Disease Coding and Staging Final Exam 2025

What are the two types of follow-up? - Correct Ans-active and passive What is the primary purpose of performing follow-up? - Correct Ans-To ensure continued medical surveillance to evaluate success of therapy What is the required rate (percentage) for follow-up in programs approved by the Commission on Cancer of the American College of Surgeons for all eligible analytic patients diagnosed within the last 5 years or from the cancer registry reference date, whichever is shorter? - Correct Ans-90% What type of follow-up letter is necessary? - Correct Ans-physician When a follow-up letter is returned, what date do you use to update your database as the date of last contact? - Correct Ans-c. The date patient or representative signed and completed the letter The follow-up rate is calculated on which of the following group(s) of patients? - Correct Ans-both living and dead Why is it necessary to put different verbiage on a patient letter versus a physician letter? - Correct Ans-To allow letters to nonmedical contacts to be written in a language that is easily understood The Commission on Cancer of the American College of Surgeons requires accredited cancer programs to meet which follow-up standard? - Correct Ans-Maintain an 80% follow-up rate for all eligible analytic patients from the cancer registry reference date b. 90% follow-up rate must be maintained for all eligible analytic patients diagnosed within the last 5 years, or from the cancer registry reference date, whichever is shorter If a patient has multiple primary cancer: - Correct Ans-all records will be updated with the date of last contact, but the cancer status will need to be entered separately. Registry staff can call the patient or his/her next of kin to discuss the patient's current cancer status. - Correct Ans-False Linking data is the process of matching data from different sources based on identical or similar items from each source. - Correct Ans-True Deterministic matching requires that records must have an exact match on key fields to be considered the same patient. - Correct Ans-True A probabilistic matching algorithm creates a match score based on the mathematical likelihood that identical or similar field values indicate a match. - Correct Ans-True Which matching method follows this rule: "A match cannot be made if one data file is missing a critical data field"? - Correct Ans-Deterministic The basic premise of the __________ system is that the higher the score, the closer the match probability. - Correct Ans-probabilistic Which method is preferred? - Correct Ans-probabilistic Using the ___________ method, if a birth date is different by one day in a patient record in an incoming data file, the match to the patient record in the database can still be made. - Correct Ans-probabilistic Deterministic scores are usually divided into ranges indicating a match, a nonmatch, or an undetermined match. - Correct Ans-False Record consolidation rules include: - Correct Ans-a. Hierarchy rules b. Most frequent c. Known over unknown Determining the number of primary tumors is: - Correct Ans-a. important if registry data are to be comparable An example of accuracy and specificity in coding primary site for upper lobe of lung is: - Correct Ans-C34.1 What is the difference between quality control and quality assurance? - Correct Ans-Quality control is a planned set of activities, where quality assurance is monitoring the processes and methods used to ensure quality. What are the four components of the Determinates of Quality? - Correct Ans-Guidelines, performance measures, outcomes, and research and training. What method of a designed study would be used to monitor data completeness? - Correct Ans-reabstracting study What activity measures data consistency? - Correct Ans-Reliability study How do reliability and reabstracting studies differ? - Correct Ans-A reliability study uses a set of standardized medical charts by a sample of data collectors, reviews the range of answers, and checks on consistency of those answers, where a reabstracting study assess the quality of data by having a staff member reabstract a sample of abstracts from the medical records and assess the discrepancies identified by the reabstractor. Inter-record edit checks examine data items within a particular patient's abstract. - Correct Ans-False The Pareto diagram helps identify areas that need attention by ranking them. - Correct Ans-True Computerized edit checks are one of the least cost-effective methods for assessing quality. - Correct Ans-False Death clearance only is an example of: - Correct Ans-Case incidence completeness An example of acceptance sampling is: - Correct Ans-computer edit checks Which quality method is most costly? - Correct Ans-Independent case ascertainment Historical data review involves: - Correct Ans-Comparison of number of cases expected with those observed Unknown values: - Correct Ans-a. are monitored through process controls. b. can be legitimately utilized. c. should h ave stable rates over time. Statistical quality-control principles include , , and . - Correct Ans-acceptance sampling Answer 2:process control