MOA 180 - Health Information Management & HIPAA » Fall 2022 » Exam 2
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Question #1
In order be eligible to receive Medicare and Medicaid reimbursement for healthcare services, hospitals and physicians must comply with the set of regulations known as:
A.
Title XVII of the Social Security Act of 1935.
B.
Prospective Pay System (PPS).
C.
Professional Standards Review Organizations (PSROs).
D.
Conditions of Participation (CoP).
Question #2
The act that required Peer Review Organizations (PROs) to report substandard care to licensing agencies is:
A.
HIPAA.
B.
TEFRA.
C.
ARRA.
D.
OBRA.
Question #3
The first hospital in the United States was founded by Dr. Thomas Bond and:
A.
George Washington.
B.
Andrew Jackson.
C.
Thomas Jefferson.
D.
Benjamin Franklin.
Question #4
The first hospital in the United States, founded in 1751, was:
A.
Plymouth Hospital.
B.
Boston Hospital.
C.
New York Hospital.
D.
Pennsylvania Hospital.
Question #5
This professional organization was formed in 1847 with the primary goal of ensuring quality medical education:
A.
American Physician's Association
B.
American College of Surgeons
C.
American Medical Association
D.
American Medical Education Association
Question #6
The health record is the source document that:
A.
only documents the health status of the patient.
B.
is not used by other ancillary personnel.
C.
is not protected from legal proceedings.
D.
serves as a means of communication among the healthcare team.
Question #7
Healthcare professional refers to:
A.
HIM personnel.
B.
a third-party payer.
C.
a doctor.
D.
a nurse, medical assistant, or other technician.
Question #8
A third-party payer is often referred to as a(n):
A.
insurance company.
B.
care giver.
C.
attorney.
D.
guarantor.
Question #9
A key advantage of using EHRs over paper is that:
A.
EHRs are less expensive.
B.
EHRs can be used simultaneously by more than one provider.
C.
EHRs do not have to be as secure as the paper record.
D.
EHRs take less time for the physician to access.
Question #10
A simple definition of an EHR is that it:
A.
offers limited functionality.
B.
provides a digital record of the traditional chart.
C.
does not meet certification requirements of HITECH.
D.
captures more in-depth information.
Question #11
The keeping of health records in electronic format is known as:
A.
scanning.
B.
imaging.
C.
EMR.
D.
digitized format.
Question #12
A project "goes live" during which step in the project management process?
A.
Planning for the project
B.
Executing the project
C.
Monitoring and controlling the project
D.
Closing the project
Question #13
The ability of a 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 #14
What type of project most often requires a custom interface and programming?
A.
Sunsetting a pharmacy inventory application
B.
Integrating legacy systems with new EHR systems
C.
Sharing uniform data from the same information vendor
D.
Installation of a stand-alone encoder
Question #15
A common barrier to employment of information technicians in healthcare is limited:
A.
computer background.
B.
healthcare knowledge.
C.
programming education.
D.
networking skills.
Question #16
Prior computer or business systems that are sometimes kept partially in use during new system upgrades are called:
A.
management systems.
B.
legacy systems.
C.
database systems.
D.
information systems.
Question #17
Searching for and extracting a large amount of data for the purpose of turning them into useful information through data analysis is called:
A.
data analysis.
B.
data abstracting.
C.
data mining.
D.
data entry.
Question #18
The creation of patient reminders for colonoscopy appointments based on identified trends in diagnoses and occurrence of colon cancer is a result of:
A.
data analysis.
B.
data collection.
C.
data scheduling.
D.
data marketing.
Question #19
A general term that includes the application, infrastructure and tools, and best practices that enable access to analysis of information to improve and optimize decisions and performance is:
A.
data analysis.
B.
business intelligence.
C.
data collection.
D.
data application.
Question #20
Under the concept of Meaningful Use, who should be at the center of the healthcare system?
A.
Primary care physician
B.
Healthcare plan administrator
C.
Provider
D.
Patient
Question #21
Efficiently integrating HIT and health information exchange into facilities, providing better continuity of care to patients, positioning healthcare strategically for changes in reimbursement, and competing at a higher level on quality and costs of healthcare all represent goals of:
A.
health information exchange.
