ANSWER LATEST UPDATES 2025.
The nominal group technique gives each member of the team an opportunity to select the
most important ideas from an affinity diagram. This technique allows groups to do which of
the following? - Answer: Narrow the focus of discussion without extended involvement
You are asked to write a report to capture patient injuries by diagnosis code. To determine
which injuries happened while the patient was in the hospital, you look to the present on
admission indicator. Which indicator would show you the injuries occurring while the patient
was in the hospital? - Answer: N
Which of the following is a system which may include alerts, reminders, and links for clinical
care providers? - Answer: Clinical decision support system
Which data element would be used to verify if the present on admission coding was correct
on a patient with an admitting diagnosis to decubitus ulcer? - Answer: Skin exam
HEDIS (HealthCare Effectiveness Data Information Set) is a set of measures to be used by
consumers and purchasers of healthcare to compare performance of managed care plans.
Which hospital department would be responsible for entering and tracking data for this? -
Answer: Quality
One way to examine readmissions with a given timeframe at your facility is to retrieve
patient data for that time frame, and look for duplicates of which attribute common in
clinical data sets? - Answer: Medical record number
A hospital that is installing beside monitoring devices that must feed data into the electronic
health record should be sure to conform to which of the following standards? - Answer:
DICOM (Digital Imaging and Communications in Medicine)
What entity is responsible for maintaining vital statistics data? - Answer: State government
,Which of the following items are packaged under the Medicare hospital outpatient
prospective payment system (HOPPS)? - Answer: Surgical procedures
DRGs or MS-DRGs may be grouped into categories called - Answer: MDCs (Major Diagnostic
Categories)
The amount of copay or deductible due from a patient is transmitted to the provider via a -
Answer: claims processing code
If the total practice expense for a group is $1,500,000 and the total RVUs provided by that
practice is 125,000, what is the break even conversion factor? - Answer: $12
Once all data are posted to a patient's account, the claim can be reviewed for accuracy and
completeness. Many facilities have internal auditing system that runs each claim through a
set of edits. These internal auditing systems are called - Answer: Scrubber
Which information found on the chargemaster describes payment codes for services or
items, and is usually a three- or four-digit number? - Answer: Revenue Code
In which of the following phases of systems selection and implementation would the process
of running a mock query to assess the functionality of a database be performed? - Answer:
Testing
Which national database includes data on all discharged patients regardless or payer? -
Answer: Healthcare Cost and Utilization Project
OASIS data is used to assess the of home health services. - Answer: Outcomes
The federal initiative to collect data for research about the delivery and organization of
healthcare in the United States is called. - Answer: HCUP (Healthcare Cost and Utilization
Project)
, Benchmarking may be used to - Answer: Determine areas of improvement
Mary Smith, RHIA has been asked to work on the development of a hospital trauma data
registry. Which of the following data sets would be most helpful in developing this registry? -
Answer: DEEDS (Data Elements for Emergency)
A patient born with a neural tube defect would be included in which type of registry? -
Answer: Birth Defects
Which work measurement tool uses random sample observations to obtain information
about the performance of an entire department? - Answer: Work Sampling
Resource-based relative value (RBRVS) rates are calculated based on practice, expense,
malpractice cost, and physician work and are then adjusted by a - Answer: Geographical
practice cost index
What term refers to information that provides physicians with pertinent health information
beyond the health record itself used to determine treatment options? - Answer: Clinical
practice guidelines
A clinical documentation improvement (CDI) program facilities accurate coding and helps
coders avoid - Answer: using non-specific codes
Under RBRVS, which elements are used to calculate a Medicare payment? - Answer:
work value and practice expenses
Total fees received by Physician Group A is $130,500. If the break-even conversion factor is
$29.00, how many claims were paid? - Answer: 4,500
You have been asked to build a survey to measure patient health literacy to a given degree
of precision. Which of the following statements accurately describes the relationship
between variability in literacy levels, precision (as measured by confidence interval), and the