Test 2

A  uniformity, simplicity

B  simplicity, accessibility

C  clarity, complexity

A  It is permissible in certain circumstances

B  It is considered fraud and abuse

C  It is easily done

D  Nothing will happen

A  True

B  False

A  ORYX

B  HEDIS

C  NCQA

D  OASIS

A  Unified Medical Language System

B  RxNorm

C  Semantic Network

D  Lexicon

A  PDSA

B  FOCUS PDCA

C  Six Sigma

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

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

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

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

A  Data control

B  Data quantity

C  Quality assurance

D  Data quality

A  Bidirectional data flow

B  Multidirectional data flow

C  Data flow

D  Unidirectional data flow

A  Advance directive

B  Consents for treatment

C  Financial data

D  Lab results

A  Enterprise risk management

B  Serious incident

C  Sentinel event

D  Root-cause analysis

A  W. Edwards Deming

B  A. E. Codman

C  Philip Crosby

A  Coding

B  Administration management

C  Risk management

D  Accounting

A  30

B  15

C  60

D  45

A  Declining the request may violate the HIPAA Privacy Rule.

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

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

A  1989

B  1991

C  1990

D  1993

A  6 years

B  2 years

C  3 years

D  7 years

A  Numerical

B  Statistical

C  Data

A  False

B  True

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

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 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.

A  Chief complaint, exam, and medical decision making

B  History, review of systems, and exam

C  History, exam, and medical decision making

D  History, exam, and complexity

A  Case mix

B  Data mapping

C  Clinical data representation

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

C  To ensure health care coding quality

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

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

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

C  Records that are not completed within thirty days following discharge

D  Third party payer guidelines define delinquent records. 

A  Advance directives

B  Data storage

C  Retention

D  Destruction

A  2006

B  1996

C  2003

D  1988

A  Urinary tract infections

B  Central-line bloodstream infections

C  Viral infections

D  Class II wound infections

A  history, laboratory, medical decision making

B  family background, examination, medical decision making

C  history, examination, medical decision making

A  Chronic alcoholism

B  Acute accidents

C  Pregnancy and delivery

D  Heart attacks

A  1960s and 1970s

B  1940s and 1950s

C  1920s and 1930s

D  1980s and 1990s

A  Clinical terminology

B  Terminology

C  Nomenclature

D  Clinical vocabulary

A  Medical language

B  Clinical terminology

C  Vocabulary

D  Clinical vocabulary

A  The insurance company

B  The patient

C  The primary care physician

D  The hospital

A  Hospital chart

B  Clinical record

C  Medical record

D  All of these

A  False

B  True

A  3

B  5

C  2

D  4

A  Completeness

B  Information

C  Authorship

D  Authentication

A  6 years

B  2 years

C  3 years

D  5 years

A  eponyms

B  medical language

C  nomenclature

D  vocabulary

A  medical language

B  clinical vocabulary

C  clinical terminology

D  eponyms

A  medical language

B  vocabulary

C  eponyms

D  nomenclature

A  nomenclature

B  vocabulary

C  eponyms

D  medical language

A  clinical vocabulary

B  clinical terminology

C  medical language

D  eponyms

A  nomenclature

B  medical language

C  clinical terminology

D  clinical vocabulary

A  incident report

B  daily report

C  negligence report

A  Increase jobs in the IT field

B  Increase healthcare revenue

C  Improve the quality of care

D  Combat fraud and abuse in health care

A  Authorship, authentication, accuracy, and completeness

B  Authentication, accuracy, timeliness, and completeness

C  Authorship, authentication, timeliness, and completeness

A  SNDO and SNOMED

B  SNOP and ABC

C  ICD-10-CM and MS-DRG

D  ICD-10-CM and CPT

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 recognized system of preferred clinical or medical terminology.

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