WGU C802 TXM1 NEEDS & EHR
VENDOR FINAL TEST 2026 QUESTIONS
WITH CORRECT ANSWERS GRADED A+
◍ Stark Law (or Physician Self-Referral Law).
Answer: Prohibits a physician from referring certain health service to "an
entity in which the physician (or member of immediate family) has an
ownership or investment or with which the physician has a compensation
arrangement, unless an exception applies"
◍ Advance Directive.
Answer: A written document, such as a living will, that states the patient's
preferences for care in the event that the patients condition prevents him or
her from making care decisions.
◍ STEEEP.
Answer: making changes for better quality care. this can also stop a change
to try something else.
◍ Fraud.
Answer: An intentional or deliberate deception or misrepresentation that an
individual makes in order to receive additional benefits.
◍ Strategic Planning.
Answer: * Describe needs to be met in the form of goals for the system. *
Identify challenges that must be addressed in specifying the systems design
requirements. These challenges can often be identified through an
environmental scan. * Document the design of the health information
system in a migration path that provides a reference point for acquiring and
implementing the components of the health information system. * Establish
maintenance requirements for the system. * Put forth a monitoring program
, that assures the goals for the system are being met; and if they are not, take
steps to examine new needs, specify requirements for addressing new needs,
design and implement changes in the system, and keep those changes
current and appropriate for continuous goal achievement.
◍ Critical Path.
Answer: Shows the longest amount of time to complete the project. if key
task along the critical path are delayed, the critical path itself lengthens, thus
lengthening the duration of the project.
◍ Past Medical History.
Answer: Summary of childhood and adult illnesses and conditions, such as
infectious diseases, pregnancies, allergies and drug sensitivities, accidents,
operations, hospitalizations, and current medications.
◍ Lean.
Answer: used to eliminate waste
◍ Time Frame for Health and Physical.
Answer: 24 hours following admission and require that the history and
physical be completed by the practitioner who is admitting the patient. CMS
Conditions of participation require that the h&P be completed no more the
30 days before or 24 hours after admission and the report must be placed in
the record with 24 hours after admission.
◍ Qualitative Analysis.
Answer: In qualitative analysis, HIM personnel carefully review the quality
and adequacy of record documentation and ensure that it is an accordance
with the policies, rules, and regulations established by the facility; the
standards of licensing and accreditity bodies; and government requirements.
◍ Adverse selection.
Answer: When the buyer and seller do not have the same information and
you get cost below true cost of need.
◍ System Selection Process Steps.
Answer: * Planning* Organization of the project* Defining scope of
, project* System Analysis* Request for Proposal (RFP)* Evaluation of
Systems* Selection of a System* Contract Negotiation
◍ Continuous Speech Input.
Answer: Does not require the user to pause between words to let the
computer distinguish between the beginning and ending of words. However,
the user is required to be careful in the enunciation of words.
◍ Federal and State laws to punish (civil and criminal) and deter fraud.
Answer: * Health Care Fraud Statue (criminal)*False Claims Act*Red Flags
Rule*Exclusion Provisions*Civil Monetary Penalties Law
◍ Elements of a compliance plan.
Answer: * Benchmarking* Longitudinal Studies* Regular Reporting
◍ Government regulations.
Answer: helps reduce harm to healthcare patients and employees
◍ Computer-Assisted Coding (CAC).
Answer: System requires the health record to be electronic for the system to
have the clinical data to analyze. I uses Natural Language Processing to
analyze clinical data to identify diagnoses and procedures and to assign the
appropriate ICD-10-CM, ICD-10-PCS, and CPT code to the system.
◍ Encoder.
Answer: Used by coders to select the appropriate code for the diagnosis(es)
and procedure(s) supported by the medical record.
◍ DECIDE.
Answer: a decision making approach
◍ Steps for the Implementation Process.
Answer: * Site and space preparation* Installation of hardware, software,
and networks* Programming Modifications to Software* User
configurations and settings* Interface development* Report Design* Screen
Design* Testing* Training* Go-Live* Evaluation
◍ payers.