B.
population health management.
C.
Meaningful Use.
D.
integrated delivery networks.
Question #22
Charging a set fee for an office visit, a vaccination encounter by the nursing staff, or a telephone consultation would be an example of what type of healthcare reimbursement?
A.
Meaningful fee structure
B.
Fee-for-value
C.
Fee-for-service
D.
Wellness fee
Question #23
Also known as "pay for performance," what reimbursement method rewards clinicians for better patient health outcomes, such as preventative programs to lower blood pressure, and penalizes them for medical errors?
A.
Fee-for-service
B.
Wellness fee
C.
Fee-for-value
D.
Meaningful fee
Question #24
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 EHR to keep track of each patient encounter
D.
An index card with each patient's contact information
Question #25
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.
Centralized
B.
Localized
C.
Decentralized
D.
Systemized
Question #26
One of the ways that disaster recovery might be supported for a smaller facility is by using:
A.
tape backup.
B.
none of these.
C.
cloud services.
D.
paper records.
Question #27
How often is maintenance performed on the MPI?
A.
Continuously
B.
Bi-annually
C.
Monthly
D.
Bi-weekly
Question #28
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 #29
Which part of the hospital revenue cycle is coding a part of?
A.
Clinical
B.
Administrative
C.
Reimbursement
D.
Insurance
Question #30
By definition, a legal health record is:
A.
any medical record in a facility regardless of designation.
B.
only an EHR record.
C.
one that a facility would present in response to a subpoena.
D.
none of these.
Question #31
Why may a paper record need to be retrieved from the file room?
A.
Incomplete documentation has been submitted.
B.
The patient is readmitted.
C.
All of these
D.
It is needed for risk management review.
Question #32
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 #33
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.
All of these
D.
Affordable Care Act
Question #34
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.
interoperability.
B.
updating software.
C.
technical support.
D.
data mining.
Question #35
Meaningful Use compliance is intended to result in:
A.
decreased transparency for clinical providers.
B.
standardized research data on pharmaceutical usage.
C.
decreased population health outcomes.
D.
better clinical outcomes.
Question #36
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 #37
Which of the following is NOT collected through the UHDDS abstracting process?
A.
Patient satisfaction
B.
Date of procedure
C.
Discharge date
D.
Principal diagnosis code
Question #38
Which of the following is a federal third-party payer?
A.
Medicaid
B.
Blue Cross
C.
Medicare
D.
Blue Shield
Question #39
Patients can obtain personal health information from their health record by request and by download from a secure server through the use of what technology, a requirement of Meaningful Use?
A.
Patient portal
B.
Release of information audits
C.
All of these
D.
Master Patient Index
Question #40
Which of the following affects the appropriate release of information via a patient portal?
A.
Identification of the legal record by the facility
B.
Identification of the designated record set by the facility
C.
All of these
D.
Appropriate authorization process
Question #41
Which of the following is NOT included in the organization of the ONC Health IT standards?
A.
Privacy and security
B.
Clinical quality
C.
Clinical operations
D.
Administrative policy
Question #42
Using public health, clinical outcomes, or consumer health to organize standards is an example of:
A.
disease surveillance.
B.
educational domains.
C.
medication management.
D.
functionality.
Question #43
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 #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 early health information exchanges in the 1990s were all unsuccessful?
A.
HIE
B.
CHINs
C.
HITECH
D.
HIO
Question #46
Which exchange organization provides services only in a smaller region, usually a metropolitan area?
A.
HIO
B.
HIE
C.
IDN
D.
CHIN
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.
Clinical decision support
B.
Public health
C.
Disease registry
D.
Patient-generated data
Question #48
Approximately what percentage of all healthcare reimbursement continues to be based on fee-for-service?
A.
50%
B.
80%
C.
90%
D.
70%
Question #49
Which of the following rationales illustrates why providers do not want patient data kept in a central database?
A.
Too expensive
B.
Too cumbersome
C.
Too challenging in terms of privacy and security
D.
All of these
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