Exam 1

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Question #1

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

A The data are never changed.

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

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

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

Question #2

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

A Medical record number

B Master patient index

C Data element

D Registration number

Question #3

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 #4

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

A Demographic data

B Administrative data

C Clinical data

D Diagnosis data

Question #5

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

A phone number.

B full name.

C insurance name.

D diagnosis.

Question #6

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 cloud services.

D tape backup.

Question #7

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 Centralized

D Systemized

Question #8

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

A An index card with each patient’s contact information

B An EHR to keep track of each patient encounter

C A record of each patient divided into individual encounters

D A file cabinet for storing patient records

Question #9

The term concurrent analysis is also known as:

A reviewing the record after the patient is discharged.

B business analysis.

C patient analysis.

D quantitative analysis.

Question #10

When storing digital records, which of the following is too expensive to use?

A Printing and warehousing

B Optical disk

C Server storage

D Magnetic tape storage

Question #11

In the warehousing method of archiving, medical records are filed:

A alphabetically.

B by the date the patient was last seen.

C by date of retention expiration.

D by medical record number.

Question #12

The time that a record is retained by a facility is:

A five years.

B according to a policy written by the facility that addresses the length of time.

C ten years.

D indefinitely.

Question #13

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

A An index card with each patient’s contact information

B A file cabinet for storing patient records

C An EHR to keep track of each patient encounter

D A record of each patient divided into individual encounters

Question #14

Being able to extract information from the data system within an ACO and to construct a plan of care for the patient at the time of his/her encounter and subsequent discharge is characteristic of:

A real-time data analysis.

B population health management.

C data mining.

D all of these

Question #15

In order to move to pay-for-performance, providers need to compare data across the delivery system from physician offices, acute care hospitals, and long-term care providers. The collection of data to provide information for this transition will demand increased:

A interoperability.

B all of these.

C software applications.

D infrastructure.

Question #16

Accountable care requires frequent, high-quality:

A interventions.

B long-term care.

C office visits.

D preventative care.

Question #17

Which of the following points will be of major importance under pay-for-performance reimbursement schemes in the United States?

A Poverty level of patients assigned

B Number of patients covered

C Level of improvement of patient population

D Language barriers between patients and providers

Question #18

CMS expects the majority of healthcare in the United States to be delivered through shared savings organizations by:

A 2050

B 2040

C 2030

D 2020

Question #19

In the United States, the current reimbursement scheme is shifting:

A towards fee-for-service.

B towards pay-for-performance.

C away from value-based performance.

D away from pay-for-performance.

Question #20

The reimbursement scheme for population health management is also referred to as:

A shared savings.

B all of these.

C fee-for-value.

D pay-for-performance.

Question #21

The goal of what healthcare model is to pay providers to improve the health outcomes of a group of patients and therefore reduce health inequities across the population regardless of environmental and cultural constraints?

A Population health management

B Health care exchange

C Integrated health delivery

D Integrated health delivery network

Question #22

Efficiently integrating HIT and health information exchange into facilities, providing better continuity of care to patients, positioning healthcare strategically for changes in reimbursement, and competing at a higher level on quality and costs of healthcare all represent goals of:

A health information exchange.

B Meaningful Use.

C integrated delivery networks.

D population health management.

Question #23

Using a certified EHR to improve quality, safety, and efficiency while engaging the patient to improve the coordination of care and public health is known as:

A Meaningful Use.

B population health management.

C health information exchange.

D integrated delivery network.

Question #24

A goal of IDNs is to:

A move healthcare towards nursing centered care.

B increase government profitability for Meaningful Use technology.

C accomplish the standards of Meaningful Use.

D advance the skills of allied health technicians.

Question #25

Which of the following is NOT a qualifying factor to sit for the CCS credential?

A Master’s in health informatics

B RHIT, RHIA, or CCA credential

C Successful completion of a coding certificate program

D 2 years’ coding experience

Question #26

What requirements are needed for an individual to obtain the RHIA credential?

A Associate degree and pass the RHIT exam

B Associate degree only

C Bachelor’s degree only

D Bachelor’s degree and pass the RHIA exam

Question #27

What does RHIA mean?

