HIMA 350 (HIMA350) - Final Exam Review; Answered latest Summer | APUS.

Final Review HIMA350 - Final Review Questions and Answers | Latest . 1. Establishing a process to receive complaints and a procedure to protect the anonymity of complainants is one of the required elements in a(n) . Question 1 options: a. OIG Workplan b. Compliance program c. Reimbursement plan d. ACO program 2. CMS developed health and safety standards for improving quality of care and protecting the health and safety of patients that must be met in order for a healthcare organization to participate in Medicare and Medicaid programs. The standards are called . Question 2 options: a. HITECH b. ARRA c. Accountable Care d. Conditions of Participation 3. Which type of identity theft occurs when a patient uses another person's name and insurance information to receive healthcare benefits? Question 3 options: a. Medical b. Financial c. Criminal d. Health 4. Medicare CoPs are the minimum standards that hospitals must meet in order to be a Medicare or Medicaid provider. Question 4 options: a. True b. False 5. programs are designed to prevent or reduce accidents and injuries in healthcare facilities and organizations. Question 5 options: a. Risk management b. Accountable care c. Security d. Accreditation 6. provide new and ongoing reviews or audits each year in programs administered by the Department of Health and Human Services.Final Review Question 6 options: a. Regional health information organizations b. Corporate compliance plans c. OIG workplans d. None of the above 7. The basis for prosecution for healthcare fraud and abuse today is the Federal False Claims Act, signed into law by President Abraham Lincoln in 1863. Question 7 options: a. True b. False 8. A person who informs on another or makes public practices that are wrong or corrupt is called a(n) . Question 8 options: a. Informer b. Tattler c. Compliance officer d. Whistleblower 9. A(n) is imposed on providers by the OIG when fraud and abuse is discovered through an audit or self-disclosure. Question 9 options: a. Corporate Integrity Agreement b. OIG Workplan c. Red Flags Rule d. None of the above 10. Risk retention occurs when the organization assumes potential losses associated with a given risk and makes plans to cover the financial consequences. Question 10 options: a. True b. False 11. If the qui tam lawsuit is not successful and the defendant wins, the whistleblower could be required to pay the defendant's attorney fees if the government did not join the case. Question 11 options: a. True b. FalseFinal Review 12. Violations of EMTALA can result in: Question 12 options: a. Exclusion from Federal Healthcare Programs b. Civil Penalties c. Criminal Penalties d. a and b only 13. Under Anti-Kickback, referrals intended to get back future referrals are allowed. Question 13 options: a. True b. False 14. The federal government is required to join a qui tam lawsuit. Question 14 options: a. True b. False 15. Among the many skills that HIM professionals possess that are critical to a successful corporate compliance program, some of the most important is their knowledge of accurate documentation, coding and billing, accreditation, and attention to detail. Question 15 options: a. True b. False 16. Factors to be considered in meeting the requirements set forth in §8B2.1(b) of the sentencing guidelines include which of the following: Question 16 options: a. Applicable governmental regulation or industry practice b. Organization size c. Similar misconduct d. All the above 17. Auditing and monitoring an organization's operations are key to ensuring compliance and adherence to policies and procedures. Question 17 options: a. True b. FalseFinal Review 18. If the whistleblower is an employee, the employer can take which actions against the employee. Question 18 options: a. Termination b. Suspension c. Demotion d. None of the above 19. What is a term that refers to the visual interpretation of graphs? Question 19 options: a. Charts b. Graphical perception c. Data visualization d. Decision making 20.The following is an example of quantitative data: Question 20 options: a. Race b. Age Group c. Sex d. Weight 21. The following factor can have an impact on the effectiveness of a visual display. Question 21 options: a. The experience of the user b. The type of computer being used c. The software that was used to generate the graph d. The distribution of data 22. The following is an example of what type of plot? Question 22 options:Final Review a. Bar plot b. Scatterplot c. Dot plot d. Boxplot 23. The following is an example of what type of plot? Question 23 options: a. Bar plot b. Scatterplot c. Dot plot d. Boxplot 24. The r-squared values is associated with this type of plot. Question 24 options: a. Bar plot b. Scatterplot c. Dot plot d. Line plot 25. The following graph displays what type of distribution? Question 25 options:Final Review This histogram is bell shaped, with a peak of 0.5 at the center. Both sides of the graph seem equal, and the frequencies decrease evenly as they move away from the middle. This graph shows a normal type of distribution. Reference ASQ. (2019). What are histograms? Analysis & frequency distribution. In A. Normal 26. In a scatterplot, when the line is descending, the type of relationship is interpreted as the following: Question 26 options: a. Positive b. Normal c. Negative d. None 27. The following graph is used to present trends or patterns in the number of