CCS Domain 6 Review Practice Test.

CCS Domain 6 Review Practice Test. The performance of a qualitative analysis is an important tool in ensuring data quality. These reviews evaluate: - CORRECT ANSWER The overall quality of documentation. During a retrospective review of an inpatient health record, the health information clerk notes that on day 4 of hospitalization there was one missed dose of insulin. What type of review is this clerk performing? A. utilization review B. quantitative review C. legal review D. qualitative review - CORRECT ANSWER Qualitative review. What is quantitative analysis? - CORRECT ANSWER Quantitative analysis involves checking for the presence or absence of necessary reports and/or signatures. What is a qualitative analysis? - CORRECT ANSWER Qualitative analysis may involve checking documentation consistency, such as comparing a pt.'s pharmacy drug profile w/ the medication administration record. Which of the following is least likely to be identified by a deficiency analysis tech? A. missing discharge summary B. need for physician authentication of two verbal orders C. discrepancy between post-op dx by the surgeon and pathology dx by the pathologist D. x-ray report charted on the wrong record - CORRECT ANSWER C. Represents a more in-depth review dealing w/ the quality of the data documented. [A,B,D represent common checks performed by a quantitative analysis clerk: missing reports, signatures, or pt. identification.] The health care providers at your hospital do a very thorough job of periodic open record review to ensure the completeness of record documentation. A qualitative review of surgical records would likely include checking for documentation regarding: A. the presence or absence of such items as preoperative and postoperative dx, description of findings, and specimens removed. B. whether a postoperative infection occurred and how it was treated. C. the quality of follow-up care D. whether the severity of illness and/or intensity of service warranted acute level care - CORRECT ANSWER A. [B represents an appropriate job for the infection control officer. C - the clinical care evaluation process rather than the review of quality of documentation. D - is a function of the utilization review program Reviewing a medical record to ensure that all dx's are justified by documentation throughout the chart is an example of: A. peer review B. quantitative review C. qualitative review D. legal analysis - CORRECT ANSWER C.