Test 2

A  simplicity, accessibility

B  clarity, complexity

C  uniformity, simplicity

A  Nothing will happen

B  It is permissible in certain circumstances

C  It is considered fraud and abuse

D  It is easily done

A  True

B  False

A  HEDIS

B  NCQA

C  OASIS

D  ORYX

A  Unified Medical Language System

B  Semantic Network

C  Lexicon

D  RxNorm

A  Six Sigma

B  PDSA

C  FOCUS PDCA

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

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

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

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

A  Quality assurance

B  Data quantity

C  Data quality

D  Data control

A  Bidirectional data flow

B  Unidirectional data flow

C  Data flow

D  Multidirectional data flow

A  Lab results

B  Consents for treatment

C  Financial data

D  Advance directive

A  Sentinel event

B  Enterprise risk management

C  Root-cause analysis

D  Serious incident

A  A. E. Codman

B  W. Edwards Deming

C  Philip Crosby

A  Risk management

B  Coding

C  Accounting

D  Administration management

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

C  Declining the request may violate the HIPAA Privacy Rule.

A  1991

B  1990

C  1993

D  1989

A  6 years

B  2 years

C  3 years

D  7 years

A  Data

B  Numerical

C  Statistical

A  False

B  True

A  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.

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 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.

A  History, exam, and medical decision making

B  History, review of systems, and exam

C  Chief complaint, exam, and medical decision making

D  History, exam, and complexity

A  Case mix

B  Data mapping

C  Encoding

D  Clinical data representation

A  Lawrence Reed

B  Lawrence Green

C  Lawrence Weed

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

B  To serve on a consulting basis to health care facilities to assist in improving the quality 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 provider’s medical staff bylaws, rules, and regulations outline are what define a delinquent record.

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

C  Records that are not completed within thirty days following discharge

D  Third party payer guidelines define delinquent records. 

A  Data storage

B  Destruction

C  Retention

D  Advance directives

A  1988

B  1996

C  2006

D  2003

A  Urinary tract infections

B  Central-line bloodstream infections

C  Class II wound infections

D  Viral infections

A  history, examination, medical decision making

B  history, laboratory, medical decision making

C  family background, examination, medical decision making

A  Pregnancy and delivery

B  Heart attacks

C  Acute accidents

D  Chronic alcoholism

A  1920s and 1930s

B  1980s and 1990s

C  1940s and 1950s

D  1960s and 1970s

A  Terminology

B  Clinical vocabulary

C  Nomenclature

D  Clinical terminology

A  Medical language

B  Clinical vocabulary

C  Clinical terminology

D  Vocabulary

A  The patient

B  The primary care physician

C  The insurance company

D  The hospital

A  Medical record

B  All of these

C  Hospital chart

D  Clinical record

A  True

B  False

A  4

B  5

C  2

D  3

A  Authentication

B  Authorship

C  Information

D  Completeness

A  2 years

B  3 years

C  6 years

D  5 years

A  vocabulary

B  eponyms

C  nomenclature

D  medical language

A  clinical vocabulary

B  eponyms

C  clinical terminology

D  medical language

A  vocabulary

B  nomenclature

C  eponyms

D  medical language

A  medical language

B  vocabulary

C  nomenclature

D  eponyms

A  medical language

B  clinical vocabulary

C  eponyms

D  clinical terminology

A  clinical vocabulary

B  clinical terminology

C  medical language

D  nomenclature

A  negligence report

B  daily report

C  incident report

A  Combat fraud and abuse in health care

B  Improve the quality of care

C  Increase healthcare revenue

D  Increase jobs in the IT field

A  Authorship, authentication, accuracy, and completeness

B  Authentication, accuracy, timeliness, and completeness

C  Authorship, authentication, timeliness, and completeness

A  ICD-10-CM and CPT

B  SNOP and ABC

C  ICD-10-CM and MS-DRG

D  SNDO and SNOMED

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

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

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

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