Portability and Accountability Act of 1996
D.   Medical Care Act of 1965
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.   Bill of Rights.
B.   Healthcare Bill of Rights.
C.   Patient's 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.   Develop reports to audit, track, trend, and resolve duplicate records
B.   All of these
C.   Provide resolution to the EMPI duplicate records, overlays, and documentation errors
D.   Maintain the integrity of the facility and the EMPI
Question #15
Facilitating and coordinating process improvement initiatives is part of what HIM job?
A.   Supervisor of coding
B.   Compliance officer
C.   Data integrity coordinator
D.   Privacy officer
Question #16
By definition, a legal health record is:
A.   one that a facility would present in response to a subpoena.
B.   only an EHR record.
C.   any medical record in a facility regardless of designation.
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.   Electronic record
B.   Concurrent record
C.   Hybrid 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.   clerk
B.   stenographer
C.   reader
D.   editor
Question #20
A transcriptionist who is using an EHR would typically look for what type(s) of error(s)? (Choose all that apply)
A.   Words that voice technology may not recognize
B.   Misdiagnoses or malpractice
C.   Incorrect billing codes
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.   iSignature.
B.   wet signature.
C.   eSignature.
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.   Assembly
B.   Review
C.   Filing
D.   Signature
Question #23
Which of the following is a driving force in the high cost of healthcare in the United States?
A.   Poor health outcomes
B.   New laws and regulations
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.   American Recovery and Reinvestment Act
B.   All of these
C.   Affordable Care Act
D.   HITECH
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.   interoperability.
C.   updating software.
D.   technical support.
Question #26
Meaningful Use compliance is intended to result in:
A.   decreased population health outcomes.
B.   standardized research data on pharmaceutical usage.
C.   decreased transparency for clinical providers.
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.   Decreased mortality rates through improved measurements
C.   The capture and sharing of patient BMI between the EHR and a health exchange
D.   Improved patient outcomes at discharge as a result of better data capture
Question #28
Which of the following statements is consistent with Stage 3 of Meaningful Use?
A.   Improved outcomes through coordination of elements and structures
B.   None of these
C.   The capture and sharing of data by the electronic health record and health information exchanges
D.   Advanced clinical outcomes through improved measurement and patient-directed exchanges
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 3
B.   Stage 1
C.   Stage 2
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.   encoder.
B.   abstracting.
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.   artificial intelligence.
B.   natural language processing.
C.   encoding.
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.   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 valid requests
B.   Number of requests fulfilled
C.   Number of breaches in disclosure
D.   All of these
Question #37
Which of the following represents a HIPAA reporting capability as it relates to release of information?
A.   Outstanding invoices by quarter
B.   Annual profit/loss statement
C.   Quarterly income by pages of request
D.   Accounting of disclosures
Question #38
Which of the following is NOT included in the organization of the ONC Health IT standards?
A.   Administrative policy
B.   Clinical quality
C.   Privacy and security
D.   Clinical operations
Question #39
Using public health, clinical outcomes, or consumer health to organize standards is an example of:
A.   educational domains.
B.   functionality.
C.   medication management.
D.   disease surveillance.
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.   CCR
B.   CCA
C.   SNOMED
D.   HL-7
Question #42
Meaningful Use Stage 1 allowed certified EHRs to store patient data through either ICD-9 or which system?
A.   SNOMED
B.   HCPCS
C.   ICD-10-CM
D.   LOINC
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.   CD
C.   Flash drives
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.   health information exchanges.
C.   Meaningful Use networks.
D.   patient education centers.
Question #45
Which exchange organization provides services only in a smaller region, usually a metropolitan area?
A.   HIE
B.   CHIN
C.   HIO
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.   An accurate continuity of care document
C.   Medication reconciliation within the facility pharmacy
D.   A timely clinical document architecture
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.   Public health
B.   Disease registry
C.   Patient-generated data
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.   HIT
C.   CMS
D.   ONC
Question #49
The ONC Health IT Standards committee has identified how many outcomes for interoperability?
A.   3
B.   5
C.   4
D.   2
Question #50
Which of the following elements of interoperability include the support of validity, reliability, and usability of health information?
A.   Adoption and optimization of EHR and HIE services
B.   Financial and clinical incentives
C.   Standards to support implementation and certification
D.   Privacy and Security

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