Test 2

A  uniformity, simplicity

B  simplicity, accessibility

C  clarity, complexity

A  It is considered fraud and abuse

B  Nothing will happen

C  It is easily done

D  It is permissible in certain circumstances

A  False

B  True

A  NCQA

B  HEDIS

C  OASIS

D  ORYX

A  Unified Medical Language System

B  Lexicon

C  RxNorm

D  Semantic Network

A  FOCUS PDCA

B  PDSA

C  Six Sigma

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

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

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

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

A  Data control

B  Quality assurance

C  Data quality

D  Data quantity

A  Data flow

B  Multidirectional data flow

C  Unidirectional data flow

D  Bidirectional data flow

A  Advance directive

B  Lab results

C  Consents for treatment

D  Financial data

A  Serious incident

B  Root-cause analysis

C  Enterprise risk management

D  Sentinel event

A  Philip Crosby

B  A. E. Codman

C  W. Edwards Deming

A  Risk management

B  Accounting

C  Administration management

D  Coding

A  60

B  15

C  30

D  45

A  Declining the request may violate the HIPAA Privacy Rule.

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

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

A  1993

B  1991

C  1989

D  1990

A  7 years

B  2 years

C  3 years

D  6 years

A  Numerical

B  Statistical

C  Data

A  True

B  False

A  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.

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

C  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.

D  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.

A  Chief complaint, exam, and medical decision making

B  History, review of systems, and exam

C  History, exam, and complexity

D  History, exam, and medical decision making

A  Encoding

B  Data mapping

C  Case mix

D  Clinical data representation

A  Lawrence Green

B  Lawrence Weed

C  Lawrence Reed

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

B  To ensure health care coding quality

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

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

A  Records that are not completed within thirty days following discharge

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

C  Third party payer guidelines define delinquent records. 

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

A  Advance directives

B  Retention

C  Destruction

D  Data storage

A  2006

B  2003

C  1988

D  1996

A  Urinary tract infections

B  Class II wound infections

C  Central-line bloodstream infections

D  Viral infections

A  family background, examination, medical decision making

B  history, laboratory, medical decision making

C  history, examination, medical decision making

A  Heart attacks

B  Chronic alcoholism

C  Pregnancy and delivery

D  Acute accidents

A  1960s and 1970s

B  1980s and 1990s

C  1920s and 1930s

D  1940s and 1950s

A  Terminology

B  Clinical terminology

C  Nomenclature

D  Clinical vocabulary

A  Clinical vocabulary

B  Vocabulary

C  Clinical terminology

D  Medical language

A  The hospital

B  The insurance company

C  The patient

D  The primary care physician

A  Medical record

B  Hospital chart

C  All of these

D  Clinical record

A  True

B  False

A  2

B  5

C  3

D  4

A  Authentication

B  Information

C  Authorship

D  Completeness

A  6 years

B  5 years

C  3 years

D  2 years

A  eponyms

B  vocabulary

C  medical language

D  nomenclature

A  eponyms

B  clinical terminology

C  clinical vocabulary

D  medical language

A  nomenclature

B  vocabulary

C  medical language

D  eponyms

A  eponyms

B  medical language

C  vocabulary

D  nomenclature

A  eponyms

B  clinical vocabulary

C  clinical terminology

D  medical language

A  clinical terminology

B  medical language

C  clinical vocabulary

D  nomenclature

A  incident report

B  daily report

C  negligence report

A  Combat fraud and abuse in health care

B  Increase healthcare revenue

C  Improve the quality of care

D  Increase jobs in the IT field

A  Authorship, authentication, timeliness, and completeness

B  Authentication, accuracy, timeliness, and completeness

C  Authorship, authentication, accuracy, and completeness

A  ICD-10-CM and CPT

B  SNOP and ABC

C  ICD-10-CM and MS-DRG

D  SNDO and SNOMED

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

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

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

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