QUESTION 49 Movable files are also known as: compressible files closed files ope

Question

QUESTION 49

Movable files are also known as:

compressible files

closed files

open files

lateral files

2 points   

QUESTION 50

1

2

3

4

The above information would be recorded as part of a:

database

diagnostic plan

initial plan

problem list

2 points   

QUESTION 51

Which coding system is used in the United States to collect information about diseases and injuries and to classify diagnoses and procedures?

CPT

CDT

HCPCS

ICD-9-CM/ICD-10-CM

2 points   

QUESTION 52

Which filing order saves time in processing discharged records?

reverse chronological order

date order

chronological order

universal chart order

2 points   

QUESTION 53

The director of the HIM department at Sunny Valley Hospital needs to prepare a presentation for the finance committee to convince them to fund an automated MPI system. Which statement would best support her argument?

An automated MPI is less expensive than a manual master patient index.

Staff training time is decreased when an automated MPI is implemented.

The security of information is increased when an automated MPI is implemented.

An automated MPI allows for rapid retrieval of patient information.

2 points   

QUESTION 54

Since 1951, the organization that has developed professionally based standards to evaluate the compliance of health care organizations is the:

The Joint Commission

CARF

AAAHC

NCQA

2 points   

QUESTION 55

Dan Smith has recently moved to a new town. He calls Dr. Jones’ office to make an appointment for an annual history and physical. It is the policy of Dr. Jones’ office to have all new patients request information from their previous health care providers and forward copies to the office prior to their first visit. Dr. Jones reviews Dan’s medical information, which includes treatment for alcohol abuse, depression, and documentation of therapy and treatment. This information would most accurately be referred to as:

ambulatory care information

social work information

behavioral health information

case conference information

2 points   

QUESTION 56

Arrange the following numbers in middle-digit order: 01-30-49, 01-31-40, 02-30-49, 02-36-40, 20-39-50, 03-40-50.

01-31-40, 02-36-40, 01-30-49, 02-30-49, 03-40-50, 20-39-50

01-30-49, 01-31-40, 02-30-49, 02-36-40, 03-40-50, 20-39-50

01-31-40, 02-36-40, 01-30-49, 02-30-49, 03-40-50, 20-39-50

01-30-49, 02-30-49, 01-31-40, 02-36-40, 20-39-50, 03-40-50

2 points   

QUESTION 57

Ms. RHIT is given an alphabetical listing of patients who had surgery during the time period January 2 through March 1. She needs to determine their patient numbers and pull the records. Her first step would be to reference the:

surgery index

master patient index

number index

surgery schedule

2 points   

QUESTION 58

Which committee ensures patient safety by analyzing trends of incidents and establishing priorities for dealing with high-risk areas?

disaster control

risk management

safety

utilization review

2 points   

QUESTION 59

Calculating health care statistics is commonly a function of the _____ department.

health information

medical

admission

finance

2 points   

QUESTION 60

Which organization currently provides voluntary accreditation of health care organizations?

ACS

AMA

The Joint Commission

World Health Organization

2 points   

QUESTION 61

Susan Clerk works in the admissions office at Hillcrest Medical Center, a large teaching hospital. She would like to obtain a job in the HIM department entering and abstracting data from the disease and procedure indexes for various projects. The hospital offers “minicourses” on a variety of topics. Which course topics would apply to the job she hopes to obtain?

health care finance

ICD-9-CM/ICD-10-CM coding

Medicare regulations

ICD-9-CM/ICD-10-CM and CPT/HCPCS coding

2 points   

QUESTION 62

Which medical staff committee is responsible for the review of preoperative and pathologic diagnosis to determine the necessity of surgery?

credentials

infection control

tissue review

joint conference

2 points   

QUESTION 63

Hillcrest Hospital is writing a retention policy for the health information management (HIM) department. Which index must be retained permanently?

master patient index

disease index

procedure index

operative index

2 points   

QUESTION 64

The Joint Commission and _____ work together to standardize common measures called the National Hospital Quality Measures.

AHIMA

WHO

CMS

AMA

2 points   

QUESTION 65

A filing unit has six shelves and holds 180 inches of filing. How many inches of filing does each shelf hold?

20 inches

30 inches

70 inches

60 inches

2 points   

QUESTION 66

Hillcrest Health System includes an acute care hospital, a nursing facility, and primary care clinics. All records are stored in the HIM department, thus making the file area very active. For scheduled visits to primary care providers, records must be requisitioned 24 hours in advance. This is a(n) ____ requisition.

nonscheduled

nonemergency

planned

emergency

2 points   

QUESTION 67

Dr. Jones records the following information in the ____ section of a patient’s SOAP note: BP is 120/74. Temperature is 100°F. Upon examination, lungs are clear but patient has nasal congestion.

objective

plan

subjective

assessment

2 points   

QUESTION 68

With alphabetic filing, which name is filed first?

