HIM 319 Final Study Guide Questions With
Passed Answers
Conditions cof cParticipation c(CoP) c- ccorrect canswers✔✔The cadministrative cand
coperational cguidelines cand cregulations cunder cwhich cfacilities care callowed cto ctake
cpart cin cthe cMedicare cand cMedicaid cprograms; cpublished cby cthe cCenters cfor
cMedicare cand cMedicaid cServices, ca cfederal cagency cunder cthe cDepartment cof
cHealth cand cHuman cServices
Deemed cStatus c- ccorrect canswers✔✔A cdesignation cused cwhen ca chospital, cby
cvirtue cof cits caccreditation cby cthe cJoint cCommission cor cthe cAmerican cOsteopathic
cAssociation, cdoes cnot crequire cseparate ccertification cfrom cthe cDHHS cto cparticipate
cin cthe cMedicare cand cMedicaid cprograms.
Licensure c- ccorrect canswers✔✔gives clegal capproval cfor ca cfacility cto coperate cor cfor
ca cperson cto cpractice cwithin chis cor cher cprofession c
State clicensure cis cmandatory
Federal cfacilities cdo cnot crequire clicensure c(ie.Veteran cAffairs)
accreditation c- ccorrect canswers✔✔•evaluates can corganization cusing cstandards cthat
cestablish cexpectations cand ccriteria cas ca cmeasure cof cquality cperformance
-Accreditation cis cvoluntary cbut cits cbenefits cinclude:
•Enhancement cof cpublic creputation cto cattract cpatients cand cprovider cstaff
•Satisfaction cof cprogram cpayment crequirements c(such cas cMedicare) cthrough
cdeemed cstatus cif cthe caccreditor chas cdeeming cauthority
•Satisfaction cof cmany cstate clicensure crequirements
Statutes c- ccorrect canswers✔✔a cpiece cof clegislation cwritten cand capproved cby ca
cstate cor cfederal clegislature c& csigned cinto claw cby cthe csates cgovernor/president
may cforbid ca ccertain cact, cdirect ca ccertain cact, cmake ca cdeclaration, cor cset cforth
cgovernmental cmechanism cto caid csociety
ex: cHIPPA
Governing cBoard c(Board cof cDirectors cor cBoard cof cTrustees) c- ccorrect canswers✔✔-
cHas cprimary cresponsibility cfor csetting cthe coverall cdirection cof cthe chospital
,- cWorks cwith cthe cCEO cand cthe cleaders cof cthe corganization's cmedical cstaff cto
cdevelop cthe chospital's cstrategic cdirection cas cwell cas cits cmission, cvision, cand
cvalues
- cOther cresponsibilities: cEstablishing cbylaws, cselecting cqualified cadministrators,
capproving cthe cclinical cstaff, cand cmonitoring cthe cquality cof ccare
medical cstaff c- ccorrect canswers✔✔Refers cto cphysicians cand cother capproved
cpractitioners cgranted crights cand cresponsibilities cto cadmit cpatients cinto ca chealthcare
cfacility cfor cmedical ccare
- cmust cundergo cthe ccredentialing cprocess c(such cas cthrough cthe cNPDB c-
cNationalPractitioners cData cBank)
medical cstaff cbylaws c- ccorrect canswers✔✔- cStandards cgoverning cthe cpractice cof
cmedical cstaff cmembers
- ctypically cvoted cupon cby cthe corganized cmedical cstaff cand cthe cmedical cstaff
cexecutive ccommittee cand capproved cby cthe cfacility's cboard
- cgoverns cthe cbusiness cconduct, crights, cand cresponsibilities cof cthe cmedical cstaff
- cmedical cstaff cmembers cmust cabide cby cthese cbylaws cin corder cto ccontinue cto
cpractice cin cthe chealthcare cfacility
Federal cRegister c- ccorrect canswers✔✔- cThe cdaily cpublication cof cthe cU.S.
