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.
Professional Standards Review Organizations (PSROs).
C.
Title XVII of the Social Security Act of 1935.
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.
TEFRA.
C.
ARRA.
D.
HIPAA.
Question #3
The first hospital in the United States was founded by Dr. Thomas Bond and:
A.
George Washington.
B.
Benjamin Franklin.
C.
Thomas Jefferson.
D.
Andrew Jackson.
Question #4
The first hospital in the United States, founded in 1751, was:
A.
Pennsylvania Hospital.
B.
Boston Hospital.
C.
New York Hospital.
D.
Plymouth 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 College of Surgeons
C.
American Medical Association
D.
American Physician's Association
Question #6
The health record is the source document that:
A.
serves as a means of communication among the healthcare team.
B.
is not protected from legal proceedings.
C.
only documents the health status of the patient.
D.
is not used by other ancillary personnel.
Question #7
Healthcare professional refers to:
A.
a third-party payer.
B.
a nurse, medical assistant, or other technician.
C.
HIM personnel.
D.
a doctor.
Question #8
A third-party payer is often referred to as a(n):
A.
insurance company.
B.
guarantor.
C.
attorney.
D.
care giver.
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.
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.
EMR.
C.
scanning.
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.
Closing the project
D.
Monitoring and controlling 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.
updating software.
C.
technical support.
D.
interoperability.
Question #14
What type of project most often requires a custom interface and programming?
A.
Sharing uniform data from the same information vendor
B.
Sunsetting a pharmacy inventory application
C.
Installation of a stand-alone encoder
D.
Integrating legacy systems with new EHR systems
Question #15
A common barrier to employment of information technicians in healthcare is limited:
A.
computer background.
B.
networking skills.
C.
programming education.
D.
healthcare knowledge.
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.
information systems.
D.
database 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 collection.
B.
data marketing.
C.
data scheduling.
D.
data analysis.
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.
data analysis.
C.
data application.
D.
business intelligence.
Question #20
Under the concept of Meaningful Use, who should be at the center of the healthcare system?
A.
Healthcare plan administrator
B.
Provider
C.
Patient
D.
Primary care physician
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.
integrated delivery networks.
C.
Meaningful Use.
D.
population health management.
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.
Fee-for-value
B.
Meaningful fee structure
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.
Meaningful fee
B.
Fee-for-service
C.
Fee-for-value
D.
Wellness fee
Question #24
Every healthcare facility that treats patients must keep which of the following?
A.
An EHR to keep track of each patient encounter
B.
A file cabinet for storing patient records
C.
An index card with each patient's contact information
D.
A record of each patient divided into individual encounters
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.
Localized
B.
Decentralized
C.
Centralized
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.
paper records.
C.
none of these.
D.
cloud services.
Question #27
How often is maintenance performed on the MPI?
A.
Bi-weekly
B.
Continuously
C.
Monthly
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.
ePaper
C.
electronic
D.
paper
Question #29
Which part of the hospital revenue cycle is coding a part of?
A.
Administrative
B.
Reimbursement
C.
Insurance
D.
Clinical
Question #30
By definition, a legal health record is:
A.
one that a facility would present in response to a subpoena.
B.
any medical record in a facility regardless of designation.
C.
only an EHR record.
D.
none of these.
Question #31
Why may a paper record need to be retrieved from the file room?
A.
It is needed for risk management review.
B.
All of these
C.
The patient is readmitted.
D.
Incomplete documentation has been submitted.
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.
Affordable Care Act
B.
American Recovery and Reinvestment Act
C.
HITECH
D.
All of these
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.
updating software.
B.
interoperability.
C.
data mining.
D.
technical support.
Question #35
Meaningful Use compliance is intended to result in:
A.
better clinical outcomes.
B.
decreased population health outcomes.
C.
standardized research data on pharmaceutical usage.
D.
decreased transparency for clinical providers.
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.
encoding.
C.
natural language processing.
D.
computer-assisted coding.
Question #37
A.
Date of procedure
B.
Principal diagnosis code
C.
Patient satisfaction
D.
Discharge date
Question #38
Which of the following is a federal third-party payer?
A.
Blue Shield
B.
Medicare
C.
Medicaid
D.
Blue Cross
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.
All of these
C.
Release of information audits
D.
Master Patient Index
Question #40
Which of the following affects the appropriate release of information via a patient portal?
A.
All of these
B.
Identification of the legal record by the facility
C.
Identification of the designated record set by the facility
D.
Appropriate authorization process
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.
functionality.
B.
disease surveillance.
C.
medication management.
D.
educational domains.
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.
Clinical Document Architecture
B.
Systemized Nomenclature of Medicine - Clinical Terms
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.
SQL reporting services.
B.
Meaningful Use networks.
C.
patient education centers.
D.
health information exchanges.
Question #45
Which early health information exchanges in the 1990s were all unsuccessful?
A.
CHINs
B.
HIE
C.
HITECH
D.
HIO
Question #46
A.
HIO
B.
CHIN
C.
IDN
D.
HIE
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.
Patient-generated data
C.
Clinical decision support
D.
Disease registry
Question #48
Approximately what percentage of all healthcare reimbursement continues to be based on fee-for-service?
A.
80%
B.
90%
C.
50%
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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