occurrences or means between groups over time. Question 27 options: a. Boxplot b. Bar plot c. Histogram d. Line plot 28.The following is a method that has been developed for presenting a variety of data on a single display in an easy-to-read format. Question 28 options: a. Graph b. Dashboard c. Table d. Data visualization 29. The most common type of data that is displayed graphically is . Question 29 options: a. Quantitative data b. Qualitative data c. Text d. Categorical dataFinal Review 30.A is a presentation method that supports the retrieval of a discrete data value. Question 30 options: a. Bar plot b. Boxplot c. Table d. Scatterplot 31. A offers the advantage of seeing the general trend of data and comparing differences in data between groups or over time. Question 31 options: a. Chart b. Discrete data c. Table d. Symbolic representation 32. describes the amount of time it takes to answer a question. Question 32 options: a. Accuracy b. Compactness of the display c. Complexity d. Latency 33. A is an example of presenting data using length. Question 33 options: a. Stacked bar plot b. Boxplot c. Line plot d. Heat map 34. A is the statistical procedure that is associated with a scatterplot. Question 34 options: a. Simple linear regression b. Median c. Mean d. T-test 35. allows information to be viewed at a glance without needing to address the individual elements of the information separately or analytically. Question 35 options: a. Spatial representation b. Symbolic representationFinal Review c. Chart d. Table 36. Which of the following terms relates to this definition: "the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge"? Question 36 options: a. Quality management b. Performance c. Quality d. Performance improvement 37. Which of the following healthcare quality pioneers first identified and articulated the importance of hand washing as a means to prevent infections? Question 37 options: a. Ignaz Sammelweis b. Joseph Lister c. Florence Nightingale d. American College of Surgeons 38.Which organization developed A Patient's Bill of Rights in 1973? Question 38 options: a. American College of Surgeons b. Centers for Medicare and Medicaid Services c. Institute of Medicine d. American Hospital Association 39. Which of the following was stated as a necessary redesign component in the United States healthcare system in Crossing the Quality Chasm: A New Health System for the 21st Century? Question 39 options: a. Clinicians should make decisions on behalf of patients b. Decision-making ought to be evidence-based c. The healthcare system should focus on safety as a hallmark priority d. Answer choices b and c are both correct answers 40.Which of the following represents an example of explicit knowledge?Final Review Question 40 options: a. A database b. Professional experiences c. Personal values d. Emotional viewpoint 41. Which of the following is an example of information? Question 41 options: a. Numbers listed in a spreadsheet b. Symbols in a document c. Clinical documentation in a discharge summary d. Percentages without a point of reference 42. In regards to plan-do-check-act, which of the following occurs during the "check" phase of this process? Question 42 options: a. A committee is formed b. A newly implemented processed is reviewed after go-live c. A new process is created d. A change is made to an existing process 43. Which of the following is true about the Healthcare Quality Improvement Act? Question 43 options: a. It created standards and requirements pertaining to physician peer review b. It addresses peer review among nurses and allied health professionals c. It provides legal immunity for physicians who participate in peer review d. Answer choices a and c are correct answers 44. If a physician hopes to join the medical staff of a hospital, which of the following is the process they must undergo? Question 44 options: a. accreditation b. peer review c. credentialing process d. medical peer reviewFinal Review 45. The use of clinical pathways has been stated as reducing which of the following? Question 45 options: a. readmissions b. ER wait times c. insurance denials d. satisfaction 46. is defined as "processes and steps involved in taking identified areas needing improvement and using actionable efforts to improve performance." Question 46 options: Performance Improvement Reference Johnson, J. K., & Sollecito, W. A. (2020). McLaughlin and Kaluzny’s Continuous Quality Improvement in Health Care (5th ed.). Jones & Bartlett Learning. Vitalsource.Com. 6/34. Chapter 1 47. "Acme Skilled Nursing hopes to become a national leader in patient safety and first choice destination for skilled nursing care" is an example of a(n) statement. Question 47 options: a. organizational culture b. mission c. vision d. quality management 48. occurs when two or more professions learn about, from, and with each other to enable effective collaboration to improve health outcomes. Question 48 options: a. Multidisciplinary education b. Collaborative practice c. Collaboration d. Interprofessional educationFinal Review 49. The offers the CPHQ certification exam. Question 49 options: a. National Association for Healthcare Quality b. American Health Information Management Association c. American Board of Quality Assurance and Utilization Review Physicians d. American Hospital Association's Certification Center 50.Plan-do-check-act is sometimes also referred to as plan-do-study-act. Question 50 options: a. True b. False