Test 2

A  simplicity, accessibility

B  uniformity, simplicity

C  clarity, complexity

A  It is permissible in certain circumstances

B  It is easily done

C  It is considered fraud and abuse

D  Nothing will happen

A  False

B  True

A  NCQA

B  HEDIS

C  OASIS

D  ORYX

A  Lexicon

B  Unified Medical Language System

C  RxNorm

D  Semantic Network

A  FOCUS PDCA

B  Six Sigma

C  PDSA

A  It is necessary to implement a specific “blueprint” or standard for the future

B  Current health care systems are well organized to meet the challenges of continuity of care.

C  There is a shift from care of chronic illnesses to care of acute illnesses.

D  Current health care systems are more devoted to dealing with acute, episodic conditions.

A  Data quality

B  Quality assurance

C  Data quantity

D  Data control

A  Bidirectional data flow

B  Unidirectional data flow

C  Data flow

D  Multidirectional data flow

A  Consents for treatment

B  Advance directive

C  Lab results

D  Financial data

A  Root-cause analysis

B  Sentinel event

C  Serious incident

D  Enterprise risk management

A  A. E. Codman

B  Philip Crosby

C  W. Edwards Deming

A  Coding

B  Accounting

C  Risk management

D  Administration management

A  60

B  45

C  15

D  30

A  The health care record belongs to the facility, and it cannot be mandated to produce the records.

B  Paper-based charts must be reproduced for the patient, but electronic data is exempt from this ruling.

C  Declining the request may violate the HIPAA Privacy Rule.

A  1991

B  1993

C  1989

D  1990

A  3 years

B  7 years

C  2 years

D  6 years

A  Statistical

B  Data

C  Numerical

A  False

B  True

A  A group of high performers with recognized skills in quality management who meet to analyze and solve work-related problems and to recommend solutions to other departments.

B  A recognition program for the highest performers in the organization. This group then meets on a regular basis to analyze and solve work-related problems and to recommend solutions to other departments.

C  A small group of workers who perform similar work and who meet regularly to analyze and solve work-related problems and to recommend solutions to management.

D  A small group of workers from various departments who meet monthly to analyze and solve work-related problems and to recommend solutions to management.

A  History, exam, and medical decision making

B  Chief complaint, exam, and medical decision making

C  History, review of systems, and exam

D  History, exam, and complexity

A  Clinical data representation

B  Case mix

C  Data mapping

D  Encoding

A  Lawrence Green

B  Lawrence Reed

C  Lawrence Weed

A  To develop scientific evidence that enables health care decision makers to reach more informed health care choices

B  To ensure health care coding quality

C  To serve on a consulting basis to health care facilities to assist in improving the quality of care

D  To accredit health care facilities that meet very stringent criteria that demonstrate they are meeting or exceeding the standards of care

A  Records that are not completed within thirty days following discharge

B  Third party payer guidelines define delinquent records. 

C  The Centers for Medicare and Medicaid Services define delinquent records.

D  The provider’s medical staff bylaws, rules, and regulations outline are what define a delinquent record.

A  Retention

B  Data storage

C  Destruction

D  Advance directives

A  2006

B  1996

C  2003

D  1988

A  Central-line bloodstream infections

B  Class II wound infections

C  Urinary tract infections

D  Viral infections

A  history, laboratory, medical decision making

B  history, examination, medical decision making

C  family background, examination, medical decision making

A  Heart attacks

B  Pregnancy and delivery

C  Acute accidents

D  Chronic alcoholism

A  1940s and 1950s

B  1920s and 1930s

C  1980s and 1990s

D  1960s and 1970s

A  Nomenclature

B  Terminology

C  Clinical terminology

D  Clinical vocabulary

A  Clinical terminology

B  Clinical vocabulary

C  Vocabulary

D  Medical language

A  The hospital

B  The patient

C  The insurance company

D  The primary care physician

A  Medical record

B  Clinical record

C  Hospital chart

D  All of these

A  False

B  True

A  3

B  2

C  5

D  4

A  Authorship

B  Information

C  Completeness

D  Authentication

A  2 years

B  6 years

C  3 years

D  5 years

A  nomenclature

B  vocabulary

C  medical language

D  eponyms

A  medical language

B  clinical terminology

C  clinical vocabulary

D  eponyms

A  vocabulary

B  nomenclature

C  eponyms

D  medical language

A  medical language

B  nomenclature

C  vocabulary

D  eponyms

A  medical language

B  eponyms

C  clinical terminology

D  clinical vocabulary

A  medical language

B  nomenclature

C  clinical vocabulary

D  clinical terminology

A  incident report

B  daily report

C  negligence report

A  Increase healthcare revenue

B  Increase jobs in the IT field

C  Improve the quality of care

D  Combat fraud and abuse in health care

A  Authentication, accuracy, timeliness, and completeness

B  Authorship, authentication, timeliness, and completeness

C  Authorship, authentication, accuracy, and completeness

A  SNDO and SNOMED

B  SNOP and ABC

C  ICD-10-CM and CPT

D  ICD-10-CM and MS-DRG

A  It is a grouping of several items that have one or more common denominators.

B  It is a recognized system of preferred clinical or medical terminology.

C  It is a systematic listing of proper names for concepts, items, actions, and other aspects of a particular area of interest or knowledge.

D  It is the process by which a numeric code listed in a classification system is assigned to data found in the health record.