HIT 125 FINAL QUESTIONS WITH VERIFIED ANSWERS
health record - Answers - written or graphic information documenting facts and events
during the rendering of patient care. Either paper or electronic format.
most important function of the health record - Answers - storing patient information
who are primary users of the health record - Answers - clinical professionals providing
direct patient care
how does the patient registration department assist the HIM department - Answers -
they assign patients health record numbers
the master patient index contains ____________________ - Answers - basic
demographic information about the patient
What type of filing system is being used if records are filed in the following order : 12-
23-75, 12-34-29, 13-42-14, and 14-32-79? - Answers - terminal digit
what is the function of the ROI department - Answers - disclose patient identifiable
information to a third party
what filing system is typically found in a small physicians office - Answers - Alphabetic
filing system
in which filing system does a patient receive a unique numerical identifier at the first
encounter and maintains that number at subsequent encounters - Answers - Unit
numbering system
if a record is not completed within a specified time frame it is considered - Answers -
delinquent
what index would you use to locate a patients record in a numeric filing system -
Answers - Master Patient Index
some reasons using the copy/paste function is not advisable - Answers - -content could
contain outdated information
-unable to identify the author
is support for research a primary or secondary function of a health record? - Answers -
secondary
this term is used for a health record that has been moved to an inactive file area due to
inactivity - Answers - Purged
, what type of user of a health record would an insurance company be considered -
Answers - Institutional
what HIM task has been eliminated due to the use of EHRs - Answers - assembly
Reviewing a health record for missing signatures and missing medical reports is what
type of analysis - Answers - Quantitative
The coding of clinical diagnoses and healthcare procedures and services after the
patient is discharged is ____ review. - Answers - retrospective
an addendum to the health record should be dated when? - Answers - The day the
addendum was created
a quantitative review that occurs while the patient is still in the hospital is called -
Answers - concurrent
in what department does the health record begin - Answers - Patient registration
in paper-based filing _____________ can help locate misfiles - Answers - Color coding
A service in acute care hospitals, that is NOT provided by the HIM department -
Answers - Billing
The standards required for a healthcare provider to receive medicare funding - Answers
- Conditions of Participation (CoP)
primary accreditation organization for facilities that treat people with functional
disabilities - Answers - Commission of Accreditation of Rehabilitation Facilities
when defining the legal health record, the provider must - Answers - assess the legal
environment
the goal of documentation standards - Answers - Ensure what is documented in the
health record is complete, and accurately reflects the treatment provided to the patient
Does CMS require providers to inform their patients about general patient rights -
Answers - Yes
does the joint commission survey healthcare provider organizations for clinical and
operational practice compliance - Answers - Yes
the form and content of the health record are partially determined by - Answers - The
needs of the individual healthcare organization
health record - Answers - written or graphic information documenting facts and events
during the rendering of patient care. Either paper or electronic format.
most important function of the health record - Answers - storing patient information
who are primary users of the health record - Answers - clinical professionals providing
direct patient care
how does the patient registration department assist the HIM department - Answers -
they assign patients health record numbers
the master patient index contains ____________________ - Answers - basic
demographic information about the patient
What type of filing system is being used if records are filed in the following order : 12-
23-75, 12-34-29, 13-42-14, and 14-32-79? - Answers - terminal digit
what is the function of the ROI department - Answers - disclose patient identifiable
information to a third party
what filing system is typically found in a small physicians office - Answers - Alphabetic
filing system
in which filing system does a patient receive a unique numerical identifier at the first
encounter and maintains that number at subsequent encounters - Answers - Unit
numbering system
if a record is not completed within a specified time frame it is considered - Answers -
delinquent
what index would you use to locate a patients record in a numeric filing system -
Answers - Master Patient Index
some reasons using the copy/paste function is not advisable - Answers - -content could
contain outdated information
-unable to identify the author
is support for research a primary or secondary function of a health record? - Answers -
secondary
this term is used for a health record that has been moved to an inactive file area due to
inactivity - Answers - Purged
, what type of user of a health record would an insurance company be considered -
Answers - Institutional
what HIM task has been eliminated due to the use of EHRs - Answers - assembly
Reviewing a health record for missing signatures and missing medical reports is what
type of analysis - Answers - Quantitative
The coding of clinical diagnoses and healthcare procedures and services after the
patient is discharged is ____ review. - Answers - retrospective
an addendum to the health record should be dated when? - Answers - The day the
addendum was created
a quantitative review that occurs while the patient is still in the hospital is called -
Answers - concurrent
in what department does the health record begin - Answers - Patient registration
in paper-based filing _____________ can help locate misfiles - Answers - Color coding
A service in acute care hospitals, that is NOT provided by the HIM department -
Answers - Billing
The standards required for a healthcare provider to receive medicare funding - Answers
- Conditions of Participation (CoP)
primary accreditation organization for facilities that treat people with functional
disabilities - Answers - Commission of Accreditation of Rehabilitation Facilities
when defining the legal health record, the provider must - Answers - assess the legal
environment
the goal of documentation standards - Answers - Ensure what is documented in the
health record is complete, and accurately reflects the treatment provided to the patient
Does CMS require providers to inform their patients about general patient rights -
Answers - Yes
does the joint commission survey healthcare provider organizations for clinical and
operational practice compliance - Answers - Yes
the form and content of the health record are partially determined by - Answers - The
needs of the individual healthcare organization
