Week 3 Quiz

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Question #1

Which of the following elements of interoperability include the support of validity, reliability, and usability of health information?

A Privacy and Security

B Adoption and optimization of EHR and HIE services

C Standards to support implementation and certification

D Financial and clinical incentives

Question #2

The ONC Health IT Standards committee has identified how many outcomes for interoperability?

A 4

B 2

C 5

D 3

Question #3

Which of the following is responsible for coordinating the activities that establish standards for health IT?

A ITT

B HIT

C CMS

D ONC

Question #4

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 Disease registry

B Clinical decision support

C Public health

D Patient-generated data

Question #5

A key way in which health information exchange can improve care includes which of the following?

A A vendor-based exchange for principal diagnosis

B Medication reconciliation within the facility pharmacy

C A timely clinical document architecture

D An accurate continuity of care document

Question #6

Which exchange organization provides services only in a smaller region, usually a metropolitan area?

A HIE

B IDN

C HIO

D CHIN

Question #7

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 SQL reporting services.

B Meaningful Use networks.

C health information exchanges.

D patient education centers.

Question #8

Which of the following is an example of electronic exchange that may meet the Meaningful Use criteria for electronic exchange of data?

A Fax

B Email

C CD

D Flash drives

Question #9

Meaningful Use Stage 1 allowed certified EHRs to store patient data through either ICD-9 or which system?

A LOINC

B SNOMED

C HCPCS

D ICD-10-CM

Question #10

Which of the following is used for coding the data input from a medical encounter and is a part of the EHR requirement under Meaningful Use Stage 2?

A HL-7

B CCA

C CCR

D SNOMED

Question #11

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 Health Level-7

B Clinical Document Architecture

C Continuity of Care Document

D Systemized Nomenclature of Medicine – Clinical Terms

Question #12

Using public health, clinical outcomes, or consumer health to organize standards is an example of:

A functionality.

B disease surveillance.

C medication management.

D educational domains.

Question #13

Which of the following is NOT included in the organization of the ONC Health IT standards?

A Clinical operations

B Privacy and security

C Clinical quality

D Administrative policy

Question #14

Which of the following represents a HIPAA reporting capability as it relates to release of information?

A Accounting of disclosures

B Annual profit/loss statement

C Outstanding invoices by quarter

D Quarterly income by pages of request

Question #15

Which of the following statistical information on release of information must be available upon request?

A Number of valid requests

B Number of requests fulfilled

C All of these

D Number of breaches in disclosure

Question #16

Release of information software that has interoperability with which system makes the logging requests and releases much more efficient?

A Computer-assisted coding

B Master Patient Index

C Encoding

D Grouping

Question #17

Which of the following is NOT collected through the UHDDS abstracting process?

A Principal diagnosis code

B Patient satisfaction

C Date of procedure

D Discharge date

Question #18

The ability of a computer to understand what is written in an EHR or to understand human speech is known as:

A natural language processing.

B computer-assisted coding.

C encoding.

D artificial intelligence.

Question #19

A computer application that shows the following prompts is characteristic of a:
Enter Keyword – Cholelithiasis
With cholecystitis?
With obstruction?
Including the common bile duct?

A logic-based encoder.

B logic-based grouper.

C book-based encoder.

D none of these.

Question #20

Kathy is utilizing a computer-based application to assign CPT codes to outpatient cases in which she answers a series of prompts based on the documentation available in the record. This system is called a(n):

A encoder.

B computer-assisted coding.

C grouper.

D abstracting.

Question #21

Patient access to tools and alert systems that may help them monitor and assess their own health should be accomplished under which stage of Meaningful Use?

A Stage 4

B Stage 3

C Stage 1

D Stage 2

Question #22

The electronic transmission of discharge summaries from an acute care facility to a long-term care facility should be accomplished under which stage of Meaningful Use?

A Stage 3

B Stage 1

C Stage 4

D Stage 2

Question #23

Which of the following statements is consistent with Stage 3 of Meaningful Use?

A Advanced clinical outcomes through improved measurement and patient-directed exchanges

B None of these

C The capture and sharing of data by the electronic health record and health information exchanges

D Improved outcomes through coordination of elements and structures

Question #24

Which of the following would NOT be included in the stages of Meaningful Use?

A Decreased mortality rates through improved measurements

B The capture and sharing of patient BMI between the EHR and a health exchange

C Decreased privacy concerns due to patient portals

D Improved patient outcomes at discharge as a result of better data capture

Question #25

Meaningful Use compliance is intended to result in:

A better clinical outcomes.