Barbara Polly Kim

B. Kim

B. Polly Kim

Brenda Polly Kim

2 points   

QUESTION 69

Sunny View Hospital is purchasing new filing equipment. The number of linear filing inches storing current patient records is 1,600. The projected five-year expansion of the files is 600. The shelving unit to be purchased has five shelves with 30 inches of storage on each shelf. How many units are needed?

14

13

15

14.66

2 points   

QUESTION 70

Mark Smith, a victim of a motor vehicle accident, has instructed his physician that, if he stops breathing or his heartbeat stops, he does not want to be revived. The physician should complete which of the following for the patient?

health care proxy form

living will

standing order

do not resuscitate order

2 points   

QUESTION 71

The Joint Commission requires that the history and physical examination be documented in the patient record within ____ of inpatient admission.

7 hours

24 hours

48 hours

72 hours

2 points   

QUESTION 72

Happy Hospital uses the family numbering system. Tom Short is considered the head of the household and is assigned patient number 01-345678. What numbers would be assigned to his wife and third-born child, respectively?

02-345678, 03-345678

02-345678, 05-345678

01-345678-02, 01-345678-05

01-345679, 01-345683

2 points   

QUESTION 73

A common item not found on an admission data entry screen is the:

patient’s admission

discharge diagnosis

date of birth

admission diagnosis

2 points   

QUESTION 74

Dr. Jones has examined Tom Smith’s eye and determined that Tom has a suspicious area on the cornea. Dr. Jones refers Tom to an eye specialist in the field of:

ophthalmology

urology

dermatology

gynecology

2 points   

QUESTION 75

Between 1996 and 2006, the number of ambulatory care visits in the United States has:

stayed constant until 1999

increased

decreased

remained the same

2 points   

QUESTION 76

During the month of May there were 130 births, of which 127 were full-term births and three were premature births. There were five newborn deaths. The newborn death rate is:

2.3%

5.4%

7.2%

3.8%

2 points   

QUESTION 77

ABC Insurance has requested a copy of Sally Smith’s inpatient record to reconcile the documentation in the record with a claim submitted by Sunny View Hospital for $200.00 of laboratory services and $325.00 of radiology services. Upon review of the record, ABC Insurance has determined that the laboratory report does not contain documentation for a laboratory test billed at $50.00. ABC Insurance Company would deny payment for:

$325.00

$200.00

all of the charges

$50.00

2 points   

QUESTION 78

To advance the health of individuals and communities, hospitals and health care networks are represented by the

American Medical Association

.

American Hospital Association.

American College of Surgeons.

National Medical Association.

2 points   

QUESTION 79

The Medicaid Integrity Program, a fraud and abuse detection program, was established by the:

Genetic Information Nondiscrimination Act

Deficit Reduction Act

American Recovery and Reinvestment Act

Hill-Burton Act

2 points   

QUESTION 80

Sunny Valley Hospital has an electronic health record system. The health information management (HIM) department has been asked by the quality management department to monitor the number of times that providers make corrections in patient documentation. Which of the following would provide information that can be used by the HIM department to monitor the electronic record transactions?

independent database files

digital signature log

public key cryptography

audit trail

2 points   

QUESTION 81

In consecutive numeric filing, records are filed in chronological order according to the patient’s birth date.

True

False

2 points   

QUESTION 82

In consecutive numeric filing, records are filed in strict chronological order according to patient number.

True

False

2 points   

QUESTION 83

A lateral file resembles a bookshelf and provides twice as much space as an open-shelf file.

True

False

2 points   

QUESTION 84

Patient records are filed in one location in the filing system when a unit or serial unit numbering system is used.

True

False

2 points   

QUESTION 85

A serial numbering system does not require computer software to track the assignment of patient numbers.

True

False

2 points   

QUESTION 86

In a family numbering system, each family member is given a two-digit modifier that serves as a prefix (or suffix) to the household patient number.

True

False

2 points   

QUESTION 87

The process of translating data into information utilized for an application is data warehousing.

True

False

2 points   

QUESTION 88

Electrocardiogram (EKG) reports include a graphic printout of measurements of the electrical activity of the brain.

True

False

2 points   

QUESTION 89

An imaging center is a freestanding facility that provides radiographic, magnetic resonance imaging (MRI), and positron-emission tomography (PET) services to ambulatory patients.

True

False

2 points   

QUESTION 90

The death certificate is usually filed with a state department of health’s office of vital statistics within five days.

True

False

2 points   

QUESTION 91

Since the early 1980s, the provision of outpatient services has decreased.

