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.
Conditions of Participation (CoP).
B.
Title XVII of the Social Security Act of 1935.
C.
Professional Standards Review Organizations (PSROs).
D.
Prospective Pay System (PPS).
Question #2
The act that required Peer Review Organizations (PROs) to report substandard care to licensing agencies is:
A.
OBRA.
B.
ARRA.
C.
TEFRA.
D.
HIPAA.
Question #3
The first hospital in the United States was founded by Dr. Thomas Bond and:
A.
Andrew Jackson.
B.
Benjamin Franklin.
C.
George Washington.
D.
Thomas Jefferson.
Question #4
The first hospital in the United States, founded in 1751, was:
A.
Boston Hospital.
B.
Pennsylvania Hospital.
C.
Plymouth Hospital.
D.
New York Hospital.
Question #5
This professional organization was formed in 1847 with the primary goal of ensuring quality medical education:
A.
American Medical Education Association
B.
American Medical Association
C.
American Physician's Association
D.
American College of Surgeons
Question #6
The health record is the source document that:
A.
serves as a means of communication among the healthcare team.
B.
is not used by other ancillary personnel.
C.
is not protected from legal proceedings.
D.
only documents the health status of the patient.
Question #7
Healthcare professional refers to:
A.
HIM personnel.
B.
a third-party payer.
C.
a nurse, medical assistant, or other technician.
D.
a doctor.
Question #8
A third-party payer is often referred to as a(n):
A.
insurance company.
B.
care giver.
C.
guarantor.
D.
attorney.
Question #9
A key advantage of using EHRs over paper is that:
A.
EHRs can be used simultaneously by more than one provider.
B.
EHRs take less time for the physician to access.
C.
EHRs are less expensive.
D.
EHRs do not have to be as secure as the paper record.
Question #10
A simple definition of an EHR is that it:
A.
captures more in-depth information.
B.
offers limited functionality.
C.
does not meet certification requirements of HITECH.
D.
provides a digital record of the traditional chart.
Question #11
The keeping of health records in electronic format is known as:
A.
imaging.
B.
digitized format.
C.
EMR.
D.
scanning.
Question #12
A project "goes live" during which step in the project management process?
A.
Executing the project
B.
Closing the project
C.
Monitoring and controlling the project
D.
Planning for 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.
interoperability.
B.
technical support.
C.
updating software.
D.
data mining.
Question #14
What type of project most often requires a custom interface and programming?
A.
Integrating legacy systems with new EHR systems
B.
Sunsetting a pharmacy inventory application
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.
networking skills.
B.
programming education.
C.
computer background.
D.
healthcare knowledge.
Question #16
Prior computer or business systems that are sometimes kept partially in use during new system upgrades are called:
A.
information systems.
B.
legacy systems.
C.
database systems.
D.
management 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 abstracting.
B.
data analysis.
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 scheduling.
B.
data collection.
C.
data analysis.
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 collection.
B.
business intelligence.
C.
data analysis.
D.
data application.
Question #20
Under the concept of Meaningful Use, who should be at the center of the healthcare system?
A.
Provider
B.
Primary care physician
C.
Healthcare plan administrator
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.
Meaningful Use.
C.
population health management.
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.
Wellness fee
B.
Fee-for-service
C.
Meaningful fee structure
D.
Fee-for-value
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.
Meaningful fee
C.
Wellness fee
D.
Fee-for-value
Question #24
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.
A record of each patient divided into individual encounters
D.
An EHR to keep track of each patient encounter
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.
Decentralized
C.
Systemized
D.
Localized
Question #26
One of the ways that disaster recovery might be supported for a smaller facility is by using:
A.
cloud services.
B.
none of these.
C.
tape backup.
D.
paper records.
Question #27
How often is maintenance performed on the MPI?
A.
Continuously
B.
Monthly
C.
Bi-weekly
D.
Bi-annually
Question #28
A medical recordkeeping system that uses both paper and electronic content is known as a(n) ______ system.
A.
hybrid
B.
electronic
C.
ePaper
D.
paper
Question #29
Which part of the hospital revenue cycle is coding a part of?
A.
Clinical
B.
Administrative
C.
Insurance
D.
Reimbursement
Question #30
By definition, a legal health record is:
A.
only an EHR record.
B.
none of these.
C.
any medical record in a facility regardless of designation.
D.
one that a facility would present in response to a subpoena.
Question #31
Why may a paper record need to be retrieved from the file room?
A.
It is needed for risk management review.
B.
Incomplete documentation has been submitted.
C.
The patient is readmitted.
D.
All of these
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.
Electronic record
C.
Hybrid record
D.
Live record
Question #33
Which measures were designed to change both healthcare delivery and payment to a more efficient model?
A.
Affordable Care Act
B.
American Recovery and Reinvestment Act
C.
All of these
D.
HITECH
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.
technical support.
B.
data mining.
C.
interoperability.
D.
updating software.
Question #35
Meaningful Use compliance is intended to result in:
A.
standardized research data on pharmaceutical usage.
B.
decreased population health outcomes.
C.
decreased transparency for clinical providers.
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.
artificial intelligence.
B.
natural language processing.
C.
computer-assisted coding.
D.
encoding.
Question #37
A.
Principal diagnosis code
B.
Date of procedure
C.
Patient satisfaction
D.
Discharge date
Question #38
Which of the following is a federal third-party payer?
A.
Medicaid
B.
Medicare
C.
Blue Cross
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.
Release of information audits
B.
Patient portal
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.
Appropriate authorization process
B.
Identification of the legal record by the facility
C.
All of these
D.
Identification of the designated record set by the facility
Question #41
Which of the following is NOT included in the organization of the ONC Health IT standards?
A.
Clinical operations
B.
Administrative policy
C.
Clinical quality
D.
Privacy and security
Question #42
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 #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.
Systemized Nomenclature of Medicine - Clinical Terms
B.
Clinical Document Architecture
C.
Health Level-7
D.
Continuity of Care Document
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.
health information exchanges.
B.
Meaningful Use networks.
C.
SQL reporting services.
D.
patient education centers.
Question #45
Which early health information exchanges in the 1990s were all unsuccessful?
A.
CHINs
B.
HIE
C.
HIO
D.
HITECH
Question #46
Which exchange organization provides services only in a smaller region, usually a metropolitan area?
A.
IDN
B.
HIE
C.
CHIN
D.
HIO
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.
Patient-generated data
D.
Disease registry
Question #48
Approximately what percentage of all healthcare reimbursement continues to be based on fee-for-service?
A.
90%
B.
50%
C.
70%
D.
80%
Question #49
Which of the following rationales illustrates why providers do not want patient data kept in a central database?
A.
Too cumbersome
B.
Too expensive
C.
All of these
D.
Too challenging in terms of privacy and security
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