Healthcare Data Management
Exam QUESTIONS WITH CORRECT
SOLUTIONS||100% GUARANTEED
PASS||UPDATED 2026/2027
SYLLABUS||ALREADY GRADED
A+||<<RECENT VERSION>>
Which component of the patient portal is the ability to see a doctor's availability? -
ANSWER ✓ Scheduling
A patient was admitted to an acute care facility while on vacation, but records
from his physician's office cannot be immediately obtained. The patient has
difficulty remembering his insulin dosage, but he recalls being enrolled in a patient
portal.
Where would information about the patient's insulin dosage be found within this
portal? - ANSWER ✓ Medication history
Which form of review is conducted following the discharge of a patient from an
acute care facility to obtain information about trends and patterns of
documentation? - ANSWER ✓ Closed-record review
A hospital uses a filing system for permanent storage of paper-based health
records. The records are filed according to a three-part number made up of two-
digit pairs.
Which type of system is this? - ANSWER ✓ Terminal-digit filing system
H&P - ANSWER ✓ History and Physical, a document that records a patient's
medical history and physical examination findings
,MAR - ANSWER ✓ Medication Administration Record, a document that tracks
medications administered to a patient
MPI - ANSWER ✓ Master Patient Index, a database that maintains patient
information to avoid duplicate records
SOAP progress note - ANSWER ✓ A documentation format that includes
Subjective, Objective, Assessment, and Plan components
Discharge summary - ANSWER ✓ A document summarizing a patient's hospital
stay and treatment upon discharge
Data governance steering committee - ANSWER ✓ A group responsible for
overseeing data governance policies and practices
Integrity - ANSWER ✓ The accuracy and consistency of data over its lifecycle
Data dictionary - ANSWER ✓ A tool that defines data elements and their
relationships within a system
Data steward - ANSWER ✓ An individual responsible for maintaining data
accuracy and standards
A patient went to the emergency room complaining of chest pain and was released
home 4 hours later.
Which type of documentation is required in this scenario? - ANSWER ✓
Discharge orders
A physician in an acute care facility is performing a H&P in accordance with
CMS Conditions and Participation.
Within how many days prior to admission must the H&P be performed and within
how many hours must the H&P be placed in the patient's record after admission? -
ANSWER ✓ 30 days; 24 hours
, A patient is ready to leave the emergency room but will need discharge orders
before leaving.
How should the discharge orders be communicated to this patient? - ANSWER ✓
A physician should issue the order in writing
Which component of the medical record do the Centers for Medicare and
Medicaid Services (CMS) Conditions of Participation require to be completed no
more than 30 days before or 24 hours after admission? - ANSWER ✓ History and
physical
Which type of consent is a patient asked to sign prior to undergoing a scheduled
gallbladder surgery? - ANSWER ✓ Informed consent
Where does a nurse document that a patient is given an oral dose of Coumadin 1
mg while hospitalized? - ANSWER ✓ Medication administration record
Which person's signature must be included on a consent form? - ANSWER ✓
Patient
In a physician's practice, a doctor is attempting to submit a claim to Medicare, but
the system is experiencing an outage.
Which form would this doctor use to submit a paper claim? - ANSWER ✓ CMS-
1500
Which guideline should an HIM professional use for documentation of both paper
and electronic records? - ANSWER ✓ The original documents should be
maintained in the health record.
In which time frame should the history and physical be completed after a patient is
admitted to an inpatient heath care facility? - ANSWER ✓ No more than 30 days
before or 24 hours after admission
Which type of information can be found in a physician's orders? - ANSWER ✓
Written or verbal requests for treatment, tests, procedures, and medications