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.
Prospective Pay System (PPS).
D.
Professional Standards Review Organizations (PSROs).
Question #2
The act that required Peer Review Organizations (PROs) to report substandard care to licensing agencies is:
A.
HIPAA.
B.
TEFRA.
C.
OBRA.
D.
ARRA.
Question #3
The first hospital in the United States was founded by Dr. Thomas Bond and:
A.
Andrew Jackson.
B.
George Washington.
C.
Thomas Jefferson.
D.
Benjamin Franklin.
Question #4
The first hospital in the United States, founded in 1751, was:
A.
Boston Hospital.
B.
Plymouth Hospital.
C.
Pennsylvania 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 Physician's Association
B.
American Medical Education Association
C.
American Medical Association
D.
American College of Surgeons
Question #6
The health record is the source document that:
A.
only documents the health status of the patient.
B.
is not protected from legal proceedings.
C.
serves as a means of communication among the healthcare team.
D.
is not used by other ancillary personnel.
Question #7
Healthcare professional refers to:
A.
a doctor.
B.
a third-party payer.
C.
HIM personnel.
D.
a nurse, medical assistant, or other technician.
Question #8
A third-party payer is often referred to as a(n):
A.
guarantor.
B.
care giver.
C.
attorney.
D.
insurance company.
Question #9
A key advantage of using EHRs over paper is that:
A.
EHRs are less expensive.
B.
EHRs do not have to be as secure as the paper record.
C.
EHRs can be used simultaneously by more than one provider.
D.
EHRs take less time for the physician to access.
Question #10
A simple definition of an EHR is that it:
A.
provides a digital record of the traditional chart.
B.
does not meet certification requirements of HITECH.
C.
captures more in-depth information.
D.
offers limited functionality.
Question #11
The keeping of health records in electronic format is known as:
A.
EMR.
B.
digitized format.
C.
imaging.
D.
scanning.
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.
technical support.
C.
updating software.
D.
interoperability.
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.
Installation of a stand-alone encoder
D.
Sharing uniform data from the same information vendor
Question #15
A common barrier to employment of information technicians in healthcare is limited:
A.
computer background.
B.
networking skills.
C.
healthcare knowledge.
D.
programming education.
Question #16
Prior computer or business systems that are sometimes kept partially in use during new system upgrades are called:
A.
legacy systems.
B.
management 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 abstracting.
B.
data entry.
C.
data mining.
D.
data analysis.
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 marketing.
B.
data scheduling.
C.
data analysis.
D.
data collection.
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.
data collection.
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.
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.
population health management.
B.
health information exchange.
C.
integrated delivery networks.
D.
Meaningful Use.
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-service
B.
Wellness fee
C.
Fee-for-value
D.
Meaningful fee structure
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.
Wellness fee
C.
Fee-for-value
D.
Fee-for-service
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.
Systemized
C.
Decentralized
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.
tape backup.
C.
none of these.
D.
paper records.
Question #27
How often is maintenance performed on the MPI?
A.
Continuously
B.
Bi-weekly
C.
Bi-annually
D.
Monthly
Question #28
A medical recordkeeping system that uses both paper and electronic content is known as a(n) ______ system.
A.
ePaper
B.
paper
C.
hybrid
D.
electronic
Question #29
Which part of the hospital revenue cycle is coding a part of?
A.
Clinical
B.
Insurance
C.
Reimbursement
D.
Administrative
Question #30
By definition, a legal health record is:
A.
none of these.
B.
one that a facility would present in response to a subpoena.
C.
any medical record in a facility regardless of designation.
D.
only an EHR record.
Question #31
Why may a paper record need to be retrieved from the file room?
A.
All of these
B.
The patient is readmitted.
C.
It is needed for risk management review.
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.
Live record
B.
Hybrid record
C.
Electronic record
D.
Concurrent 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.
All of these
C.
HITECH
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.
technical support.
B.
updating software.
C.
interoperability.
D.
data mining.
Question #35
Meaningful Use compliance is intended to result in:
A.
decreased transparency for clinical providers.
B.
better clinical outcomes.
C.
decreased population health outcomes.
D.
standardized research data on pharmaceutical usage.
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.
natural language processing.
C.
encoding.
D.
artificial intelligence.
Question #37
Which of the following is NOT collected through the UHDDS abstracting process?
A.
Patient satisfaction
B.
Principal diagnosis code
C.
Discharge date
D.
Date of procedure
Question #38
Which of the following is a federal third-party payer?
A.
Blue Shield
B.
Blue Cross
C.
Medicare
D.
Medicaid
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.
All of these
C.
Patient portal
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.
Appropriate authorization process
C.
Identification of the legal record by the facility
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 quality
B.
Privacy and security
C.
Clinical operations
D.
Administrative policy
Question #42
Using public health, clinical outcomes, or consumer health to organize standards is an example of:
A.
medication management.
B.
educational domains.
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.
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.
health information exchanges.
B.
Meaningful Use networks.
C.
patient education centers.
D.
SQL reporting services.
Question #45
Which early health information exchanges in the 1990s were all unsuccessful?
A.
HIE
B.
HIO
C.
HITECH
D.
CHINs
Question #46
A.
IDN
B.
HIE
C.
HIO
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.
Patient-generated data
B.
Clinical decision support
C.
Disease registry
D.
Public health
Question #48
Approximately what percentage of all healthcare reimbursement continues to be based on fee-for-service?
A.
80%
B.
50%
C.
70%
D.
90%
Question #49
Which of the following rationales illustrates why providers do not want patient data kept in a central database?
A.
Too cumbersome
B.
All of these
C.
Too expensive
D.
Too challenging in terms of privacy and security
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