When undertaking an LHR (Legal Health Record) project the stakeholder group must include individuals
from various levels of the organization. Which of the following should be included among the
stakeholders? - Answers information technology staff
Which code set would be utilize to create a report showing a hospital's case mix index? - Answers DRG
The case-mix index (CMI) for a hospital should be monitored over time. This is doe by establishing a valid
baseline to track any deviations over a period of time. Which of the following are used to track and
validate an organization's CMI? - Answers Average relative weight, percent of discharge specialty
average length of stay (ALOS), and average charges
Your chief financial officer has contacted you because your facility's case-mix index increased this year.
He wishes to hear your theory on why this is so. Among the options below, which would best explain an
increase in the case-mix index? - Answers The quality of clinical documentation improved
Which type of indicators measure the actual results of care for patients and populations, including
patient and family satisfaction? - Answers outcome
in long-term care settings, the resident's care plan is based on data collected in the - Answers MDS
The CFO of your hospital is concerned that the case mix index is increasing while the number of
discharges is remaining the same. You suggest that this is due to which of the following? - Answers more
higher weighted DRG's than before
The federal law that directed the Secretary of Health and Human Services to develop healthcare
standards governing electronic data interchange and data security is that - Answers health insurance
portability accountability act
Which term is used for a centralized database that captures, sorts, and processes patient data and then
sends it back to the user? - Answers Clinical data repository
Which of the following are phases of the systems development life cycle (SDLC)? - Answers Analysis,
design, and implementation
CMS pays for inpatient services provider to Medicare patients via: - Answers IPPS (inpatient prospective
payment system)
In which EHR database model is all of the healthcare entity's patient health information stored in one
system? - Answers Centralized
DRGs or MS-DRGs may be grouped into categories called - Answers MDCs
Under the OPPS payment system, the payment is based primarily on: - Answers the weight of the APCs
(Ambulatory Payment Classifications)
, RVUs are used as the basis of Medicare payment for which type of provider? - Answers Physician
In which form of database would data mining to support complex data analysis most effectively take
place? - Answers clinical data warehouse
Which of the following sites is considered a facility in the RBRVS payment system? - Answers ambulance
In which form of database would data mining to support complex data analysis most effectively take
place? - Answers clinical data warehouse
Which of the following sites is considered a facility in the RBRVS payment system? - Answers ambulance
The ambulatory payment classification (APC) system is based on the categorization of ___________
services. - Answers outpatient care
The name of the government agency that has led the development of basic data sets for health records
and computer databases is the - Answers National Committee on Vital and Health Statistics
Which of the following is an external user of data? - Answers public health department
Facility-based cancer registries receive approval as part of the facility cancer program from which of the
following agencies? - Answers American College of Surgeons
If My Town Family Practice is looking for a way to justify higher compensation for the physicians that
provide the highest level of resource intensity, which of the following metrics is the most appropriate? -
Answers Number of RVUs
At Medical Center Hospital, the master patient index system is not meeting facility needs. There are
duplicate numbers and errors in patient identification information. The IS director replaces the system
with a newer system from a different vendor. After several months, the new system is exhibiting many
of the same problems as the old system, and the facility staff is frustrated and angry. What is the most
likely cause of the problem? - Answers Underlying human and process problems were not identified and
corrected prior to making a system change
How do healthcare providers use the administrative data they collect? - Answers For regulatory,
operational, and financial purposes
The director of health information services department plans to do a research project on motivation
that involves rewarding some employees for achieving specified goals. A control group will not be
rewarded for achieving the same goals. Which entity will need to approve this study? - Answers
Institutional Review Board
Mary Smith, RHIA, has been charged with the responsibility of designing a data collection form to be
used on admission of a patient to the acute care hospital in which she works. The first resource that she
should use is ______. - Answers UHDDS (Uniform Hospital Discharge Data Set)
chart - Answers