cGovernmentPrinting cOffice cthat creports call cchanges cin cregulations cand cfederally
cmandated cstandards, cincluding cHCPCS cand cICD-9-CM ccodes
- cThe cMedicare cConditions cof cParticipation cregulations cand cHIPAA's
cAdministrativeSimplification crules care cexamples cof chealthcare cregulations cpublished
cin cthe cFederal cRegister
- cAgencies cmust cpublish cproposed cadministrative crules cand crevisions cto cexisting
crules cfor cwhich cthey chave cresponsibility cand cauthority
The cJoint cCommission cSurvey cProcess c- ccorrect canswers✔✔∙ cmeant cto cimprove
csafety cand cquality cof ccare cwithin cfacilities cfor cpatients
∙ cstandard csetting corganization cfor caccreditation
∙ cinitial csurveys care cannounced cin corder cto cdetermine cdeemed cstatus crequirements
for-profit c- ccorrect canswers✔✔privately cowned. cexcess cfunds care cpaid cback cto cthe
cmanagers, cowners, cand cinvestors cin cthe cform cof cbonuses cand cdividends c
, -want cto cmake cmoney
-providing cservices ccomes csecond cto cthem
not-for-profit c- ccorrect canswers✔✔use cexcess cfunds cto cimprove ctheir cservices cand
cto cfinance ceducational cprograms cand ccommunity cservices
-genuinely cinterested cin cbenefiting cthe cgreater cgood
-profit cmade cis crecycled cback cin cthe chospital
-they cdon't cpay ctaxes
Certifications c- ccorrect canswers✔✔the cact cof cgranting capproval cfor chealthcare
corganization cto cprovide cservices cto ca cspecific cgroup cof cbeneficiaries, calso c, cthe
cact cof cgranting ca chealthcare cprofessional capproval cto cpractice
-certification cfor ccancer cregistrar cis c
Certified cTumor cRegistrar c(CTR)
Accreditation c- ccorrect canswers✔✔cancer ccommittee cis crequired cfor caccreditation c
certifications cand caccreditation cis cneeded cin ca ccancer cregistry
accession cnumber c- ccorrect canswers✔✔A cnumber cassigned cto ceach ccase cas cit cis
centered cin ca ccancer cregistry c
-it cconsists cof cnine-digits
-first cfour cdigits crepresent cthe cyear
-the clast cfive cdigits care capproximate cchronological corder cof cthe cabstracts cprepared
cfor cthat cyear
Reporting cMethods c- ccorrect canswers✔✔Annual creport
-Outcome creport
-Quality creport
-National cCancer cDatabase c(NCDB)
-Research cstatistics
-cancer cregistry cdata cis cdone cthrough cannual creport cthat cgoes cto cthe cstate cand
ccancer cregistry cand cthe cCDC cit cincludes caggregate cdata con c# cof ccases cin cpast
cyear cby csite cand ctype cof ccancer
•goals, cachievements, cactivities
•cancer cregistry cactivities
•statistical csummary
•in-depth creport con cat cleast cone cmajor csite
•state, cregional, cnational ccomparison
•patient ccare cevaluation
Passed Answers
Conditions cof cParticipation c(CoP) c- ccorrect canswers✔✔The cadministrative cand
coperational cguidelines cand cregulations cunder cwhich cfacilities care callowed cto ctake
cpart cin cthe cMedicare cand cMedicaid cprograms; cpublished cby cthe cCenters cfor
cMedicare cand cMedicaid cServices, ca cfederal cagency cunder cthe cDepartment cof
cHealth cand cHuman cServices
Deemed cStatus c- ccorrect canswers✔✔A cdesignation cused cwhen ca chospital, cby
cvirtue cof cits caccreditation cby cthe cJoint cCommission cor cthe cAmerican cOsteopathic
cAssociation, cdoes cnot crequire cseparate ccertification cfrom cthe cDHHS cto cparticipate
cin cthe cMedicare cand cMedicaid cprograms.
Licensure c- ccorrect canswers✔✔gives clegal capproval cfor ca cfacility cto coperate cor cfor
ca cperson cto cpractice cwithin chis cor cher cprofession c
State clicensure cis cmandatory
Federal cfacilities cdo cnot crequire clicensure c(ie.Veteran cAffairs)
accreditation c- ccorrect canswers✔✔•evaluates can corganization cusing cstandards cthat
cestablish cexpectations cand ccriteria cas ca cmeasure cof cquality cperformance
-Accreditation cis cvoluntary cbut cits cbenefits cinclude:
•Enhancement cof cpublic creputation cto cattract cpatients cand cprovider cstaff
•Satisfaction cof cprogram cpayment crequirements c(such cas cMedicare) cthrough
cdeemed cstatus cif cthe caccreditor chas cdeeming cauthority
•Satisfaction cof cmany cstate clicensure crequirements
Statutes c- ccorrect canswers✔✔a cpiece cof clegislation cwritten cand capproved cby ca
cstate cor cfederal clegislature c& csigned cinto claw cby cthe csates cgovernor/president
