Test 2

A  uniformity, simplicity

B  simplicity, accessibility

C  clarity, complexity

A  Nothing will happen

B  It is permissible in certain circumstances

C  It is easily done

D  It is considered fraud and abuse

A  False

B  True

A  OASIS

B  NCQA

C  ORYX

D  HEDIS

A  Semantic Network

B  Lexicon

C  Unified Medical Language System

D  RxNorm

A  FOCUS PDCA

B  Six Sigma

C  PDSA

A  Current health care systems are well organized to meet the challenges of continuity of care.

B  Current health care systems are more devoted to dealing with acute, episodic conditions.

C  There is a shift from care of chronic illnesses to care of acute illnesses.

D  It is necessary to implement a specific “blueprint” or standard for the future

A  Data quantity

B  Data control

C  Quality assurance

D  Data quality

A  Unidirectional data flow

B  Multidirectional data flow

C  Data flow

D  Bidirectional data flow

A  Consents for treatment

B  Lab results

C  Advance directive

D  Financial data

A  Root-cause analysis

B  Sentinel event

C  Enterprise risk management

D  Serious incident

A  A. E. Codman

B  W. Edwards Deming

C  Philip Crosby

A  Accounting

B  Coding

C  Administration management

D  Risk management

A  60

B  30

C  15

D  45

A  Declining the request may violate the HIPAA Privacy Rule.

B  Paper-based charts must be reproduced for the patient, but electronic data is exempt from this ruling.

C  The health care record belongs to the facility, and it cannot be mandated to produce the records.

A  1993

B  1991

C  1990

D  1989

A  2 years

B  7 years

C  6 years

D  3 years

A  Numerical

B  Data

C  Statistical

A  False

B  True

A  A small group of workers who perform similar work and who meet regularly to analyze and solve work-related problems and to recommend solutions to management.

B  A group of high performers with recognized skills in quality management who meet to analyze and solve work-related problems and to recommend solutions to other departments.

C  A small group of workers from various departments who meet monthly to analyze and solve work-related problems and to recommend solutions to management.

D  A recognition program for the highest performers in the organization. This group then meets on a regular basis to analyze and solve work-related problems and to recommend solutions to other departments.

A  History, exam, and medical decision making

B  History, exam, and complexity

C  Chief complaint, exam, and medical decision making

D  History, review of systems, and exam

A  Encoding

B  Case mix

C  Data mapping

D  Clinical data representation

A  Lawrence Reed

B  Lawrence Green

C  Lawrence Weed

A  To serve on a consulting basis to health care facilities to assist in improving the quality of care

B  To accredit health care facilities that meet very stringent criteria that demonstrate they are meeting or exceeding the standards of care

C  To develop scientific evidence that enables health care decision makers to reach more informed health care choices

D  To ensure health care coding quality

A  The Centers for Medicare and Medicaid Services define delinquent records.

B  Third party payer guidelines define delinquent records. 

C  Records that are not completed within thirty days following discharge

D  The provider’s medical staff bylaws, rules, and regulations outline are what define a delinquent record.

A  Advance directives

B  Data storage

C  Retention

D  Destruction

A  1988

B  2006

C  1996

D  2003

A  Central-line bloodstream infections

B  Class II wound infections

C  Urinary tract infections

D  Viral infections

A  history, laboratory, medical decision making

B  family background, examination, medical decision making

C  history, examination, medical decision making

A  Acute accidents

B  Heart attacks

C  Pregnancy and delivery

D  Chronic alcoholism

A  1980s and 1990s

B  1960s and 1970s

C  1920s and 1930s

D  1940s and 1950s

A  Clinical terminology

B  Nomenclature

C  Clinical vocabulary

D  Terminology

A  Clinical vocabulary

B  Medical language

C  Vocabulary

D  Clinical terminology

A  The insurance company

B  The hospital

C  The patient

D  The primary care physician

A  All of these

B  Clinical record

C  Hospital chart

D  Medical record

A  False

B  True

A  2

B  5

C  3

D  4

A  Authentication

B  Information

C  Authorship

D  Completeness

A  3 years

B  6 years

C  2 years

D  5 years

A  nomenclature

B  medical language

C  eponyms

D  vocabulary

A  clinical vocabulary

B  eponyms

C  medical language

D  clinical terminology

A  eponyms

B  medical language

C  nomenclature

D  vocabulary

A  vocabulary

B  medical language

C  eponyms

D  nomenclature

A  clinical vocabulary

B  clinical terminology

C  eponyms

D  medical language

A  medical language

B  nomenclature

C  clinical vocabulary

D  clinical terminology

A  negligence report

B  daily report

C  incident report

A  Increase healthcare revenue

B  Increase jobs in the IT field

C  Improve the quality of care

D  Combat fraud and abuse in health care

A  Authorship, authentication, accuracy, and completeness

B  Authorship, authentication, timeliness, and completeness

C  Authentication, accuracy, timeliness, and completeness

A  ICD-10-CM and MS-DRG

B  SNOP and ABC

C  ICD-10-CM and CPT

D  SNDO and SNOMED

A  It is a grouping of several items that have one or more common denominators.

B  It is a systematic listing of proper names for concepts, items, actions, and other aspects of a particular area of interest or knowledge.

C  It is the process by which a numeric code listed in a classification system is assigned to data found in the health record.

D  It is a recognized system of preferred clinical or medical terminology.