Exam 3

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Question #1

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 Master’s in health informatics

D RHIT, RHIA, or CCA credential

Question #2

A key advantage of using EHRs over paper is that:

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

B EHRs take less time for the physician to access.

C EHRs are less expensive.

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

Question #3

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

A care giver.

B guarantor.

C attorney.

D insurance company.

Question #4

Healthcare professional refers to:

A a nurse, medical assistant, or other technician.

B a doctor.

C HIM personnel.

D a third-party payer.

Question #5

The health record is the source document that:

A is not protected from legal proceedings.

B is not used by other ancillary personnel.

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

D only documents the health status of the patient.

Question #6

Which of the following is a TRUE statement regarding health informatics and health information management?

A Education in both fields can be a shared endeavor.

B Boundaries between these fields are static.

C Each field has a specific focus.

D Any overlap between the fields will decrease in the future.

Question #7

The term “medical informatics” became widely used in the United States during the:

A 1970s.

B 1990s.

C 2000s.

D 1980s.

Question #8

AMIA was originally established in ____ by physicians and scientists to support the study of how computer applications could be used in medical care.

A 1980

B 1979

C 1989

D 1900

Question #9

Using a computer-based clinical guideline system to evaluate the quality of care provided to inpatient pneumonia cases would be most closely linked to:

A all of these.

B health information management.

C bio-informatics.

D health informatics.

Question #10

The practice of information and knowledge management across an acute care facility (clinical healthcare) and a county health department (public healthcare) would be an example of:

A health informatics.

B healthcare reform.

C information technology.

D health information management.

Question #11

When a patient is registered for admission to the healthcare facility, a notice is given to him/her regarding certain rights; that notice is called the:

A Healthcare Bill of Rights.

B Patient’s Bill of Rights.

C Bill of Rights.

D Notice of Privacy Practices.

Question #12

Disaster planning was initially required under which act of Congress?

A Health Insurance Portability and Accountability Act of 1996

B Employee Health Care Protection Act of 2013

C The Affordable Care Act of 2010

D Medical Care Act of 1965

Question #13

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

A Administrative

B Clinical

C Reimbursement

D Insurance

Question #14

How often is maintenance performed on the MPI?

A Bi-weekly

B Bi-annually

C Continuously

D Monthly

Question #15

Clinical data in a chart refer to:

A insurance data.

B demographic data.

C medical data.

D administrative data.

Question #16

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

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

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

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

D The data are never changed.

Question #17

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

A none of these.

B tape backup.

C cloud services.

D paper records.

Question #18

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 Centralized

C Localized

D Systemized

Question #19

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

A A file cabinet for storing patient records

B An index card with each patient’s contact information

C A record of each patient divided into individual encounters

D An EHR to keep track of each patient encounter

Question #20

A research facility is tracking HIV cases and is asking General Hospital for the information of patients with HIV. Which of the following would NOT be included in the information General Hospital sends the research facility?

A Patient name

B Patient age

C Patient procedures

D Patient diagnosis

Question #21

Jennifer Smith called General Hospital’s Release of Information (ROI) department and asked Mary Lawrence to send a copy of her aunt Linda Smith’s medical record. Mary Lawrence complied. What kind of breach did she commit?

A Confidentiality

B Security

C Privacy

D Integrity

Question #22

The Omnibus Rule provides for all of the following EXCEPT:

A enhanced privacy rules.

B strengthening of the government’s ability to enforce the law.

C expanded patients’ rights regarding health information.

D movement from the paper record to the EHR.

Question #23

Most clinics and facilities that do not have EHRs will be subject to a reduction in reimbursement from Medicare beginning in:

A 2014

B 2016

C 2017

D 2015

Question #24

The third and final stage of the Meaningful Use act has been delayed until:

A 2016

B 2015

C 2017

D 2018

Question #25

Under HIPAA, a specific number is assigned to each health plan. This number is known as the:

A PID.

B NPI.

C HPID.

D HIPD.

Question #26

Under HIPAA, the rule requiring healthcare providers and facilities to report diagnosis and procedural codes utilizing ICD-9-CM or ICD-10-CM/PCS, HCPCS, and CPT is known as the:

A code rule.

