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CHDA Exam 3 | Questions with Correct Answers |Verified

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CHDA Exam 3 | Questions with Correct Answers |Verified
When undertaking an LHR (Legal Health Record) project the stakeholder group must include
individuals from various levels of the organization. Which of the following should be included
among the stakeholders? - information technology staff


Which code set would be utilize to create a report showing a hospital's case mix index? -
DRG


The case-mix index (CMI) for a hospital should be monitored over time. This is doe by
establishing a valid baseline to track any deviations over a period of time. Which of the
following are used to track and validate an organization's CMI? - Average relative weight,
percent of discharge specialty average length of stay (ALOS), and average charges


Your chief financial officer has contacted you because your facility's case-mix index increased
this year. He wishes to hear your theory on why this is so. Among the options below, which
would best explain an increase in the case-mix index? - The quality of clinical
documentation improved


Which type of indicators measure the actual results of care for patients and populations,
including patient and family satisfaction? - outcome


in long-term care settings, the resident's care plan is based on data collected in the -
MDS


The CFO of your hospital is concerned that the case mix index is increasing while the number of
discharges is remaining the same. You suggest that this is due to which of the following? -
more higher weighted DRG's than before


The federal law that directed the Secretary of Health and Human Services to develop healthcare
standards governing electronic data interchange and data security is that - health
insurance portability accountability act

,Which term is used for a centralized database that captures, sorts, and processes patient data
and then sends it back to the user? - Clinical data repository


Which of the following are phases of the systems development life cycle (SDLC)? -
Analysis, design, and implementation



CMS pays for inpatient services provider to Medicare patients via: - IPPS (inpatient
prospective payment system)


In which EHR database model is all of the healthcare entity's patient health information stored
in one system? - Centralized



DRGs or MS-DRGs may be grouped into categories called - MDCs



Under the OPPS payment system, the payment is based primarily on: - the weight of the
APCs (Ambulatory Payment Classifications)



RVUs are used as the basis of Medicare payment for which type of provider? - Physician


In which form of database would data mining to support complex data analysis most effectively
take place? - clinical data warehouse


Which of the following sites is considered a facility in the RBRVS payment system? -
ambulance


In which form of database would data mining to support complex data analysis most effectively
take place? - clinical data warehouse

, Which of the following sites is considered a facility in the RBRVS payment system? -
ambulance


The ambulatory payment classification (APC) system is based on the categorization of
___________ services. - outpatient care


The name of the government agency that has led the development of basic data sets for health
records and computer databases is the - National Committee on Vital and Health
Statistics



Which of the following is an external user of data? - public health department


Facility-based cancer registries receive approval as part of the facility cancer program from
which of the following agencies? - American College of Surgeons


If My Town Family Practice is looking for a way to justify higher compensation for the physicians
that provide the highest level of resource intensity, which of the following metrics is the most
appropriate? - Number of RVUs


At Medical Center Hospital, the master patient index system is not meeting facility needs. There
are duplicate numbers and errors in patient identification information. The IS director replaces
the system with a newer system from a different vendor. After several months, the new system
is exhibiting many of the same problems as the old system, and the facility staff is frustrated
and angry. What is the most likely cause of the problem? - Underlying human and
process problems were not identified and corrected prior to making a system change



How do healthcare providers use the administrative data they collect? - For regulatory,
operational, and financial purposes


The director of health information services department plans to do a research project on
motivation that involves rewarding some employees for achieving specified goals. A control

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