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 Too expensive

B Too cumbersome

C Too challenging in terms of privacy and security

D All of these

Question #2

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

A 80%

B 70%

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 Disease registry

B Public health

C Patient-generated data

D Clinical decision support

Question #4

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

A CHIN

B IDN

C HIO

D HIE

Question #5

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

A HIO

B CHINs

C HITECH

D HIE

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 Meaningful Use networks.

B patient education centers.

C health information exchanges.

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 Clinical Document Architecture

B Systemized Nomenclature of Medicine – Clinical Terms

C Continuity of Care Document

D Health Level-7

Question #8

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

A disease surveillance.

B educational domains.

C medication management.

D functionality.

Question #9

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 #10

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

A Appropriate authorization process

B Identification of the legal record by the facility

C Identification of the designated record set 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 Release of information audits

C All of these

D Patient portal

Question #12

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

A Medicaid

B Blue Cross

C Blue Shield

D Medicare

Question #13

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

A Discharge date

B Principal diagnosis code

C Patient satisfaction

D Date of procedure

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 computer-assisted coding.

C encoding.

D artificial intelligence.

Question #15

Meaningful Use compliance is intended to result in:

A better clinical outcomes.

B standardized research data on pharmaceutical usage.

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 updating software.

B data mining.

C technical support.

D interoperability.

Question #17

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

A Affordable Care Act

B All of these

C American Recovery and Reinvestment Act

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 Concurrent record

B Electronic record

C Live record

D Hybrid record

Question #19

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

A It is needed for risk management review.

B All of these

C The patient is readmitted.

D Incomplete documentation has been submitted.

Question #20

By definition, a legal health record is:

A only an EHR record.

B none of these.

C any medical record in a facility regardless of designation.

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 Administrative

B Insurance

C Reimbursement

D Clinical

Question #22

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

A paper

B ePaper

C electronic

D hybrid

Question #23

How often is maintenance performed on the MPI?

A Bi-annually

B Bi-weekly

C Monthly

D Continuously

Question #24

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

A cloud services.

B tape backup.

C none of these.

D paper records.

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 Centralized

D Decentralized

Question #26

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 A record of each patient divided into individual encounters

D An index card with each patient’s contact information

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 Fee-for-service

B Meaningful fee

C Wellness fee

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 Fee-for-service

B Wellness fee

C Meaningful fee structure

D Fee-for-value

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 Meaningful Use.

B population health management.

C integrated delivery networks.

D health information exchange.

Question #30

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

A Healthcare plan administrator

B Provider

C Primary care physician

D Patient

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 application.

C data analysis.

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 marketing.

B data analysis.

C data scheduling.

D data collection.

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 mining.

C data entry.

D data analysis.

Question #34

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

A information systems.

B legacy systems.

C management systems.

D database systems.

Question #35

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

A computer background.

B networking skills.

C programming education.

D healthcare knowledge.

Question #36

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

A Installation of a stand-alone encoder

B Sunsetting a pharmacy inventory application

C Integrating legacy systems with new EHR systems

D Sharing uniform data from the same information vendor

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 technical support.

B updating software.

C interoperability.

D data mining.

Question #38

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

A Monitoring and controlling the project

B Closing the project

C Planning for the project

D Executing the project

Question #39

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

A EMR.

B digitized format.

C imaging.

D scanning.

Question #40

A simple definition of an EHR is that it:

A captures more in-depth information.

B provides a digital record of the traditional chart.

C does not meet certification requirements of HITECH.

D offers limited functionality.

Question #41

A key advantage of using EHRs over paper is that:

A EHRs are less expensive.

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

C EHRs take less time for the physician to access.

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 insurance company.

B guarantor.

C attorney.

D care giver.

Question #43

Healthcare professional refers to:

A a doctor.

B HIM personnel.

C a third-party payer.

D a nurse, medical assistant, or other technician.

Question #44

The health record is the source document that:

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

B only documents the health status of the patient.

C is not used by other ancillary personnel.

D is not protected from legal proceedings.

Question #45

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

A American Physician’s Association

B American Medical Education Association

C American College of Surgeons

D American Medical Association

Question #46

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

A Pennsylvania Hospital.

B Boston Hospital.

C Plymouth Hospital.

D New York Hospital.

Question #47

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

A Benjamin Franklin.

B George Washington.

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 Professional Standards Review Organizations (PSROs).

B Conditions of Participation (CoP).

C Title XVII of the Social Security Act of 1935.

D Prospective Pay System (PPS).

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