Test 2

A  clarity, complexity

B  simplicity, accessibility

C  uniformity, simplicity

A  It is easily done

B  Nothing will happen

C  It is considered fraud and abuse

D  It is permissible in certain circumstances

A  True

B  False

A  ORYX

B  HEDIS

C  NCQA

D  OASIS

A  Semantic Network

B  RxNorm

C  Lexicon

D  Unified Medical Language System

A  FOCUS PDCA

B  Six Sigma

C  PDSA

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

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

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

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

A  Data quality

B  Data quantity

C  Quality assurance

D  Data control

A  Data flow

B  Unidirectional data flow

C  Bidirectional data flow

D  Multidirectional data flow

A  Financial data

B  Consents for treatment

C  Lab results

D  Advance directive

A  Root-cause analysis

B  Enterprise risk management

C  Sentinel event

D  Serious incident

A  A. E. Codman

B  W. Edwards Deming

C  Philip Crosby

A  Coding

B  Administration management

C  Accounting

D  Risk management

A  15

B  45

C  30

D  60

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  1991

B  1989

C  1993

D  1990

A  6 years

B  7 years

C  2 years

D  3 years

A  Data

B  Numerical

C  Statistical

A  False

B  True

A  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.

B  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.

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  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  Case mix

C  Clinical data representation

D  Data mapping

A  Lawrence Weed

B  Lawrence Green

C  Lawrence Reed

A  To ensure health care coding quality

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

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

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

A  Records that are not completed within thirty days following discharge

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

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

D  Third party payer guidelines define delinquent records. 

A  Advance directives

B  Data storage

C  Retention

D  Destruction

A  1988

B  2006

C  1996

D  2003

A  Central-line bloodstream infections

B  Urinary tract infections

C  Class II wound infections

D  Viral infections

A  family background, examination, medical decision making

B  history, laboratory, medical decision making

C  history, examination, medical decision making

A  Acute accidents

B  Pregnancy and delivery

C  Heart attacks

D  Chronic alcoholism

A  1980s and 1990s

B  1940s and 1950s

C  1920s and 1930s

D  1960s and 1970s

A  Terminology

B  Clinical terminology

C  Clinical vocabulary

D  Nomenclature

A  Vocabulary

B  Clinical terminology

C  Clinical vocabulary

D  Medical language

A  The patient

B  The insurance company

C  The primary care physician

D  The hospital

A  Clinical record

B  All of these

C  Medical record

D  Hospital chart

A  True

B  False

A  5

B  3

C  4

D  2

A  Information

B  Authentication

C  Completeness

D  Authorship

A  5 years

B  6 years

C  2 years

D  3 years

A  medical language

B  nomenclature

C  vocabulary

D  eponyms

A  eponyms

B  medical language

C  clinical terminology

D  clinical vocabulary

A  vocabulary

B  eponyms

C  medical language

D  nomenclature

A  vocabulary

B  medical language

C  nomenclature

D  eponyms

A  medical language

B  clinical vocabulary

C  eponyms

D  clinical terminology

A  clinical vocabulary

B  clinical terminology

C  nomenclature

D  medical language

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, accuracy, and completeness

B  Authorship, authentication, timeliness, and completeness

C  Authentication, accuracy, timeliness, and completeness

A  SNDO and SNOMED

B  ICD-10-CM and MS-DRG

C  ICD-10-CM and CPT

D  SNOP and ABC

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.