WGU C810 Foundations in Healthcare Data Management
Exam: 2026/2027 ACTUAL TEST BANK WITH CORRECT
ANSWERS
• Privacy Act of 1974 -✓✓ addresses the right to privacy and was written to give
individuals some control over information collected on them by the federal government
• consent -✓✓ one's permission or agreement to an action
• general consent -✓✓ permit healthcare providers to perform overall medical care
• informed consent -✓✓ ensure patient has a basic understanding of their diagnosis, the
nature of treatment, and the individuals who are rendering treatment
• advance directive -✓✓ written consent that communicates a person's wishes to be
treated or not when they become incapacitated
• durable power of attorney -✓✓ document where an adult (while competent) designates
another person to make healthcare decisions when they become incompetent or unable
to do so
• Patient Self-Determination Act (PSDA) -✓✓ requires healthcare institutes that bill
Medicare and Medicaid for services to provide adult patients with information about the
various types of advanced directives
• Uniform Hospital Discharge Data Set (UHDDS) -✓✓ collects discharge data from
hospital inpatient health records; is the standard for collecting Medicare and Medicaid
data
• Uniform Ambulatory Care Data Set (UACDS) -✓✓ A data set developed by the
National Committee on Vital and Health Statistics consisting of a minimum set of
patient/client-specific data elements to be collected in ambulatory care settings
• Minimum Data Set (MDS) -✓✓ federally mandated assessment form to collect
demographic and clinical data on nursing home residents; must be completed at time of
admission and during reassessment periods
• Outcomes and Assessment Information Set (OASIS) -✓✓ data set to measure
outcomes and risk factors of Medicare patients receiving home health; data is used to
determine when patient should be discharged and if they need to be transferred
,• Healthcare Effectiveness Data and Information Set (HEDIS) -✓✓ designed to collect
administrative, claims, and health record review data; evaluates the success of various
treatment plans
• Data Elements for Emergency Department Systems (DEEDS) -✓✓ used to support the
collection of data for hospital-based emergency rooms
• ORYX -✓✓ An initiative of TJC that implements 5 core measures to improve safety
and quality of health care.
• ATIPCARD -✓✓ acronym for the information governance principles for healthcare
• accountability -✓✓ a member of senior leadership shall oversee the IG program and
delegate program responsibility
• tranparency -✓✓ an organization's processes and activities should be documented in
an open and verifiable manner; documentation shall be available to the organization's
workforce
• integrity -✓✓ information generated by the organization has a reasonable guarantee of
authenticity and reliability
• protection -✓✓ IG program must ensure appropriate levels of protection from breach,
corruption, and loss
• compliance -✓✓ IG shall be constructed to comply with applicable laws and
regulations
• availability -✓✓ organization shall maintain information in a manner that ensures
timely, accurate, and efficient retrieval
• retention -✓✓ an organization shall maintain its information for an appropriate amount
of time
• disposition -✓✓ an organization shall provide secure and appropriate disposition for
information no longer required to be maintained
• patient -✓✓ A ----- signature must be included on a consent form
• 30 days prior; 24 hours after -✓✓ H&P should be completed no more than ----- to
admission or ----- admission
• unstructured -✓✓ free-text information is ----- data
, • specifying data quality requirements -✓✓ ------- is the best practice for data
governance
• National Practitioner Data Bank (NPDB) -✓✓ A data bank established by the federal
government through the 1986 Health Care Quality Improvement Act that contains
information on professional review actions taken against physicians and other licensed
healthcare practitioners, which healthcare organizations are required to check as part of
the credentialing process
• RACs -✓✓ the CMS external audit program that works to reduce Medicare improper
payments
• TJC -✓✓ A sentinel event must be reported to ------
• claim -✓✓ a statement of services submitted by a healthcare provider to a third-party
payer
• fee-for-service (FFS) -✓✓ issue payments to healthcare providers on the basis of the
charges assigned to each of the separate services that were performed for the patient
• Capitation -✓✓ based on per person premiums or membership fees rather than on
itemized per procedure or per service charges
• episode-of-care (EOC) -✓✓ issue lump-sum payments to providers to compensate
them for all the healthcare services delivered to a patient for a specific illness or over a
specific period of time
• acute-care prospective payment system -✓✓ the reimbursement system for inpatient
hospital services provided to Medicare and Medicaid beneficiaries that is based on the
use of diagnosis-related groups (DRGs)
• Omnibus Budget Reconciliation Act (OBRA) -✓✓ mandated that CMS develop a
prospective system for hospital-based outpatient services provided to Medicare
beneficiaries
• resource-based relative value scale (RBRVS) -✓✓ system reimburses physicians
according to a fee schedule based on predetermined values assigned to specific
services.