A Registered Health Information Administrator

B Registered Health Information Accessor

C Recommended Health Information Accessor

D Registered Health Integrity Administrator

Question #28

The independent accrediting organization that serves the public interest by establishing and enforcing quality educational standards in health information is known as:

A AHIMA.

B HIMSS.

C OASIS.

D CAHIIM.

Question #29

Software that recognizes the dictation of a provider is called:

A speech conversion software.

B voice recognition software.

C epic voice recognition software.

D transcription software.

Question #30

AMIA focuses on which part of electronic health information?

A Integrity

B Technology

C Compliance

D Security

Question #31

What group was formed in 1951 to survey facilities with a set of standards and, if the facility met those standards, it became accredited?

A HEDIS

B Office of Inspector General

C The Joint Commission

D OASIS

Question #32

What was the purpose for establishing the professional organization ARLNA in 1928?

A To elevate the status of individuals who processed medical records

B To write laws for compliance and security

C To teach individuals how to code correctly

D To assist with documentation

Question #33

The first credential for a HIM professional was:

A RRL.

B RHIA.

C ART.

D CCS.

Question #34

Health information professionals, previously known as “record librarians,” were first organized where?

A Baylor University

B Johns Hopkins University

C Massachusetts General Hospital

D Blue Cross of Texas

Question #35

The internal RAC coordinator position requires that a person do which of the following?

A Coordinate claims reimbursement

B Send bills to insurance companies

C Audit charts for deficiencies

D Code charts

Question #36

Recovery audit contractors, whose purpose is to recover improper Medicare funds, were instituted under which act of Congress?

A American Recovery and Reinvestment Act of 2009

B Medicare Modernization Act of 2013

C Health Insurance Portability and Accountability Act of 1996

D Affordable Healthcare Act of 2010

Question #37

Which credential is held by a cancer registrar?

A CMRS

B AAPC

C CCS

D CTR

Question #38

A group of physicians that contracts with a managed care organization to provide care at a pre-determined, pre-negotiated rate is a(an):

A capitated practice.

B independent practice association.

C ambulatory practice association.

D integrated delivery network.

Question #39

What type of ambulatory care is provided for patients who are seen without a prior appointment for problems that need prompt attention but are not emergency in level?

A Ambulatory clinic

B Independent practice association

C Ambulatory surgery center

D Urgent care center

Question #40

A large research hospital facility, such as the Mayo Clinic, that performs procedures on a clinical trial basis and trains various levels of interns and residents would be referred to as what type of care?

A Tertiary

B Quarternary

C Primary

D Secondary

Question #41

In a single course of illness, the patient was seen by her primary care physician, referred to a specialist, admitted for outpatient surgery, and then discharged with home health. These episodes are an example of a(an):

A high-level medical encounter.

B continuum of care.

C managed care plan.

D patient engagement.

Question #42

After rounds, the nurse practitioner enters the patient characteristics, symptomatology, and lab values into a database that provides instructions and directives for possible treatment and care plans according to the diagnosis. This is illustrative of a(an):

A clinical decision support system.

B patient portal.

C Meaningful Use component.

D electronic health record.

Question #43

Communications, information sharing, and decision making that include the patient and are managed by both the patient and the provider are part of:

A meaningful use of documentation.

B patient-centric care.

C health information management.

D clinical decision support.

Question #44

Stage 3 Meaningful Use can be illustrated by:

A digital and telemedicine enhancements in treatments.

B collecting information for patient engagement.

C improved outcomes.

D all of these.

Question #45

The maximum range for incentive payments among Medicare and Medicaid incentive programs for the electronic health record is:

A $25,775–$50,755.

B $44,000–$63,750.

C $10,000–$20,000.

D $50,000–$75,750.

Question #46

HITECH provides incentive payments in order to support the development of what type of electronic health record?

A Meaningful

B Certified

C All of these

D Interoperable

Question #47

HITECH is a part of what larger Act?

A HIPAA

B ACA

C ONC

D ARRA

Question #48

The ACA mandates that individuals under this age can remain on their parent’s health insurance policy if they do not qualify for coverage on their own.

A 21

B 26

C 30

D 18

Question #49

Which of the following is a FALSE statement concerning the Affordable Care Act?

A The Act will restrict the types of insurance coverage available.

B The Act will improve quality of care through expanded measurements.

C The Act will reduce costs by introducing new models of payment.

D The Act will streamline administrative processes.

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