RADT 101 Chapter 25 Test Questions
and Answers All Correct
Assessment of problems in performance improvement activities must be: - Answer-
Ongoing
In making a correction to an entry in the paper health record, the documenter should: -
Answer-Line out the error, authenticate, and insert correct information
The organization (chart order, forms) of the hospital patient record is determined by: -
Answer-The hospital's own preference
HIPAA - Answer-Health Insurance Portability and Accountability Act of 1996
Information must be maintained for ___ years from the date of patients last visit -
Answer-5
Health Information Management - Answer-All health care providers, regardless of
setting, are required to maintain all patient care information that applies to an individual
patient
Health Information Department Functions - Answer-Support the institution's
administrative processes; Maintain records for patient billing and accounting processes;
Maintain records for utilization management, risk management, and quality
management or performance improvement programs; Ensure patient privacy and
security issues; Ensure compliance with legal requirements
ICD-10-CM - Answer-Classification system that is used for diagnosis coding in all health
care settings in the US
DRG - Answer-Diagnostic Related Group; Categorizes into payment groups patients
who are medically related with respect to diagnosis and treatment and statistically
similar with regard to length of stay
TJC - Answer-The Joint Commission; Organization that accredits hospitals and other
health care institutions in the US
and Answers All Correct
Assessment of problems in performance improvement activities must be: - Answer-
Ongoing
In making a correction to an entry in the paper health record, the documenter should: -
Answer-Line out the error, authenticate, and insert correct information
The organization (chart order, forms) of the hospital patient record is determined by: -
Answer-The hospital's own preference
HIPAA - Answer-Health Insurance Portability and Accountability Act of 1996
Information must be maintained for ___ years from the date of patients last visit -
Answer-5
Health Information Management - Answer-All health care providers, regardless of
setting, are required to maintain all patient care information that applies to an individual
patient
Health Information Department Functions - Answer-Support the institution's
administrative processes; Maintain records for patient billing and accounting processes;
Maintain records for utilization management, risk management, and quality
management or performance improvement programs; Ensure patient privacy and
security issues; Ensure compliance with legal requirements
ICD-10-CM - Answer-Classification system that is used for diagnosis coding in all health
care settings in the US
DRG - Answer-Diagnostic Related Group; Categorizes into payment groups patients
who are medically related with respect to diagnosis and treatment and statistically
similar with regard to length of stay
TJC - Answer-The Joint Commission; Organization that accredits hospitals and other
health care institutions in the US