• Medicare fee schedule (MFS) -✓✓ the listing of allowed charges that are reimbursable
to physicians under Medicare
Exam: 2026/2027 ACTUAL TEST BANK WITH CORRECT
ANSWERS
• Privacy Act of 1974 -✓✓ addresses the right to privacy and was written to give
individuals some control over information collected on them by the federal government
• consent -✓✓ one's permission or agreement to an action
• general consent -✓✓ permit healthcare providers to perform overall medical care
• informed consent -✓✓ ensure patient has a basic understanding of their diagnosis, the
nature of treatment, and the individuals who are rendering treatment
• advance directive -✓✓ written consent that communicates a person's wishes to be
treated or not when they become incapacitated
• durable power of attorney -✓✓ document where an adult (while competent) designates
another person to make healthcare decisions when they become incompetent or unable
to do so
• Patient Self-Determination Act (PSDA) -✓✓ requires healthcare institutes that bill
Medicare and Medicaid for services to provide adult patients with information about the
various types of advanced directives
• Uniform Hospital Discharge Data Set (UHDDS) -✓✓ collects discharge data from
hospital inpatient health records; is the standard for collecting Medicare and Medicaid
data
• Uniform Ambulatory Care Data Set (UACDS) -✓✓ A data set developed by the
National Committee on Vital and Health Statistics consisting of a minimum set of
patient/client-specific data elements to be collected in ambulatory care settings
• Minimum Data Set (MDS) -✓✓ federally mandated assessment form to collect
demographic and clinical data on nursing home residents; must be completed at time of
admission and during reassessment periods
• Outcomes and Assessment Information Set (OASIS) -✓✓ data set to measure
outcomes and risk factors of Medicare patients receiving home health; data is used to
determine when patient should be discharged and if they need to be transferred
,• Healthcare Effectiveness Data and Information Set (HEDIS) -✓✓ designed to collect
administrative, claims, and health record review data; evaluates the success of various
treatment plans
• Data Elements for Emergency Department Systems (DEEDS) -✓✓ used to support the
collection of data for hospital-based emergency rooms
• ORYX -✓✓ An initiative of TJC that implements 5 core measures to improve safety
and quality of health care.
• ATIPCARD -✓✓ acronym for the information governance principles for healthcare
• accountability -✓✓ a member of senior leadership shall oversee the IG program and
delegate program responsibility
• tranparency -✓✓ an organization's processes and activities should be documented in
an open and verifiable manner; documentation shall be available to the organization's
workforce
• integrity -✓✓ information generated by the organization has a reasonable guarantee of
authenticity and reliability
• protection -✓✓ IG program must ensure appropriate levels of protection from breach,
corruption, and loss
• compliance -✓✓ IG shall be constructed to comply with applicable laws and
regulations
• availability -✓✓ organization shall maintain information in a manner that ensures
timely, accurate, and efficient retrieval
• retention -✓✓ an organization shall maintain its information for an appropriate amount
of time
• disposition -✓✓ an organization shall provide secure and appropriate disposition for
information no longer required to be maintained
• patient -✓✓ A ----- signature must be included on a consent form
• 30 days prior; 24 hours after -✓✓ H&P should be completed no more than ----- to
admission or ----- admission
• unstructured -✓✓ free-text information is ----- data
, • specifying data quality requirements -✓✓ ------- is the best practice for data
governance
• National Practitioner Data Bank (NPDB) -✓✓ A data bank established by the federal
government through the 1986 Health Care Quality Improvement Act that contains
information on professional review actions taken against physicians and other licensed
healthcare practitioners, which healthcare organizations are required to check as part of
the credentialing process
• RACs -✓✓ the CMS external audit program that works to reduce Medicare improper
payments
• TJC -✓✓ A sentinel event must be reported to ------
• claim -✓✓ a statement of services submitted by a healthcare provider to a third-party
payer
• fee-for-service (FFS) -✓✓ issue payments to healthcare providers on the basis of the
charges assigned to each of the separate services that were performed for the patient
• Capitation -✓✓ based on per person premiums or membership fees rather than on
itemized per procedure or per service charges
• episode-of-care (EOC) -✓✓ issue lump-sum payments to providers to compensate
them for all the healthcare services delivered to a patient for a specific illness or over a
specific period of time
• acute-care prospective payment system -✓✓ the reimbursement system for inpatient
hospital services provided to Medicare and Medicaid beneficiaries that is based on the
use of diagnosis-related groups (DRGs)
• Omnibus Budget Reconciliation Act (OBRA) -✓✓ mandated that CMS develop a
prospective system for hospital-based outpatient services provided to Medicare
beneficiaries
• resource-based relative value scale (RBRVS) -✓✓ system reimburses physicians
according to a fee schedule based on predetermined values assigned to specific
services.
• Medicare fee schedule (MFS) -✓✓ the listing of allowed charges that are reimbursable
to physicians under Medicare
