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In ICD-10-CM, which rate is used to describe "note included here"? - Answer - ✔
Excludes 1
In assessing the length of time that a facility is required to maintain its records, which of
the following be the facility's first concern? - Answer - ✔ The most stringent state or
federal regulation.
According the Medicare Conditions of Participation, hospital records are required to
have a _______-year retention period? - Answer - ✔ 5
Which of the following is used to create and maintain standards for laboratory tests and
results? - Answer - ✔ LOINC
Which type of data is entered into registries and databases and allows users to be able
to conduct trend analyses, review and establish benchmarks, and execute long-term
planning? - Answer - ✔ Secondary
Pathological data characterizing site, stage of neoplasm, and type of treatment would
be reported in which of the following registries? - Answer - ✔ Cancer
The ______ organization is responsible for the creation of standards to address health-
care transactions between health partners. - Answer - ✔ ANSI
When a task requires data for detailed root cause analysis, which type of data is
preferred? - Answer - ✔ Unstructured Data
A procedure involving the cutting out of solid matter is considered what root operation? -
Answer - ✔ Extirpation
The root operation destruction means __________. - Answer - ✔ Physical eradication of
all or a portion of a body part by the direct use of energy, force, or destruction agent.
The root operation release means _______. - Answer - ✔ Freeing a body part from an
abnormal physical contract by cutting or force.
When destroying data in a paper format, which method is the most appropriate method?
- Answer - ✔ Shredding
,If unforeseen scenarios occur such as power outages, fires, natural disasters, etc,. what
should facilities have in place to ensure that there are procedures to handle emergency
response situations with respect to continuing operations? - Answer - ✔ Business
Continuity/Contingency plan
Which act addressed issues with respect to the portability of health insurance after
leaving employment? - Answer - ✔ Health Insurance Portability and Accountability Act
All of the following are data security functions that require data governance EXCEPT
________________________. - Answer - ✔ Identifying and resolving quality issues.
The process of defining levels of data quality by establishing parameters to ensure that
the data meet business needs is___________. - Answer - ✔ Data quality management.
Qualitative analysis performed after a patient has been discharged and reviewed
retrospectively is _________. - Answer - ✔ Closed-record review.
What is the standards development organization that develops messaging data content,
and document standards to improve the exchange of clinical information? - Answer - ✔
HL7
Within entity relationships modeling, what is the process by which entity relationship
diagrams are converted into tables? - Answer - ✔ Cardinality
A discrepancy is found in which a patient's birth date is listed as 07/12/2008 on one
record and as 09/12/2008 on another record. Which characteristic of data quality does
this discrepancy represent? - Answer - ✔ Consistency
A pediatrician would report hydrocephalus in a newborn to which registry? - Answer - ✔
Birth Defect
Creating and revising information within a patient's progress note is whose
responsibility? - Answer - ✔ Provider
What is the legal document that designates another person to act on behalf of the
patient in the event that the patient becomes disabled and/or incapacitated? - Answer -
✔ Durable power of attorney
Where are guidelines for the retention and destruction of health-care information found?
- Answer - ✔ Accreditation standards
The focus of a certified coder is geared toward which of the following? - Answer - ✔
Ensure that each claim is coded with accuracy
, Data found in patient/disease registries are considered to be which of the following? -
Answer - ✔ Clinical Data
_____________ typically occurs when there is a transfer of data between systems. This
is most often seen when companies are implementing new systems. - Answer - ✔ Data
migration
Procedures that include the altering of a route of passe of contents of a tubular body
part is which of the following root operations? - Answer - ✔ Bypass
What is the overall goal of documenting and maintaining medical records? - Answer - ✔
To aid in the continuity of care
Records arranged in strict chronological order are considered to be which of the
following? - Answer - ✔ Integrated health records
Which of the following is considered clinical data? - Answer - ✔ A patient's hospital
unique identifier
Who is responsible for setting the strategic direction of the hospital? - Answer - ✔ Board
of directors
Which law is considered "unwritten" law originating from previous court decisions? -
Answer - ✔ Common Law
Who does ownership of health records ultimately belong to? - Answer - ✔ The
organization that created and maintained the physical record.
Managing the input of data is defined as? - Answer - ✔ Data governance.
Managing the output of data is defined as? - Answer - ✔ Information governance.
If more than _______ individuals have been affected by a breach, the media as well as
the HHS must be notified. - Answer - ✔ 500
The HIPAA Security Rule contains two standards: _______ and _________. One
standard is mandated, and organizations must adhere to the standards as written under
the HIPAA Security Rule; the other standard provides flexibility to covered entities. -
Answer - ✔ Required, addressable
Which type of safeguard includes encryption, decryption, and automatic logoff? -
Answer - ✔ Technical