Test 2

A  simplicity, accessibility

B  clarity, complexity

C  uniformity, simplicity

A  It is permissible in certain circumstances

B  It is easily done

C  It is considered fraud and abuse

D  Nothing will happen

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 more devoted to dealing with acute, episodic conditions.

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

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

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

A  Data control

B  Data quantity

C  Data quality

D  Quality assurance

A  Data flow

B  Unidirectional data flow

C  Multidirectional data flow

D  Bidirectional data flow

A  Advance directive

B  Lab results

C  Financial data

D  Consents for treatment

A  Root-cause analysis

B  Serious incident

C  Enterprise risk management

D  Sentinel event

A  A. E. Codman

B  Philip Crosby

C  W. Edwards Deming

A  Accounting

B  Administration management

C  Risk management

D  Coding

A  15

B  45

C  30

D  60

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

B  Declining the request may violate the HIPAA Privacy Rule.

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

A  1993

B  1989

C  1991

D  1990

A  6 years

B  7 years

C  2 years

D  3 years

A  Statistical

B  Data

C  Numerical

A  True

B  False

A  A small group of workers from various departments who meet monthly 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 who perform similar work and who meet regularly 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  Clinical data representation

B  Data mapping

C  Encoding

D  Case mix

A  Lawrence Green

B  Lawrence Reed

C  Lawrence Weed

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

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

C  To ensure health care coding quality

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

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

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

C  Records that are not completed within thirty days following discharge

D  Third party payer guidelines define delinquent records. 

A  Advance directives

B  Destruction

C  Data storage

D  Retention

A  2003

B  2006

C  1996

D  1988

A  Class II wound infections

B  Urinary tract infections

C  Central-line bloodstream infections

D  Viral infections

A  family background, examination, medical decision making

B  history, examination, medical decision making

C  history, laboratory, medical decision making

A  Heart attacks

B  Acute accidents

C  Chronic alcoholism

D  Pregnancy and delivery

A  1960s and 1970s

B  1940s and 1950s

C  1980s and 1990s

D  1920s and 1930s

A  Nomenclature

B  Clinical vocabulary

C  Clinical terminology

D  Terminology

A  Vocabulary

B  Clinical terminology

C  Medical language

D  Clinical vocabulary

A  The primary care physician

B  The hospital

C  The insurance company

D  The patient

A  Medical record

B  All of these

C  Hospital chart

D  Clinical record

A  False

B  True

A  2

B  3

C  5

D  4

A  Authorship

B  Information

C  Authentication

D  Completeness

A  6 years

B  5 years

C  3 years

D  2 years

A  eponyms

B  medical language

C  nomenclature

D  vocabulary

A  clinical terminology

B  eponyms

C  clinical vocabulary

D  medical language

A  eponyms

B  vocabulary

C  medical language

D  nomenclature

A  eponyms

B  medical language

C  vocabulary

D  nomenclature

A  medical language

B  clinical vocabulary

C  eponyms

D  clinical terminology

A  nomenclature

B  clinical terminology

C  medical language

D  clinical vocabulary

A  incident report

B  negligence report

C  daily report

A  Improve the quality of care

B  Increase jobs in the IT field

C  Increase healthcare revenue

D  Combat fraud and abuse in health care

A  Authorship, authentication, timeliness, and completeness

B  Authentication, accuracy, timeliness, and completeness

C  Authorship, authentication, accuracy, and completeness

A  ICD-10-CM and CPT

B  SNOP and ABC

C  SNDO and SNOMED

D  ICD-10-CM and MS-DRG

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

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 grouping of several items that have one or more common denominators.