Exam 1

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Question #1

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

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

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

C The data are never changed.

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

Question #2

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

A Registration number

B Data element

C Medical record number

D Master patient index

Question #3

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

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

B 10–15 years

C 20–30 years

D 1–5 years

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 Diagnosis data

B Demographic data

C Clinical data

D Administrative data

Question #5

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

A full name.

B phone number.

C diagnosis.

D insurance name.

Question #6

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 #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 Localized

B Systemized

C Decentralized

D Centralized

Question #8

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

A A file cabinet for storing patient records

B An EHR to keep track of each patient encounter

C An index card with each patient’s contact information

D A record of each patient divided into individual encounters

Question #9

The term concurrent analysis is also known as:

A patient analysis.

B reviewing the record after the patient is discharged.

C business analysis.

D quantitative analysis.

Question #10

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

A Server storage

B Printing and warehousing

C Magnetic tape storage

D Optical disk

Question #11

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

A alphabetically.

B by date of retention expiration.

C by medical record number.

D by the date the patient was last seen.

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 indefinitely.

D ten years.

Question #13

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

A A record of each patient divided into individual encounters

B A file cabinet for storing patient records

C An index card with each patient’s contact information

D An EHR to keep track of each patient encounter

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 all of these

B real-time data analysis.

C population health management.

D data mining.

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 infrastructure.

B all of these.

C interoperability.

D software applications.

Question #16

Accountable care requires frequent, high-quality:

A long-term care.

B preventative care.

C office visits.

D interventions.

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 Language barriers between patients and providers

C Number of patients covered

D Level of improvement of patient population

Question #18

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

A 2040

B 2030

C 2050

D 2020

Question #19

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

A away from value-based performance.

B away from pay-for-performance.

C towards pay-for-performance.

D towards fee-for-service.

Question #20

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

A pay-for-performance.

B fee-for-value.

C all of these.

D shared savings.

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 network

D Integrated health delivery

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 Meaningful Use.

B health information exchange.

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 health information exchange.

C integrated delivery network.

D population health management.

Question #24

A goal of IDNs is to:

A accomplish the standards of Meaningful Use.

B increase government profitability for Meaningful Use technology.

C move healthcare towards nursing centered care.

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 Successful completion of a coding certificate program

B 2 years’ coding experience

C RHIT, RHIA, or CCA credential

D Master’s in health informatics

Question #26

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

A Associate degree only

B Associate degree and pass the RHIT exam

C Bachelor’s degree and pass the RHIA exam

D Bachelor’s degree only

Question #27

What does RHIA mean?

A Registered Health Information Accessor

B Registered Health Integrity Administrator

C Registered Health Information Administrator

D Recommended Health Information Accessor

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 CAHIIM.

C OASIS.

D HIMSS.

Question #29

Software that recognizes the dictation of a provider is called:

A transcription software.

B epic voice recognition software.

C speech conversion software.

D voice recognition software.

Question #30

AMIA focuses on which part of electronic health information?

A Security

B Technology

C Compliance

D Integrity

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 OASIS

B HEDIS

C The Joint Commission

D Office of Inspector General

Question #32

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

A To assist with documentation

B To write laws for compliance and security

C To teach individuals how to code correctly

D To elevate the status of individuals who processed medical records

Question #33

The first credential for a HIM professional was:

A ART.

B RHIA.

C RRL.

D CCS.

Question #34

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

A Baylor University

B Blue Cross of Texas

C Massachusetts General Hospital

D Johns Hopkins University

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 Code charts

D Audit charts for deficiencies

Question #36

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

A Medicare Modernization Act of 2013

B Affordable Healthcare Act of 2010

C American Recovery and Reinvestment Act of 2009

D Health Insurance Portability and Accountability Act of 1996

Question #37

Which credential is held by a cancer registrar?

A CCS

B CMRS

C CTR

D AAPC

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 integrated delivery network.

B independent practice association.

C ambulatory practice association.

D capitated practice.

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 Urgent care center

B Ambulatory surgery center

C Ambulatory clinic

D Independent practice association

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 managed care plan.

B patient engagement.

C high-level medical encounter.

D continuum of care.

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 Meaningful Use component.

C patient portal.

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 patient-centric care.

B clinical decision support.

C meaningful use of documentation.

D health information management.

Question #44

Stage 3 Meaningful Use can be illustrated by:

A improved outcomes.

B all of these.

C collecting information for patient engagement.

D digital and telemedicine enhancements in treatments.

Question #45

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

A $44,000–$63,750.

B $25,775–$50,755.

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 Certified

B Interoperable

C All of these

D Meaningful

Question #47

HITECH is a part of what larger Act?

A HIPAA

B ONC

C ACA

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 18

C 30

D 26

Question #49

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

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

B The Act will streamline administrative processes.

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

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

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