Page 1 of 126
“CPC PRACTICE QUESTIONS EXAM
”LATEST EXAM SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED 100% GUARANTEE
PASS
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 ______.
UHDDS
UACDS
MDS
ORYX
UHDDS
Both HEDIS and the Joint Commission's ORYX program are designed to
collect data to be used for:
performance improvement programs
billing and claims data processing
developing hospital discharge abstracting systems
developing individual care plans for residents
performance improvement programs
A notation for a diabetic patient in a physician progress note reads:
"Occasionally gets hungry. No insulin reactions. She says she is following her
diabetic diet." In which part of a problem-oriented medical record progress
, Page 2 of 126
note would this be written?
Subjective
Objective
Assessment
Plan
Subjective
A notation for a diabetic patient in a physician progress note reads: FBS
110mg%, using sugar, no acetone. In which part of a problem-oriented medical
record progress note would this be written?
Subjective
Objective
Assessment
Plan
Objective
A notation for a hypertensive patient in a physician ambulatory care progress
note reads: "Continue with diurnal, 500 msg once daily. return in 2 weeks" In
which part of a problem-oriented medical record progress note would this be
written?
Subjective
Objective
Assessment
Plan
Plan
A notation for a hypertensive patient in a physician ambulatory care progress
note reads: "Blood pressure adequately controlled" In which part of a
problem-oriented medical record progress note would this be written?
Subjective
Objective
Assessment
Plan
, Page 3 of 126
Assessment
Reviewing a health record for missing signatures, missing medical reports,
and ensuring that all documents belong in the health record is an example of
_____ review.
Quantitative
Qualitative
Statistical
Outcome
Quantitative
Dr. Jones entered a progress note in a patient's health record 24 hours after he
visited the patient. Which quality element is missing from the progress note?
Data Completeness
Data relevancy
Data currency
Data presicion
Data currency
The admitting data of Mrs. Smith's health record indicated that her birth date
was March 21, 1948. On the discharge summary, Mrs. Smith's birth date was
recorded as July 21, 1948. Which quality element is missing from Mrs. Smith's
health record?
a. Data completeness
b. Data consistency
c. Data accessibility
d. Data comprehensiveness
Data consistency
Which of the following is an example of clinical data?
Admitting diagnosis
data and time of admission
Insurance information
Health Record Number
Admitting diagnosis
, Page 4 of 126
Documentation of aides who assist a patient with activities of daily living,
bathing, laundry, and cleaning would be found in which type of specialty
record?
Home Health
Behavioral health
End-stage renal disease
rehabilitative care
Home Health
Which of the following materials is not documented in an emergency room
record?
Patients instructions at discharge
Time and means of the patients arrival
Patients complete medical history
Emergy care administered before arrival at the facility
Patients complete medical history
Which of the following provides macroscopic and microscopic information
about tissue removed during an operative procedure?
Anesthesia report
Laboratory report
Operative report
Pathology Report
Pathology Report
What is the defining characteristic of an integrated health record format?
Each section of the record is maintained by the patient care department that
provided the care.
Integrated health records include both paper forms and computer printouts.
Integrated health records are intended to be used in ambulatory settings.
Integrated health record components are arranged in strict chronological
order.
Integrated health record components are arranged in strict chronological order.
Which of the following represents documentation of patient's current and past
health status.
“CPC PRACTICE QUESTIONS EXAM
”LATEST EXAM SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED 100% GUARANTEE
PASS
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 ______.
UHDDS
UACDS
MDS
ORYX
UHDDS
Both HEDIS and the Joint Commission's ORYX program are designed to
collect data to be used for:
performance improvement programs
billing and claims data processing
developing hospital discharge abstracting systems
developing individual care plans for residents
performance improvement programs
A notation for a diabetic patient in a physician progress note reads:
"Occasionally gets hungry. No insulin reactions. She says she is following her
diabetic diet." In which part of a problem-oriented medical record progress
, Page 2 of 126
note would this be written?
Subjective
Objective
Assessment
Plan
Subjective
A notation for a diabetic patient in a physician progress note reads: FBS
110mg%, using sugar, no acetone. In which part of a problem-oriented medical
record progress note would this be written?
Subjective
Objective
Assessment
Plan
Objective
A notation for a hypertensive patient in a physician ambulatory care progress
note reads: "Continue with diurnal, 500 msg once daily. return in 2 weeks" In
which part of a problem-oriented medical record progress note would this be
written?
Subjective
Objective
Assessment
Plan
Plan
A notation for a hypertensive patient in a physician ambulatory care progress
note reads: "Blood pressure adequately controlled" In which part of a
problem-oriented medical record progress note would this be written?
Subjective
Objective
Assessment
Plan
, Page 3 of 126
Assessment
Reviewing a health record for missing signatures, missing medical reports,
and ensuring that all documents belong in the health record is an example of
_____ review.
Quantitative
Qualitative
Statistical
Outcome
Quantitative
Dr. Jones entered a progress note in a patient's health record 24 hours after he
visited the patient. Which quality element is missing from the progress note?
Data Completeness
Data relevancy
Data currency
Data presicion
Data currency
The admitting data of Mrs. Smith's health record indicated that her birth date
was March 21, 1948. On the discharge summary, Mrs. Smith's birth date was
recorded as July 21, 1948. Which quality element is missing from Mrs. Smith's
health record?
a. Data completeness
b. Data consistency
c. Data accessibility
d. Data comprehensiveness
Data consistency
Which of the following is an example of clinical data?
Admitting diagnosis
data and time of admission
Insurance information
Health Record Number
Admitting diagnosis
, Page 4 of 126
Documentation of aides who assist a patient with activities of daily living,
bathing, laundry, and cleaning would be found in which type of specialty
record?
Home Health
Behavioral health
End-stage renal disease
rehabilitative care
Home Health
Which of the following materials is not documented in an emergency room
record?
Patients instructions at discharge
Time and means of the patients arrival
Patients complete medical history
Emergy care administered before arrival at the facility
Patients complete medical history
Which of the following provides macroscopic and microscopic information
about tissue removed during an operative procedure?
Anesthesia report
Laboratory report
Operative report
Pathology Report
Pathology Report
What is the defining characteristic of an integrated health record format?
Each section of the record is maintained by the patient care department that
provided the care.
Integrated health records include both paper forms and computer printouts.
Integrated health records are intended to be used in ambulatory settings.
Integrated health record components are arranged in strict chronological
order.
Integrated health record components are arranged in strict chronological order.
Which of the following represents documentation of patient's current and past
health status.