VENDOR FINAL TEST 2026 QUESTIONS
WITH CORRECT ANSWERS GRADED A+
◍ Stark Law (or Physician Self-Referral Law).
Answer: Prohibits a physician from referring certain health service to "an
entity in which the physician (or member of immediate family) has an
ownership or investment or with which the physician has a compensation
arrangement, unless an exception applies"
◍ Advance Directive.
Answer: A written document, such as a living will, that states the patient's
preferences for care in the event that the patients condition prevents him or
her from making care decisions.
◍ STEEEP.
Answer: making changes for better quality care. this can also stop a change
to try something else.
◍ Fraud.
Answer: An intentional or deliberate deception or misrepresentation that an
individual makes in order to receive additional benefits.
◍ Strategic Planning.
Answer: * Describe needs to be met in the form of goals for the system. *
Identify challenges that must be addressed in specifying the systems design
requirements. These challenges can often be identified through an
environmental scan. * Document the design of the health information
system in a migration path that provides a reference point for acquiring and
implementing the components of the health information system. * Establish
maintenance requirements for the system. * Put forth a monitoring program
, that assures the goals for the system are being met; and if they are not, take
steps to examine new needs, specify requirements for addressing new needs,
design and implement changes in the system, and keep those changes
current and appropriate for continuous goal achievement.
◍ Critical Path.
Answer: Shows the longest amount of time to complete the project. if key
task along the critical path are delayed, the critical path itself lengthens, thus
lengthening the duration of the project.
◍ Past Medical History.
Answer: Summary of childhood and adult illnesses and conditions, such as
infectious diseases, pregnancies, allergies and drug sensitivities, accidents,
operations, hospitalizations, and current medications.
◍ Lean.
Answer: used to eliminate waste
◍ Time Frame for Health and Physical.
Answer: 24 hours following admission and require that the history and
physical be completed by the practitioner who is admitting the patient. CMS
Conditions of participation require that the h&P be completed no more the
30 days before or 24 hours after admission and the report must be placed in
the record with 24 hours after admission.
◍ Qualitative Analysis.
Answer: In qualitative analysis, HIM personnel carefully review the quality
and adequacy of record documentation and ensure that it is an accordance
with the policies, rules, and regulations established by the facility; the
standards of licensing and accreditity bodies; and government requirements.
◍ Adverse selection.
Answer: When the buyer and seller do not have the same information and
you get cost below true cost of need.
◍ System Selection Process Steps.
Answer: * Planning* Organization of the project* Defining scope of
, project* System Analysis* Request for Proposal (RFP)* Evaluation of
Systems* Selection of a System* Contract Negotiation
◍ Continuous Speech Input.
Answer: Does not require the user to pause between words to let the
computer distinguish between the beginning and ending of words. However,
the user is required to be careful in the enunciation of words.
◍ Federal and State laws to punish (civil and criminal) and deter fraud.
Answer: * Health Care Fraud Statue (criminal)*False Claims Act*Red Flags
Rule*Exclusion Provisions*Civil Monetary Penalties Law
◍ Elements of a compliance plan.
Answer: * Benchmarking* Longitudinal Studies* Regular Reporting
◍ Government regulations.
Answer: helps reduce harm to healthcare patients and employees
◍ Computer-Assisted Coding (CAC).
Answer: System requires the health record to be electronic for the system to
have the clinical data to analyze. I uses Natural Language Processing to
analyze clinical data to identify diagnoses and procedures and to assign the
appropriate ICD-10-CM, ICD-10-PCS, and CPT code to the system.
◍ Encoder.
Answer: Used by coders to select the appropriate code for the diagnosis(es)
and procedure(s) supported by the medical record.
◍ DECIDE.
Answer: a decision making approach
◍ Steps for the Implementation Process.
Answer: * Site and space preparation* Installation of hardware, software,
and networks* Programming Modifications to Software* User
configurations and settings* Interface development* Report Design* Screen
Design* Testing* Training* Go-Live* Evaluation
◍ payers.
