ASSIGNMENT 9 & 10 HIIT 101 FINAL EXAM STUDY GUIDE

ASSIGNMENT 9 & 10 HIIT 101 FINAL EXAM STUDY GUIDE This assignment is worth 20 points. Please write answers on this form and upload in Blackboard as a word doc by schedule due date Chapter 4 1. These organizations led the development of basic data sets for a variety of health care settings . a. Centers for Medicare and Medicaid Services b. Johns Hopkins University c. American National Standards Institute d. National Center for Health Statistics & the NCVHS (National Committee on Vital and Health Statistics) 2. The inpatient data set that has been incorporated into federal law and is required for Medicare reporting is the . a. Ambulatory Care Data Set b. Uniform Hospital Discharge Data Set c. Minimum Data Set for Long-Term Care d. Health Plan Employer Data and Information Set 3. Both HEDIS and the Joint Commission's ORYX program are designed to collect data to be used for . a. performance improvement programs b. billing and claims data processing c. developing hospital discharge abstracting systems d. developing individual care plans for residents. 4. The federal law that directed the Secretary of Health and Human Services to develop healthcare standards governing electronic data interchange and data security is the . a. Medicare Act b. Prospective Payment Act c. Health Insurance Portability and Accountability Act of 1996 d. Social Security Act 5. A critical early step in designing an EHR is to develop a(n) in which the characteristics for each data element are defined. a. accreditation manual b. core content c. continuity of care record 1 d. data dictionary 6. Mary Smith, RHIA has been asked to work on the development of a hospital trauma data registry. Which of the following data sets would be most helpful in developing this registry? a. DEEDS b. UACDS c. MDS Version 2.0 d. OASIS 7. Benefits of data exchange standards include: a. exchange and share information b. communicate within and across disciplines and settings c. integrate disparate data systems d. all of the above Chapter 5 1. Match the following classification systems and vocabularies with their primary functions. (Definitions may be used more than once or not at all.) a. the planned replacement for ICD-9-CM Volumes 1 and 2 b. to promote uniform reporting and statistical data collection for medical procedures, supplies, products and services c. to provide a detailed classification system for coding the histology, topography, and behavior of neoplasms d. to provide a means to record information about patients treated for substance abuse and mental disorders e. to provide a system for coding the clinical procedures and services provided by physicians and other clinical professionals f. to provide a standardized vocabulary for facilitating the development of computer-based patient records g. to provide a system for classifying morbidity and mortality information for statistical purposes E Current Procedural Terminology _D_ Diagnostic and Statistical Manual of Mental Disorders, Fourth Revision _B_ Healthcare Common Procedure Coding System _G_ International Classification of Diseases, Ninth Revision, Clinical Modification _C_ International Classification of Diseases for Oncology, Third Edition _A_ International Classification of Diseases, 10th Revision, Clinical Modification _F_ Systematized Nomenclature of Medicine Clinical Terminology 2. Match the following elements of coding quality with the appropriate definitions. (Definitions may be used more than once or not at all.) a. the degree to which codes accurately reflect the patient’s 2 diagnoses and procedures b. the time frame in which health records are coded 3 c. the degree to which the same results are achieved consistently d. the degree to which the codes capture all the diagnoses and procedures documented in the patient’s health record _C_ reliability _A_ validity _D_ completeness _B_ timeliness 3. Computer software programs that assist in the assignment of codes used with diagnostic and procedural classifications are called . a. natural language processing systems b. monitoring/audit programs c. encoders d. concept, description, and relationship tables 4. Match the following coding-related materials with the organizations that develop them. (Organizations may be used more than once or not at all.) a. National Center for Health Statistics b. World Health Organization c. American Medical Association d. American Hospital Association e. American Health Information Management Association _C_ CPT Assistant _D_ Coding Clinic _E_ Standards of Ethical Coding B International Classification of Diseases, Ninth Revision 5. Which organization originally published ICD-9? a. American Medical Association b. Centers for Disease Control c. United States federal government d. World Health Organization 6. Which of the following classifications is used exclusively for classifying cases of malignant disease? a. CPT b. HCPCS c. ICD-9- CM d. ICD- O-3 7. Which of the following is used to report the healthcare supplies, products, and services provided to patients by healthcare professionals? a. CPT 4 b. HCPCS c. ICD-9-CM d. SNOMED CT 5 8. Which of the following is a standard terminology used to code medical procedures and services? a. CPT b. HCPCS c. ICD-9-CM d. SNOMED CT 9. To avoid fraudulent behaviors in coding, healthcare providers need to . a. develop written standards of conduct b. designate a chief compliance officer c. develop effective training programs for coders d. all of the above 10.A nosologist a. is the branch of medical science that deals with classification systems b. works with using and developing classification systems c. both a & b d. none of the above Chapter 6 1. Which of the following plans reimburses patients up to a specified amount? a. Health insurance b. Coinsuranc e c. Indemnity d. Major medical plan 2. Which of the following types of care is not covered by Medicare? a. Long-term nursing care b. Skilled nursing care c. Hospice care d. Home health care 3. What is the name of the federally funded program that pays the medical bills of the spouses and dependents of persons on active duty in the uniformed services? a. DHHS- CMS b. TRICARE c. CHAMPVA d. Medigap 4. What is the name of