may cforbid ca ccertain cact, cdirect ca ccertain cact, cmake ca cdeclaration, cor cset cforth
cgovernmental cmechanism cto caid csociety
ex: cHIPPA
Governing cBoard c(Board cof cDirectors cor cBoard cof cTrustees) c- ccorrect canswers✔✔-
cHas cprimary cresponsibility cfor csetting cthe coverall cdirection cof cthe chospital
,- cWorks cwith cthe cCEO cand cthe cleaders cof cthe corganization's cmedical cstaff cto
cdevelop cthe chospital's cstrategic cdirection cas cwell cas cits cmission, cvision, cand
cvalues
- cOther cresponsibilities: cEstablishing cbylaws, cselecting cqualified cadministrators,
capproving cthe cclinical cstaff, cand cmonitoring cthe cquality cof ccare
medical cstaff c- ccorrect canswers✔✔Refers cto cphysicians cand cother capproved
cpractitioners cgranted crights cand cresponsibilities cto cadmit cpatients cinto ca chealthcare
cfacility cfor cmedical ccare
- cmust cundergo cthe ccredentialing cprocess c(such cas cthrough cthe cNPDB c-
cNationalPractitioners cData cBank)
medical cstaff cbylaws c- ccorrect canswers✔✔- cStandards cgoverning cthe cpractice cof
cmedical cstaff cmembers
- ctypically cvoted cupon cby cthe corganized cmedical cstaff cand cthe cmedical cstaff
cexecutive ccommittee cand capproved cby cthe cfacility's cboard
- cgoverns cthe cbusiness cconduct, crights, cand cresponsibilities cof cthe cmedical cstaff
- cmedical cstaff cmembers cmust cabide cby cthese cbylaws cin corder cto ccontinue cto
cpractice cin cthe chealthcare cfacility
Federal cRegister c- ccorrect canswers✔✔- cThe cdaily cpublication cof cthe cU.S.
cGovernmentPrinting cOffice cthat creports call cchanges cin cregulations cand cfederally
cmandated cstandards, cincluding cHCPCS cand cICD-9-CM ccodes
- cThe cMedicare cConditions cof cParticipation cregulations cand cHIPAA's
cAdministrativeSimplification crules care cexamples cof chealthcare cregulations cpublished
cin cthe cFederal cRegister
- cAgencies cmust cpublish cproposed cadministrative crules cand crevisions cto cexisting
crules cfor cwhich cthey chave cresponsibility cand cauthority
The cJoint cCommission cSurvey cProcess c- ccorrect canswers✔✔∙ cmeant cto cimprove
csafety cand cquality cof ccare cwithin cfacilities cfor cpatients
∙ cstandard csetting corganization cfor caccreditation
∙ cinitial csurveys care cannounced cin corder cto cdetermine cdeemed cstatus crequirements
for-profit c- ccorrect canswers✔✔privately cowned. cexcess cfunds care cpaid cback cto cthe
cmanagers, cowners, cand cinvestors cin cthe cform cof cbonuses cand cdividends c
, -want cto cmake cmoney
-providing cservices ccomes csecond cto cthem
not-for-profit c- ccorrect canswers✔✔use cexcess cfunds cto cimprove ctheir cservices cand
cto cfinance ceducational cprograms cand ccommunity cservices
-genuinely cinterested cin cbenefiting cthe cgreater cgood
-profit cmade cis crecycled cback cin cthe chospital
-they cdon't cpay ctaxes
Certifications c- ccorrect canswers✔✔the cact cof cgranting capproval cfor chealthcare
corganization cto cprovide cservices cto ca cspecific cgroup cof cbeneficiaries, calso c, cthe
cact cof cgranting ca chealthcare cprofessional capproval cto cpractice
-certification cfor ccancer cregistrar cis c
Certified cTumor cRegistrar c(CTR)
Accreditation c- ccorrect canswers✔✔cancer ccommittee cis crequired cfor caccreditation c
certifications cand caccreditation cis cneeded cin ca ccancer cregistry
accession cnumber c- ccorrect canswers✔✔A cnumber cassigned cto ceach ccase cas cit cis
centered cin ca ccancer cregistry c
-it cconsists cof cnine-digits
-first cfour cdigits crepresent cthe cyear
-the clast cfive cdigits care capproximate cchronological corder cof cthe cabstracts cprepared
cfor cthat cyear
Reporting cMethods c- ccorrect canswers✔✔Annual creport
-Outcome creport
-Quality creport
-National cCancer cDatabase c(NCDB)
-Research cstatistics
-cancer cregistry cdata cis cdone cthrough cannual creport cthat cgoes cto cthe cstate cand
ccancer cregistry cand cthe cCDC cit cincludes caggregate cdata con c# cof ccases cin cpast
cyear cby csite cand ctype cof ccancer
•goals, cachievements, cactivities
•cancer cregistry cactivities
•statistical csummary
•in-depth creport con cat cleast cone cmajor csite
•state, cregional, cnational ccomparison
•patient ccare cevaluation
