Exam 3

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Question #1

Which of the following is NOT a qualifying factor to sit for the CCS credential?

A RHIT, RHIA, or CCA credential

B Master’s in health informatics

C Successful completion of a coding certificate program

D 2 years’ coding experience

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

C EHRs are less expensive.

D EHRs take less time for the physician to access.

Question #3

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

A insurance company.

B attorney.

C guarantor.

D care giver.

Question #4

Healthcare professional refers to:

A a doctor.

B a nurse, medical assistant, or other technician.

C HIM personnel.

D a third-party payer.

Question #5

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 #6

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

A Boundaries between these fields are static.

B Education in both fields can be a shared endeavor.

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

D Each field has a specific focus.

Question #7

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

A 1990s.

B 2000s.

C 1970s.

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 1979

B 1980

C 1900

D 1989

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 health informatics.

B health information management.

C bio-informatics.

D all of these.

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 Bill of Rights.

B Healthcare Bill of Rights.

C Patient’s Bill of Rights.

D Notice of Privacy Practices.

Question #12

Disaster planning was initially required under which act of Congress?

A Medical Care Act of 1965

B Employee Health Care Protection Act of 2013

C Health Insurance Portability and Accountability Act of 1996

D The Affordable Care Act of 2010

Question #13

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

A Insurance

B Administrative

C Clinical

D Reimbursement

Question #14

How often is maintenance performed on the MPI?

A Bi-weekly

B Continuously

C Monthly

D Bi-annually

Question #15

Clinical data in a chart refer to:

A insurance data.

B administrative data.

C medical data.

D demographic data.

Question #16

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 The data are never changed.

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

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

Question #17

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

A paper records.

B tape backup.

C none of these.

D cloud services.

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 Systemized

B Decentralized

C Centralized

D Localized

Question #19

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

A An EHR to keep track of each patient encounter

B A record of each patient divided into individual encounters

C An index card with each patient’s contact information

D A file cabinet for storing patient records

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 age

B Patient name

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 Integrity

B Security

C Privacy

D Confidentiality

Question #22

The Omnibus Rule provides for all of the following EXCEPT:

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

B enhanced privacy rules.

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 2016

B 2017

C 2014

D 2015

Question #24

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

A 2016

B 2018

C 2017

D 2015

Question #25

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

A HIPD.

B HPID.

C NPI.

D PID.

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 set rule.

B coding rule.

C code rule.

D administrative rule.

Question #27

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

A Administrative rule

B Security rule

C Privacy 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 accredited.

B approved.

C licensed.

D accepted.

Question #29

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

A scope and frequency of review.

B medical necessity admissions.

C composition of the UR committee.

D discharge planning evaluation.

Question #30

All of the following are TRUE about accrediting bodies EXCEPT:

A they are voluntary standards.

B they apply to organizations rather than individuals.

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

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

Question #31

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

A Number of valid requests

B Number of breaches in disclosure

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 Encoding

B Computer-assisted coding

C Master Patient Index

D Grouping

Question #33

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

A Identification of the legal record by the facility

B All of these

C Identification of the designated record set by the facility

D Appropriate authorization process

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 All of these

B Release of information audits

C Patient portal

D Master Patient Index

Question #35

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

A Medicaid

B Blue Cross

C Blue Shield

D Medicare

Question #36

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 #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 logic-based encoder.

B logic-based grouper.

C book-based encoder.

D none of these.

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 grouper.

B computer-assisted coding.

C abstracting.

D encoder.

Question #39

A hybrid records management system:

A often has electronic signature capability.

B may be partially electronic.

C may be partially paper format.

D all of these.

Question #40

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 #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 interoperability.

C updating software.

D technical support.

Question #42

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

A New laws and regulations

B Poor health outcomes

C Changes in Medicare/Medicaid rules

D The electronic health record

Question #43

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

A Patient portal record

B iHealth 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 Green Button

C Red Button

D Blue Button

Question #45

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

A Software-based

B All of these

C Paper

D Web-based

Question #46

Which of the following is NOT a legal document?

A EHR reports obtained from a patient portal

B Patient history and physical

C Transfer care record

D Personal health record

Question #47

Which individual or organization controls the patient portal?

A Any of these

B Facility

C Provider

D Patient

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 primary portal

B physician consultant

C patient-centric provider

D gatekeeper

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 engagement.

B patient care continuum.

C patient archiving.

D patient data flow.

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