MOA 180 - Health Information Management & HIPAA » Fall 2022 » Week 7 Practice Quiz Chapters 6 & 7

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Question #1
A patient's vital signs are taken as ordered by the physician during the stay. What is one advantage of tracking vitals in EHRs?
A.   Vitals can be graphed.
B.   Infection is easily seen by rising temperature.
C.   Increasing body temperature is seen.
D.   Vitals can be graphed and an infection is easily noted.
Question #2
The person who is ultimately responsible for the care of the patient while hospitalized is known as the:
A.   attending physician.
B.   chief resident.
C.   hospitalist.
D.   surgeon.
Question #3
A hospitalist is employed by the hospital and is typically which?
A.   Board-certified cardiologist
B.   Board-certified nurse practitioner
C.   Board-certified physician assistant
D.   Board-certified internist
Question #4
Mary Smith is admitted to the hospital by her primary care physician; he documents the following in the history and physical: patient complaining of abdominal pain for the last 48 hours with nausea and vomiting. What part of the history and physical is this called?
A.   Admission order
B.   History of Present Illness (HPI)
C.   Physical examination
D.   Past medical history
Question #5
How is the inpatient census tracked?
A.   Subtracting the discharges from the inpatients
B.   ADT system
C.   Adding total number of patients admitted that day
D.   Manually counting the patients
Question #6
What is the definition of patient census?
A.   The number of inpatients occupying beds at any given time
B.   The number of inpatients occupying beds at midnight
C.   The number of patients in observation and inpatients at any given time
D.   The number of patients in observation and inpatients at midnight
Question #7
ADT plays an important role in Meaningful Use in all of the following ways EXCEPT:
A.   commonly exchanged information supports transition in care.
B.   automated reports are standardized.
C.   files are large and can be transmitted easily.
D.   clinical information is timely.
Question #8
One of the ways to document in the EHR is by using:
A.   a template.
B.   a prototype.
C.   dictation.
D.   an outline.
Question #9
Who generally documents the information in the MAR?
A.   Nurse
B.   Intern
C.   Physician
D.   Hospitalist
Question #10
The chief resident has seen Mrs. Smith and written progress notes in her chart; who must sign off on these notes that were written?
A.   Resident of record
B.   Nurse practitioner of record
C.   Physician of record
D.   Hospitalist of record
Question #11
Which of the following may be included in the designated record set?
A.   History and physical reports
B.   Any group of records maintained by a covered entity
C.   Medical and billing records
D.   All of these
Question #12
Any records maintained by a covered entity that are used for patient care or to make payment decisions as defined by HIPAA are known as:
A.   medical records.
B.   designated record set.
C.   health records.
D.   case management records.
Question #13
Health records in the case of Mary Jones, whose primary care physician is Dr. Smith and insurance plan is Medicare, may be released to which party under the HIPAA designated record set regulation?
A.   Medical Mutual insurance plan
B.   Dr. Smith
C.   Publisher's clearinghouse
D.   Her husband
Question #14
The legal health record is the same as the:
A.   medical record.
B.   official business record.
C.   designated record set.
D.   health record.
Question #15
The legal health record should:
A.   support unbundled charge revenue.
B.   document alternative treatment facilities available to the patient.
C.   document services provided in response to caregiver decisions.
D.   serve as the designated record set.
Question #16
A health insurance company that reimburses for medical care in all or in part is known as a:
A.   health clearinghouse.
B.   health plan.
C.   claim adjudication.
D.   designated provider.
Question #17
A service that processes data into a standardized billing format and checks for errors prior to submitting a claim is a:
A.   health adjudicator.
B.   health clearinghouse.
C.   none of these.
D.   health plan.
Question #18
A review of documentation to ensure that it is complete, thorough, and accurate is:
A.   quantitative analysis.
B.   qualitative analysis.
C.   precertification.
D.   substantiation analysis.
Question #19
Which of the following is NOT an example of a qualitative health information review process?
A.   Reviewing laterality of documentation in orthopedic cases
B.   Identifying patterns of upcoding for pneumonia patients
C.   Checking for the presence of progress notes
D.   Tracking duplicate patient entries in the MPI
Question #20
Quality assessment programs are:
A.   required by the CMS.
B.   all of these.
C.   required by TJC.
D.   external and internal in scope.
Question #21
The review and management of the appropriateness of admissions and facility services is referred to as:
A.   professional standards review organization.
B.   precertification review.
C.   peer review.
D.   utilization management.
Question #22
Mary Smith is online reviewing the level of facility cleanliness among the three community-based hospitals in her city of residence before her admission for an elective cholecystectomy. She is most likely:
A.   reviewing the scope of work for the facilities.
B.   completing a peer review.
C.   browsing Hospital Compare data.
D.   chatting with a quality improvement organization.
Question #23
Comparing the ratio of Medicare spending per patient is a function of the:
A.   current scope of work.
B.   Hospital Compare and the Meaningful Use programs.
C.   peer review and Hospital Compare.
D.   none of these.
Question #24
Collecting data on common focused areas of review in all facilities upon patient discharge to measure core elements of quality may include:
A.   abstracting the date of pneumococcal vaccine in patients with pneumonia.
B.   indicating the number of years of tobacco use in cancer patients.
C.   all of these.
D.   recording the history of myocardial infarctions in patients with heart failure.
Question #25
A Joint Commission initiative used to measure the quality and safety of healthcare is:
A.   core measurement system.
B.   CARF.
C.   accountability measures.
D.   scope of work.

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