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 Adoption and optimization of EHR and HIE services

B Standards to support implementation and certification

C Privacy and Security

D Financial and clinical incentives

Question #2

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

A 2

B 3

C 4

D 5

Question #3

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

A CMS

B ITT

C HIT

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 Public health

B Clinical decision support

C Patient-generated data

D Disease registry

Question #5

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

A Medication reconciliation within the facility pharmacy

B A vendor-based exchange for principal diagnosis

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 IDN

B CHIN

C HIO

D HIE

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 health information exchanges.

B SQL reporting services.

C Meaningful Use networks.

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 Flash drives

B CD

C Email

D Fax

Question #9

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

A SNOMED

B ICD-10-CM

C LOINC

D HCPCS

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 Systemized Nomenclature of Medicine – Clinical Terms

B Health Level-7

C Continuity of Care Document

D Clinical Document Architecture

Question #12

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

A functionality.

B medication management.

C disease surveillance.

D educational domains.

Question #13

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

A Clinical quality

B Administrative policy

C Clinical operations

D Privacy and security

Question #14

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

A Accounting of disclosures

B Quarterly income by pages of request

C Annual profit/loss statement

D Outstanding invoices by quarter

Question #15

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

A Number of breaches in disclosure

B All of these

C Number of requests fulfilled

D Number of valid requests

Question #16

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

A Grouping

B Computer-assisted coding

C Encoding

D Master Patient Index

Question #17

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

A Patient satisfaction

B Date of procedure

C Discharge date

D Principal diagnosis code

Question #18

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

A encoding.

B natural language processing.

C artificial intelligence.

D computer-assisted coding.

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 book-based encoder.

B logic-based encoder.

C logic-based grouper.

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 abstracting.

D grouper.

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 3

B Stage 1

C Stage 2

D Stage 4

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 4

B Stage 2

C Stage 1

D Stage 3

Question #23

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

A None of these

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

C Improved outcomes through coordination of elements and structures

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

Question #24

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

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

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

C Decreased mortality rates through improved measurements

D Decreased privacy concerns due to patient portals

Question #25

Meaningful Use compliance is intended to result in:

A better clinical outcomes.

B decreased transparency for clinical providers.

C decreased population health outcomes.

D standardized research data on pharmaceutical usage.

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 data mining.

B interoperability.

C technical support.

D updating software.

Question #27

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

A Affordable Care Act

B American Recovery and Reinvestment Act

C All of these

D HITECH

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 Poor health outcomes

C New laws and regulations

D The electronic health record

Question #29

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

A Assembly

B Review

C Filing

D Signature

Question #30

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

A eSignature.

B iSignature.

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 Words that voice technology may not recognize

B Incomplete or missing documentation

C Incorrect billing codes

D Misdiagnoses or malpractice

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 reader

B editor

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 Hybrid record

B Concurrent record

C Electronic record

D Live record

Question #34

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

A It is needed for risk management review.

B The patient is readmitted.

C Incomplete documentation has been submitted.

D All of these

Question #35

By definition, a legal health record is:

A none of these.

B any medical record in a facility regardless of designation.

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 Supervisor of coding

C Compliance officer

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

C Maintain the integrity of the facility and the EMPI

D All of these

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 Healthcare Bill of Rights.

B Bill of Rights.

C Patient’s Bill of Rights.

D Notice of Privacy Practices.

Question #39

Disaster planning was initially required under which act of Congress?

A Health Insurance Portability and Accountability Act of 1996

B Medical Care Act of 1965

C The Affordable Care Act of 2010

D Employee Health Care Protection Act of 2013

Question #40

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

A electronic

B ePaper

C hybrid

D paper

Question #41

How often is maintenance performed on the MPI?

A Continuously

B Monthly

C Bi-weekly

D Bi-annually

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 The data are never changed.

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

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

Question #43

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

A Medical record number

B Registration number

C Master patient index

D Data element

Question #44

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

A 10–15 years

B 20–30 years

C 1–5 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 Administrative data

B Clinical data

C Demographic 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 phone number.

B diagnosis.

C full name.

D insurance name.

Question #47

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

A tape backup.

B cloud services.

C paper records.

D none of these.

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 Centralized

B Decentralized

C Systemized

D Localized

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 record of each patient divided into individual encounters

D A file cabinet for storing patient records

Question #50

The term concurrent analysis is also known as:

A reviewing the record after the patient is discharged.

B patient analysis.

C quantitative analysis.

D business analysis.

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