the program funded by the federal government to provide medical care to people on public assistance? a. CHAMPUS 6 b. Medicar e c. Medicaid d. Medigap 7 5. Which of the following groups of healthcare providers contracts with an employer to provide healthcare services? a. Preferred provider organization b. Health maintenance organization c. Point-of-service provider d. Independent practice association 6. Which of the following reimbursement methods pays providers according to charges that are calculated before healthcare services are rendered? a. Fee-for-service reimbursement method b. Prospective payment method c. Retrospective payment method d. Resource-based payment method 7. Which of the following is a state-licensed, Medicare-certified supplier of healthcare services to Medicare beneficiaries? a. Global surgery center b. Ambulatory surgery center c. Professional surgery center d. Technical surgery center 8. Match the terms with their definitions. a. Condition established after study to be the reason for hospitalization b. Categories of patients treated c. Coexisting condition d. Condition arising during hospitalization e. Condition present at the time the order for inpatient admission occurs including a condition that develops during an emergency department outpatient encounter _B_ Case mix _A_ Principal diagnosis _D_ Complication _C_ Comorbidity _E_ Present on admission Chapter 13 1. Treatment, Payment, and Operations (TPO) . a. is an important concept because the Privacy Rule provides a number of exceptions for PHI that is being used or disclosed for TPO purposes b. are the components of the affordable care act c. mean nothing in regards to PHI d. require healthcare providers to never release PHI under any circumstances including treatment, payment, and operations 8 2. The length of time health information is retained is determined by . a. state retention laws 9 b. accrediting body standards c. needs of the healthcare facility d. all of the above 3. An individual who brings a lawsuit is called the . a. defenda nt b. plaintiff c. arbitrator d. complainant 4. Which stage of the litigation process focuses on how strong a case the opposing party has? a. depositio n b. discovery c. trial d. verdict 5. Errors in the health record should be corrected by . a. drawing a single line in ink through the incorrect entry b. printing the word error at the top of the entry c. writing the legal signature of the person making the correction with date, time, reason for change, and title and discipline of the person making the correction d. all of the above 6. The physical health record is usually considered the property of. a. the organization or provider that maintains and stores the record b. the patient c. the attending physician d. all of the above 7. Under usual circumstances, a covered entity must act on a patient’s request to review or copy his or her health information within . a. 10 days b. 20 days c. 30 days d. 60 days 8. In which of the following situations can PHI be disclosed without providing the opportunity for an individual to object or to provide an authorization? a. for disclosures for public health purposes as required by law b. for disclosures to health oversight agencies as required by law 10 c. for reporting certain types of wounds or other physical injuries as required by law d. all of the above 9. Match the following legal terms with their definitions. 11 _D arbitration _P minimum necessary _H private law O_ subpoena duces tecum _N implied consent _A deposition _I authorization _Q public law _J statute _F administrative law _E plaintiff M_ breach of contract _L complaint _B discovery _G medical malpractice _K express contract _R defendant _C tort a. sworn testimony usually collected before a trial b. compulsory disclosure of pertinent facts or documents to the opposing parties in a civil case c. civil wrongdoing d. proceeding in which disputes are submitted to a third party or a panel of experts outside the judicial trial system e. individual who brings a lawsuit f. rules developed by administrative bodies empowered by law to regulate specific activities g. professional liability of healthcare providers in the delivery of care to patients h. rules and principles that define rights and duties among individuals or organizations i. written permission to use or disclose patient- identifiable health information j. law enacted by a legislative body k. spoken or written permission to provide treatment; given by a patient to a healthcare provider l. process by which a lawsuit is initiated m. failure to meet the conditions specified under a legal agreement n. permission inferred when a patient voluntarily submits to healthcare treatment o. written document directing an individual to furnish documents and other records to a court p. use, access, or disclosure of health information limited to the amount needed for the intended purpose q. law that involves the government and its relationships with individuals or 12 organizations r. individual or party who is the object of a lawsuit 10. Which of the following should be considered first when establishing health record retention policies? a. state retention requirements b. accreditation standards c. AHIMA’s retention guidelines d. federal requirements Chapter 14 1. is the traditional manner of planning and implementing an information system. a. CPRI b. UML c. Database management d. SDLC 2. The first phase of the SDLC is the phase. a. System design b. System testing c. Maintenance d. System planning 3. What phase of the SDLC creates the object model of the solution environment? a. System design b. System testing c. Maintenance d. System analysis 4. A(n) manages the day-to-day operations of a business. a. Transaction processing system b. Management information system c. Decision-processing system d. Expert system 5. An organized collection of data is . a. Informati on b. A database c. A DBMS d. None of the above 6. is the term used to describe voice and data communications. a. Telecommunications b. Telemedicine c. Telephony 13 d. None of the above 7. A(n) is a network that connects computers in a relatively small area, such as a room or a building. a. WA N b. LAN c. Intranet d. Internet 8. The RFP