B code set rule.

C coding rule.

D administrative rule.

Question #27

Which HIPAA rule speaks directly to the electronic systems used to house, maintain, and transmit health information?

A Privacy rule

B Administrative rule

C Security rule

D Code set rule

Question #28

A healthcare facility that has been granted approval based on a set of voluntary standards is known as:

A approved.

B licensed.

C accredited.

D accepted.

Question #29

Utilization Review in the CoP requires all of the following EXCEPT:

A discharge planning evaluation.

B medical necessity admissions.

C scope and frequency of review.

D composition of the UR committee.

Question #30

All of the following are TRUE about accrediting bodies EXCEPT:

A they apply to organizations rather than individuals.

B they are voluntary standards.

C they are often more stringent than mandatory regulations and requirements.

D they had to meet goals to qualify for their special status.

Question #31

Which of the following statistical information on release of information must be available upon request?

A Number of breaches in disclosure

B Number of valid requests

C All of these

D Number of requests fulfilled

Question #32

Release of information software that has interoperability with which system makes the logging requests and releases much more efficient?

A Grouping

B Computer-assisted coding

C Master Patient Index

D Encoding

Question #33

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

A All of these

B Identification of the designated record set by the facility

C Appropriate authorization process

D Identification of the legal record by the facility

Question #34

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 Patient portal

B Master Patient Index

C All of these

D Release of information audits

Question #35

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

A Blue Shield

B Medicare

C Blue Cross

D Medicaid

Question #36

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

A artificial intelligence.

B natural language processing.

C computer-assisted coding.

D encoding.

Question #37

A computer application that shows the following prompts is characteristic of a:
Enter Keyword – Cholelithiasis
With cholecystitis?
With obstruction?
Including the common bile duct?

A book-based encoder.

B none of these.

C logic-based grouper.

D logic-based encoder.

Question #38

Kathy is utilizing a computer-based application to assign CPT codes to outpatient cases in which she answers a series of prompts based on the documentation available in the record. This system is called a(n):

A computer-assisted coding.

B grouper.

C abstracting.

D encoder.

Question #39

A hybrid records management system:

A may be partially paper format.

B may be partially electronic.

C all of these.

D often has electronic signature capability.

Question #40

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 #41

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 data mining.

B updating software.

C technical support.

D interoperability.

Question #42

Which of the following is a driving force in the high cost of healthcare in the United States?

A Changes in Medicare/Medicaid rules

B The electronic health record

C Poor health outcomes

D New laws and regulations

Question #43

What tool compiles information from the EHR and creates a summary for the patient that utilizes lay terms and language?

A iHealth record

B Patient portal record

C Personal health record

D Interactive personal health record

Question #44

What application was established by the Veterans Administration in 2010 to allow patients to have access to portable health records?

A Black Button

B Blue Button

C Red Button

D Green Button

Question #45

Personal health records can be maintained in which of the following formats?

A All of these

B Web-based

C Paper

D Software-based

Question #46

Which of the following is NOT a legal document?

A EHR reports obtained from a patient portal

B Transfer care record

C Patient history and physical

D Personal health record

Question #47

Which individual or organization controls the patient portal?

A Patient

B Any of these

C Provider

D Facility

Question #48

Mary calls an area dermatologist to have a skin consultation set up for cancer evaluation. The staff lets her know that she must have a referral from her primary care provider before she can be seen. This is an example of a managed care plan that requires that a __________ (often a generalist) be the first point of contact for the patient.

A patient-centric provider

B gatekeeper

C physician consultant

D primary portal

Question #49

A patient and his primary care physician are viewing actual radiology images taken at an area tertiary care facility during his office visit in a rural partner hospital system. This remote viewing system is referred to as:

A CMS.

B DRGs.

C EHRs.

D PACS.

Question #50

Care that establishes a partnership among practitioners, patients, and their families to ensure that decisions reflect the patient’s preferences, including the solicitation of input on patient education, support, and decisionmaking, is:

A patient archiving.

B patient engagement.

C patient care continuum.

D patient data flow.

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