HIMT 1250 DOCUMENTATION FOR
HEALTH RECORDS FINAL EXAM
QUESTIONS AND ANSWERS 100% PASS
Long term care hospitals must meet requirements for _____________ and have an agreement
with ____________ in order to receive payments - ANS Acute care hospitals, Medicare
The ___________ established the Common Clinical Data Set - ANS "ONC" Office of the
National Coordinator
Documentation that supports that skilled services are medically reasonable & necessary -
ANS Medical Necessity
Medicare Quality indicators are criteria that, if present in a patients record, are likely to result in
higher quality of care than if they are not present - ANS True
The Healthcare Effectiveness Data and Information Set contains standard________________ -
ANS Performance Measures
What provides a wide range of services to include nursing care, 24-hour supervision, assistance
with activities of daily living and rehabilitation services such as physical, occupational, & speech
therapy - ANS SNF Skilled Nursing Facilities
Under the centers for Medicare and Medicaid services Comprehensive (CERT) Program which of
the following is not a common documentation error in the Ambulatory Care - ANS History
and physical within 30 days
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 12
, Which of the following is an unacceptable signature on a home health plan of care -
ANS Stamped signature
which chapter of HCPCS would you find drugs administered intravenously - ANS J Codes
The objective of Rx-Norm is to normalize names of generic & brand drugs and attach a
__________ to that name - ANS Rx-Norm concept unique identifier
The __________ is a snapshot of a patient's status & includes everything from social issues to
disease processes, as well as critical paths & clinical pathways that focused on a specific disease
process or pathway - ANS Care Plan
General written guidelines that dictate behavior & or direct & constrain decision making within
the organization are known as what - ANS Policies
Which Joint Commission survey methodology involves an evaluation that follows the hospital
experiences of past or current patients - ANS Tracer Methodology
______________questions are preferred to use in queries to avoid limiting or leading provider
responses - ANS Open ended
The ______________ is a derived classification of the (WHO) world health organization family of
international classifications - ANS ICD-03
The OASIS-C1 data elements originate from a _____________ - ANS Medicare-certified home
health agency
Ambulatory surgical centers only provide emergency surgery services - ANS False surgeries
are pre-planned outpatient visit's
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 12
HEALTH RECORDS FINAL EXAM
QUESTIONS AND ANSWERS 100% PASS
Long term care hospitals must meet requirements for _____________ and have an agreement
with ____________ in order to receive payments - ANS Acute care hospitals, Medicare
The ___________ established the Common Clinical Data Set - ANS "ONC" Office of the
National Coordinator
Documentation that supports that skilled services are medically reasonable & necessary -
ANS Medical Necessity
Medicare Quality indicators are criteria that, if present in a patients record, are likely to result in
higher quality of care than if they are not present - ANS True
The Healthcare Effectiveness Data and Information Set contains standard________________ -
ANS Performance Measures
What provides a wide range of services to include nursing care, 24-hour supervision, assistance
with activities of daily living and rehabilitation services such as physical, occupational, & speech
therapy - ANS SNF Skilled Nursing Facilities
Under the centers for Medicare and Medicaid services Comprehensive (CERT) Program which of
the following is not a common documentation error in the Ambulatory Care - ANS History
and physical within 30 days
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 12
, Which of the following is an unacceptable signature on a home health plan of care -
ANS Stamped signature
which chapter of HCPCS would you find drugs administered intravenously - ANS J Codes
The objective of Rx-Norm is to normalize names of generic & brand drugs and attach a
__________ to that name - ANS Rx-Norm concept unique identifier
The __________ is a snapshot of a patient's status & includes everything from social issues to
disease processes, as well as critical paths & clinical pathways that focused on a specific disease
process or pathway - ANS Care Plan
General written guidelines that dictate behavior & or direct & constrain decision making within
the organization are known as what - ANS Policies
Which Joint Commission survey methodology involves an evaluation that follows the hospital
experiences of past or current patients - ANS Tracer Methodology
______________questions are preferred to use in queries to avoid limiting or leading provider
responses - ANS Open ended
The ______________ is a derived classification of the (WHO) world health organization family of
international classifications - ANS ICD-03
The OASIS-C1 data elements originate from a _____________ - ANS Medicare-certified home
health agency
Ambulatory surgical centers only provide emergency surgery services - ANS False surgeries
are pre-planned outpatient visit's
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 12