generally includes a detailed description of the system’s requirements and provides guidelines for vendors to follow in . a. Negotiating the price b. Demonstrating the product c. Bidding for the contract d. Setting up on-site demonstrations 9. In which phase of the systems development life cycle is the primary focus on examining the current system and problems in order to identify opportunities for improvement or enhancement of the system? a. Design b. Implementation c. Maintenance and evaluation d. Planning and analysis 10. In which phase of the systems development life cycle are trial runs of the new system conducted, backup and disaster recover procedures developed, and training of end users conducted? a. Design b. Implementation c. Maintenance and evaluation d. Planning and analysis 11. An information system consists of a. Data b. People c. Process d. All of the above 12. Which of the following connects devices across a large geographical area, such as a state? a. Intranet b. LAN c. Serve 14 r d. WAN 13. An information system that alerts a physician when a laboratory value is outside of the normal range is called a(n) . 15 a. Decision support system b. Enterprise wide system c. Management information system d. Transaction processing system Chapter 15 1. In hospitals, automated systems for registering patients and tracking their encounters are commonly known as systems. a. MIS b. CDS c. ADT or R-ADT d. ABC 2. The chief information officer is a senior-level executive who is responsible for . a. Managing the security of all patient-identifiable information b. Ensuring the organization’s compliance with federal, state, and accrediting body rules and regulations on confidentiality c. Ensuring the IS implementation plans are in line with the organization’s strategic vision d. Leading the organizations strategic IS planning process 3. Which of the following information systems is used to assist healthcare providers in the actual diagnosis and treatment of patients? a. Clinical decision support system b. Laboratory information system c. Management information system d. Pharmacy information system 4. Which of the following information systems is considered an administrative information system? a. Financial information system b. Laboratory information system c. Nursing information system d. Radiology information system 5. Which of the following systems focuses on providing reports and information to managers for day-to-day operations of the organization? a. Executive information system b. Clinical decision support system c. Management information system d. Strategic decision support system 16 6. Which of the following best describes the function of a management information 17 system? a. Supports day-to-day activities b. Supports long-range planning c. Provides unstructured decisions d. Provides ad hoc reports 7. A number of healthcare organizations share information. These organizations have disparate systems. This describes a(n): a. electronic health record b. health information exchange c. shared system d. clinical information system 8. Which of the following is a snap shot in time and consolidates data from multiple sources to enhance decision making? a. Data warehouse b. DSS c. KMS d. MIS 9. I am looking to purchase an information system that identifies patterns in data. What system should I purchase? a. Data mart b. Data warehouse c. Data mining d. Executive information system 10. I am looking to purchase a system that will be used by the physicians to order medications, tests, and other treatment. This system must use alerts and reminders. I must be looking to purchase what type of system? a. Clinical knowledge and treatment support system b. Patient registration system c. Clinical order entry results reporting d. Clinical provider order entry 11. As an HIM professional, I am involved in screen design and system functionality. What role do I have? a. Data quality b. Electronic system design and development c. Data collection and analysis d. Data management 12. I work for a 10 hospital chain that is purchasing five more hospitals. Many of these hospitals have different vendors supplying their information systems. This has resulted in concerns regarding: 18 a. point of care charting b, data mining 19 c. interoperability d. supportive functions 13. I have been asked to justify my request for a document imaging system. Which of the following would I use? a. Electronic health record b. Space savings c. Search capabilities d. Embedded guidelines Chapter 17 1. The three elements of a security program are ensuring data availability, protection and: a. Suitabili ty b. Integrity c. Flexibility d. Quality 2. According to an FBI study, most security breaches occur: a. From hackers b. From employees c. From technical glitches d. From network intrusion 3. An employee accesses PHI on a computer system that does not relate to her job functions. What security mechanism should have been implemented to minimize this security breach? a. Access controls b. Audit controls c. Contingency controls d. Security incident controls 4. The act of limiting disclosure of private matters is a definition of: a. Confidentiality b. Informational privacy c. Informational security d. Technical security 5. Data availability means making sure the . a. organization can depend on the information system (IS) to perform exactly as expected b. the IS is error free c. provides information when and where it is needed d. all of the above 20 6. An information system security program should include: 21 a. Protections for data privacy b. Protections for data integrity c. Protections for data availability d. All of the above Chapter 18 1. An organizational chart . a. is a puzzle b. is a graphic representation of the organization’s formal structure c. defines the key vendors associated with an organization d. identifies potential clients 2. Strengthening others by sharing information and power is a characteristic of . a. supervision b. management c. the organizational chart d. leadership 3. Teams often fail to succeed when . a. the leader dominates the team b. the team has chosen an effective leader c. the team members care about the outcomes d. differences of opinion exist within the group 22