Exam 2

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Question #1

Which of the following rationales illustrates why providers do not want patient data kept in a central database?

A All of these

B Too cumbersome

C Too challenging in terms of privacy and security

D Too expensive

Question #2

Approximately what percentage of all healthcare reimbursement continues to be based on fee-for-service?

A 70%

B 80%

C 50%

D 90%

Question #3

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 Clinical decision support

B Public health

C Patient-generated data

D Disease registry

Question #4

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

A CHIN

B HIE

C IDN

D HIO

Question #5

Which early health information exchanges in the 1990s were all unsuccessful?

A HITECH

B HIE

C HIO

D CHINs

Question #6

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 patient education centers.

C Meaningful Use networks.

D SQL reporting services.

Question #7

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 Continuity of Care Document

C Health Level-7

D Clinical Document Architecture

Question #8

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

A educational domains.

B functionality.

C medication management.

D disease surveillance.

Question #9

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

A Administrative policy

B Clinical quality

C Clinical operations

D Privacy and security

Question #10

Which of the following affects the appropriate release of information via a patient portal?

A Identification of the designated record set by the facility

B Appropriate authorization process

C Identification of the legal record by the facility

D All of these

Question #11

Patients can obtain personal health information from their health record by request and by download from a secure server through the use of what technology, a requirement of Meaningful Use?

A Master Patient Index

B All of these

C Patient portal

D Release of information audits

Question #12

Which of the following is a federal third-party payer?

A Blue Cross

B Blue Shield

C Medicare

D Medicaid

Question #13

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

A Principal diagnosis code

B Date of procedure

C Patient satisfaction

D Discharge date

Question #14

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 artificial intelligence.

C computer-assisted coding.

D encoding.

Question #15

Meaningful Use compliance is intended to result in:

A standardized research data on pharmaceutical usage.

B better clinical outcomes.

C decreased population health outcomes.

D decreased transparency for clinical providers.

Question #16

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 #17

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

A American Recovery and Reinvestment Act

B Affordable Care Act

C All of these

D HITECH

Question #18

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 Electronic record

C Concurrent record

D Live record

Question #19

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

A All of these

B Incomplete documentation has been submitted.

C The patient is readmitted.

D It is needed for risk management review.

Question #20

By definition, a legal health record is:

A any medical record in a facility regardless of designation.

B only an EHR record.

C none of these.

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

Question #21

Which part of the hospital revenue cycle is coding a part of?

A Reimbursement

B Insurance

C Administrative

D Clinical

Question #22

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

A hybrid

B ePaper

C paper

D electronic

Question #23

How often is maintenance performed on the MPI?

A Continuously

B Bi-weekly

C Bi-annually

D Monthly

Question #24

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

A none of these.

B cloud services.

C paper records.

D tape backup.

Question #25

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 Systemized

B Localized

C Decentralized

D Centralized

Question #26

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

A A record of each patient divided into individual encounters

B An EHR to keep track of each patient encounter

C An index card with each patient’s contact information

D A file cabinet for storing patient records

Question #27

Also known as “pay for performance,” what reimbursement method rewards clinicians for better patient health outcomes, such as preventative programs to lower blood pressure, and penalizes them for medical errors?

A Wellness fee

B Meaningful fee

C Fee-for-service

D Fee-for-value

Question #28

Charging a set fee for an office visit, a vaccination encounter by the nursing staff, or a telephone consultation would be an example of what type of healthcare reimbursement?

A Meaningful fee structure

B Fee-for-value

C Wellness fee

D Fee-for-service

Question #29

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 integrated delivery networks.

B population health management.

C health information exchange.

D Meaningful Use.

Question #30

Under the concept of Meaningful Use, who should be at the center of the healthcare system?

A Healthcare plan administrator

B Primary care physician

C Patient

D Provider

Question #31

A general term that includes the application, infrastructure and tools, and best practices that enable access to analysis of information to improve and optimize decisions and performance is:

A data collection.

B data analysis.

C data application.

D business intelligence.

Question #32

The creation of patient reminders for colonoscopy appointments based on identified trends in diagnoses and occurrence of colon cancer is a result of:

A data analysis.

B data collection.

C data marketing.

D data scheduling.

Question #33

Searching for and extracting a large amount of data for the purpose of turning them into useful information through data analysis is called:

A data abstracting.

B data analysis.

C data entry.

D data mining.

Question #34

Prior computer or business systems that are sometimes kept partially in use during new system upgrades are called:

A database systems.

B management systems.

C legacy systems.

D information systems.

Question #35

A common barrier to employment of information technicians in healthcare is limited:

A computer background.

B healthcare knowledge.

C programming education.

D networking skills.

Question #36

What type of project most often requires a custom interface and programming?

A Installation of a stand-alone encoder

B Integrating legacy systems with new EHR systems

C Sharing uniform data from the same information vendor

D Sunsetting a pharmacy inventory application

Question #37

The ability of a 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 #38

A project “goes live” during which step in the project management process?

A Executing the project

B Planning for the project

C Closing the project

D Monitoring and controlling the project

Question #39

The keeping of health records in electronic format is known as:

A digitized format.

B imaging.

C EMR.

D scanning.

Question #40

A simple definition of an EHR is that it:

A offers limited functionality.

B provides a digital record of the traditional chart.

C does not meet certification requirements of HITECH.

D captures more in-depth information.

Question #41

A key advantage of using EHRs over paper is that:

A EHRs take less time for the physician to access.

B EHRs do not have to be as secure as the paper record.

C EHRs are less expensive.

D EHRs can be used simultaneously by more than one provider.

Question #42

A third-party payer is often referred to as a(n):

A care giver.

B attorney.

C guarantor.

D insurance company.

Question #43

Healthcare professional refers to:

A a third-party payer.

B HIM personnel.

C a doctor.

D a nurse, medical assistant, or other technician.

Question #44

The health record is the source document that:

A is not used by other ancillary personnel.

B serves as a means of communication among the healthcare team.

C is not protected from legal proceedings.

D only documents the health status of the patient.

Question #45

This professional organization was formed in 1847 with the primary goal of ensuring quality medical education:

A American Medical Education Association

B American Medical Association

C American Physician’s Association

D American College of Surgeons

Question #46

The first hospital in the United States, founded in 1751, was:

A Pennsylvania Hospital.

B Plymouth Hospital.

C New York Hospital.

D Boston Hospital.

Question #47

The first hospital in the United States was founded by Dr. Thomas Bond and:

A George Washington.

B Benjamin Franklin.

C Thomas Jefferson.

D Andrew Jackson.

Question #48

The act that required Peer Review Organizations (PROs) to report substandard care to licensing agencies is:

A ARRA.

B OBRA.

C HIPAA.

D TEFRA.

Question #49

In order be eligible to receive Medicare and Medicaid reimbursement for healthcare services, hospitals and physicians must comply with the set of regulations known as:

A Title XVII of the Social Security Act of 1935.

B Professional Standards Review Organizations (PSROs).

C Conditions of Participation (CoP).

D Prospective Pay System (PPS).

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