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 cumbersome

B Too expensive

C All of these

D Too challenging in terms of privacy and security

Question #2

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

A 80%

B 70%

C 90%

D 50%

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 Patient-generated data

B Public health

C Clinical decision support

D Disease registry

Question #4

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

A HIE

B CHIN

C HIO

D IDN

Question #5

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

A HIE

B CHINs

C HIO

D HITECH

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 SQL reporting services.

C patient education centers.

D Meaningful Use networks.

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 functionality.

B medication management.

C disease surveillance.

D educational domains.

Question #9

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

A Clinical quality

B Administrative policy

C Privacy and security

D Clinical operations

Question #10

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

A Identification of the legal record by the facility

B Identification of the designated record set by the facility

C All of these

D Appropriate authorization process

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 Patient portal

D All of these

Question #12

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

A Medicare

B Blue Cross

C Medicaid

D Blue Shield

Question #13

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

A Discharge date

B Date of procedure

C Principal diagnosis code

D Patient satisfaction

Question #14

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

A encoding.

B artificial intelligence.

C computer-assisted coding.

D natural language processing.

Question #15

Meaningful Use compliance is intended to result in:

A decreased transparency for clinical providers.

B better clinical outcomes.

C decreased population health outcomes.

D standardized research data on pharmaceutical usage.

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 technical support.

B interoperability.

C data mining.

D updating software.

Question #17

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 HITECH

D All of these

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 Live record

C Electronic record

D Hybrid record

Question #19

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

A Incomplete documentation has been submitted.

B It is needed for risk management review.

C All of these

D The patient is readmitted.

Question #20

By definition, a legal health record is:

A none of these.

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

C any medical record in a facility regardless of designation.

D only an EHR record.

Question #21

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

A Clinical

B Reimbursement

C Insurance

D Administrative

Question #22

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

A electronic

B hybrid

C paper

D ePaper

Question #23

How often is maintenance performed on the MPI?

A Monthly

B Continuously

C Bi-annually

D Bi-weekly

Question #24

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

A paper records.

B cloud services.

C none of these.

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 Centralized

B Decentralized

C Localized

D Systemized

Question #26

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 A record of each patient divided into individual encounters

D An EHR to keep track of each patient encounter

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 Fee-for-value

C Meaningful fee

D Fee-for-service

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-service

C Wellness fee

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 health information exchange.

B integrated delivery networks.

C population health management.

D Meaningful Use.

Question #30

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

A Primary care physician

B Patient

C Healthcare plan administrator

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 business intelligence.

C data analysis.

D data application.

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 collection.

B data analysis.

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 entry.

C data mining.

D data analysis.

Question #34

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

A legacy systems.

B management systems.

C database systems.

D information systems.

Question #35

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

A programming education.

B networking skills.

C healthcare knowledge.

D computer background.

Question #36

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

A Sharing uniform data from the same information vendor

B Integrating legacy systems with new EHR systems

C Sunsetting a pharmacy inventory application

D Installation of a stand-alone encoder

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 interoperability.

B data mining.

C updating software.

D technical support.

Question #38

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

A Executing the project

B Closing the project

C Planning for the project

D Monitoring and controlling the project

Question #39

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

A imaging.

B scanning.

C digitized format.

D EMR.

Question #40

A simple definition of an EHR is that it:

A captures more in-depth information.

B offers limited functionality.

C does not meet certification requirements of HITECH.

D provides a digital record of the traditional chart.

Question #41

A key advantage of using EHRs over paper is that:

A EHRs take less time for the physician to access.

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

C EHRs are less expensive.

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

Question #42

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

A guarantor.

B insurance company.

C attorney.

D care giver.

Question #43

Healthcare professional refers to:

A HIM personnel.

B a doctor.

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 is not used by other ancillary personnel.

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 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 Andrew Jackson.

B Benjamin Franklin.

C Thomas Jefferson.

D George Washington.

Question #48

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

A ARRA.

B TEFRA.

C HIPAA.

D OBRA.

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 Prospective Pay System (PPS).

D Conditions of Participation (CoP).

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