QUESTION 49

Movable files are also known as:

	a.	compressible files
	b.	closed files
	c.	open files
	d.	lateral files

2 points

QUESTION 50

Problem Number	Diagnosis	Date of Onset	Date Resolved
1	Hypertension	12/05/XX
2	Diabetes	1/3/XX
3	Urinary Tract Infection	2/25/XX	3/10/XX
4	Respiratory Infection	4/5/XX	4/15/XX

The above information would be recorded as part of a:

	a.	database
	b.	diagnostic plan
	c.	initial plan
	d.	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?

	a.	CPT
	b.	CDT
	c.	HCPCS
	d.	ICD-9-CM/ICD-10-CM

2 points

QUESTION 52

Which filing order saves time in processing discharged records?

	a.	reverse chronological order
	b.	date order
	c.	chronological order
	d.	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?

	a.	An automated MPI is less expensive than a manual master patient index.
	b.	Staff training time is decreased when an automated MPI is implemented.
	c.	The security of information is increased when an automated MPI is implemented.
	d.	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:

	a.	The Joint Commission
	b.	CARF
	c.	AAAHC
	d.	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 Dans medical information, which includes treatment for alcohol abuse, depression, and documentation of therapy and treatment. This information would most accurately be referred to as:

	a.	ambulatory care information
	b.	social work information
	c.	behavioral health information
	d.	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.

	a.	01-31-40, 02-36-40, 01-30-49, 02-30-49, 03-40-50, 20-39-50
	b.	01-30-49, 01-31-40, 02-30-49, 02-36-40, 03-40-50, 20-39-50
	c.	01-31-40, 02-36-40, 01-30-49, 02-30-49, 03-40-50, 20-39-50
	d.	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:

	a.	surgery index
	b.	master patient index
	c.	number index
	d.	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?

	a.	disaster control
	b.	risk management
	c.	safety
	d.	utilization review

2 points

QUESTION 59

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

	a.	health information
	b.	medical
	c.	admission
	d.	finance

2 points

QUESTION 60

Which organization currently provides voluntary accreditation of health care organizations?

	a.	ACS
	b.	AMA
	c.	The Joint Commission
	d.	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?

	a.	health care finance
	b.	ICD-9-CM/ICD-10-CM coding
	c.	Medicare regulations
	d.	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?

	a.	credentials
	b.	infection control
	c.	tissue review
	d.	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?

	a.	master patient index
	b.	disease index
	c.	procedure index
	d.	operative index

2 points

QUESTION 64

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

	a.	AHIMA
	b.	WHO
	c.	CMS
	d.	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?

	a.	20 inches
	b.	30 inches
	c.	70 inches
	d.	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.

	a.	nonscheduled
	b.	nonemergency
	c.	planned
	d.	emergency

2 points

QUESTION 67

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

	a.	objective
	b.	plan
	c.	subjective
	d.	assessment

2 points

QUESTION 68

With alphabetic filing, which name is filed first?

	a.	Barbara Polly Kim
	b.	B. Kim
	c.	B. Polly Kim
	d.	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?

	a.	14
	b.	13
	c.	15
	d.	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?

	a.	health care proxy form
	b.	living will
	c.	standing order
	d.	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.

	a.	7 hours
	b.	24 hours
	c.	48 hours
	d.	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?

	a.	02-345678, 03-345678
	b.	02-345678, 05-345678
	c.	01-345678-02, 01-345678-05
	d.	01-345679, 01-345683

2 points

QUESTION 73

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

	a.	patients admission
	b.	discharge diagnosis
	c.	date of birth
	d.	admission diagnosis

2 points

QUESTION 74

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

	a.	ophthalmology
	b.	urology
	c.	dermatology
	d.	gynecology

2 points

QUESTION 75

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

	a.	stayed constant until 1999
	b.	increased
	c.	decreased
	d.	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:

	a.	2.3%
	b.	5.4%
	c.	7.2%
	d.	3.8%

2 points

QUESTION 77

ABC Insurance has requested a copy of Sally Smiths 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:

	a.	$325.00
	b.	$200.00
	c.	all of the charges
	d.	$50.00

2 points

QUESTION 78

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

	a.	American Medical Association .
	b.	American Hospital Association.
	c.	American College of Surgeons.
	d.	National Medical Association.

2 points

QUESTION 79

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

	a.	Genetic Information Nondiscrimination Act
	b.	Deficit Reduction Act
	c.	American Recovery and Reinvestment Act
	d.	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?

	a.	independent database files
	b.	digital signature log
	c.	public key cryptography
	d.	audit trail

2 points

QUESTION 81

In consecutive numeric filing, records are filed in chronological order according to the patients 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 healths 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 patients 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 patients 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 organizations policies and procedures covering privacy of and access to patient health information.

True

False