B decreased population health outcomes.

C standardized research data on pharmaceutical usage.

D decreased transparency for clinical providers.

Question #26

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 interoperability.

B updating software.

C technical support.

D data mining.

Question #27

Which measures were designed to change both healthcare delivery and payment to a more efficient model?

A All of these

B HITECH

C American Recovery and Reinvestment Act

D Affordable Care Act

Question #28

Which of the following is a driving force in the high cost of healthcare in the United States?

A Changes in Medicare/Medicaid rules

B The electronic health record

C Poor health outcomes

D New laws and regulations

Question #29

Which of the following steps is necessary for a paper record but NOT for an electronic health record?

A Signature

B Filing

C Review

D Assembly

Question #30

Manual signatures are almost obsolete with the advent of new technology. A signature provided through an EHR is called a(n):

A iSignature.

B eSignature.

C wet signature.

D no signature required on EHRs.

Question #31

A transcriptionist who is using an EHR would typically look for what type(s) of error(s)? (Choose all that apply)

A Incorrect billing codes

B Words that voice technology may not recognize

C Misdiagnoses or malpractice

D Incomplete or missing documentation

Question #32

The traditional role of the medical transcriptionist has changed with use of EHRs and they are now considered to be a(n) _____ as opposed to a typist.

A editor

B reader

C stenographer

D clerk

Question #33

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 Concurrent record

B Electronic record

C Hybrid record

D Live record

Question #34

Why may a paper record need to be retrieved from the file room?

A All of these

B It is needed for risk management review.

C Incomplete documentation has been submitted.

D The patient is readmitted.

Question #35

By definition, a legal health record is:

A any medical record in a facility regardless of designation.

B none of these.

C one that a facility would present in response to a subpoena.

D only an EHR record.

Question #36

Facilitating and coordinating process improvement initiatives is part of what HIM job?

A Data integrity coordinator

B Privacy officer

C Supervisor of coding

D Compliance officer

Question #37

A data integrity coordinator is a nontraditional role in HIM. What task(s) might that person be required to do?

A Provide resolution to the EMPI duplicate records, overlays, and documentation errors

B Maintain the integrity of the facility and the EMPI

C All of these

D Develop reports to audit, track, trend, and resolve duplicate records

Question #38

When a patient is registered for admission to the healthcare facility, a notice is given to him/her regarding certain rights; that notice is called the:

A Notice of Privacy Practices.

B Bill of Rights.

C Patient’s Bill of Rights.

D Healthcare Bill of Rights.

Question #39

Disaster planning was initially required under which act of Congress?

A Medical Care Act of 1965

B The Affordable Care Act of 2010

C Employee Health Care Protection Act of 2013

D Health Insurance Portability and Accountability Act of 1996

Question #40

A medical recordkeeping system that uses both paper and electronic content is known as a(n) ______ system.

A ePaper

B hybrid

C electronic

D paper

Question #41

How often is maintenance performed on the MPI?

A Continuously

B Bi-weekly

C Bi-annually

D Monthly

Question #42

How often should a patient’s administrative data be updated after his/her first visit?

A Administrative data should be updated annually during a review process.

B Administrative data should be reviewed on every visit and updated immediately if there is a change.

C Administrative data should be updated every other year during a review process.

D The data are never changed.

Question #43

When a new patient is seen at a facility, what unique identifier is assigned for the encounter?

A Data element

B Registration number

C Master patient index

D Medical record number

Question #44

What is the retention period for the Master Patient (Person) Index?

A 1–5 years

B 20–30 years

C 10–15 years

D There is no retention period. It’s permanent.

Question #45

A patient is admitted with symptoms of fever and abdominal pain. These presenting symptoms are an example of what type of data?

A Clinical data

B Demographic data

C Administrative data

D Diagnosis data

Question #46

Several different types of data are gathered during the registration process. Administrative data include all of the following EXCEPT:

A diagnosis.

B phone number.

C insurance name.

D full name.

Question #47

One of the ways that disaster recovery might be supported for a smaller facility is by using:

A paper records.

B none of these.

C tape backup.

D cloud services.

Question #48

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 Decentralized

B Localized

C Systemized

D Centralized

Question #49

Every healthcare facility that treats patients must keep which of the following?

A An EHR to keep track of each patient encounter

B An index card with each patient’s contact information

C A file cabinet for storing patient records

D A record of each patient divided into individual encounters

Question #50

The term concurrent analysis is also known as:

A business analysis.

B patient analysis.

C reviewing the record after the patient is discharged.

D quantitative analysis.

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