True

False

2 points   

QUESTION 92

The history of the present illness is the patient’s own description of his or her current medical condition.

True

False

2 points   

QUESTION 93

Antyllos, a Roman physician appointed to treat gladiators, gained anatomical insight by tending to their fractures and wounds.

True

False

2 points   

QUESTION 94

Hospital administrators are responsible for appointing medical staff members.

True

False

2 points   

QUESTION 95

Continuous quality improvement (QI) plays an important role in data quality.

True

False

2 points   

QUESTION 96

Demographic data is a type of clinical data that identifies a patient’s medical condition.

True

False

2 points   

QUESTION 97

A coding and reimbursement specialists must have working knowledge of CPT and ICD-9-CM/ICD-10-CM coding systems.

True

False

2 points   

QUESTION 98

In 1918, just 89 of 692 hospitals surveyed as part of the Hospital Standardization Program met requirements of the Minimum Standard for Hospitals.

True

False

2 points   

QUESTION 99

Alphabetic filing expands the files evenly when new records are added.

True

False

2 points   

QUESTION 100

Demographic data is documented on the face sheet of a manual patient record.

True

False

2 points   

QUESTION 101

Medical transcriptionists are credentialed by AHDI.

True

False

2 points   

QUESTION 102

HL7 is a standards development organization that develops electronic health record (EHR) standards.

True

False

2 points   

QUESTION 103

The preparation of a final meeting agenda is the joint responsibility of the committee chairperson and secretary.

True

False

2 points   

QUESTION 104

An index is an organized system for the collection and dissemination of information on individual persons who have a particular disease.

True

False

2 points   

QUESTION 105

An admission note documented by the attending physician can replace a dictated history and physical examination.

True

False

2 points   

QUESTION 106

Third-party payer information is classified as financial data, and it is obtained from the patient at admission.

True

False

2 points   

QUESTION 107

Family support services assist families in caring for patients.

True

False

2 points   

QUESTION 108

Alphabetic filing systems are easy to learn, and staff can be trained quickly.

True

False

2 points   

QUESTION 109

A principal procedure is performed for definitive or therapeutic reasons.

True

False

2 points   

QUESTION 110

Color coding allows misfiles to be easily identified.

True

False

2 points   

QUESTION 111

A licensed nurse is required to have a public license to deliver care to patients.

True

False

2 points   

QUESTION 112

Coding is the assignment of numbers to diagnosis, services, and procedures, based on patient record documentation.

True

False

2 points   

QUESTION 113

The primary purpose of the Joint Commission is the mandatory accreditation of health care facilities.

True

False

2 points   

QUESTION 114

Ambulatory patient is another name for outpatient.

True

False

2 points   

QUESTION 115

A patient record serves as a business record for the patient encounter and contains administrative and clinical data.

True

False

2 points   

QUESTION 116

Health information professionals will play a major role in the transformation from a paper patient record environment to a virtual electronic environment.

True

False

2 points   

QUESTION 117

A consultation includes the examination of a patient by a specialist, who also provides an opinion or advice.

True

False

2 points   

QUESTION 118

The number of inpatients present at census taking time is called the daily census count.

True

False

2 points   

QUESTION 119

Source-oriented records consist of a database, problem list, and initial plan.

True

False

2 points   

QUESTION 120

A privacy officer oversees activities that relate to the development, implementation, maintenance of, and adherence to the organization’s policies and procedures covering privacy of and access to patient health information.

True

False

a.

compressible files

b.

closed files

c.

open files

d.

lateral files

Explanation / Answer

49) (d) lateral files

50) (a) Database

51) (d). ICD-9CM/ ICD-10-CM

52) (c). Chronological order

53) (b)

54) (a)

55) (c)

56) (d)

57) (d)

58) (a)

59) (c)

60) (b)

61) (c)

62) (b)

63) (a)

64) (c)

65) (b)

66) (c)

67) (b)

68) (a)

69) (c)

70) (d)

71) (b) 24hours

72) (a) 02-345678, 03-345678

73) (b) discharge diagnosis

74) (a) ophthalmology

75) (b) Increased

76) (d) 3.8%

77) (d) $50.00

78) (b) American Hospital Association

79) (b) Deficit Reduction Act

80) (d) audit trail

81) False

82) True

83) False

84) True

85) True

86) True

87) False

88) False

89) True

90) True

91) False

92) False

93) True

94) False

95) True

96) False

97) True

98) True

99) True

100) True

101) True

102) True

103) True

104) False

105) False

106) True

107) True

108) True

109) True

110) True

111) True

112) False

113) True

114) True

115) True

116) True

117) True

118) False

119) False

120) True

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