CHDA Exam 3 Questions With Correct
Answers
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? |- |CORRECT |ANSWER✔✔-information |technology |staff
Which |code |set |would |be |utilize |to |create |a |report |showing |a |hospital's |case |mix |index? |- |
CORRECT |ANSWER✔✔-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? |- |CORRECT |ANSWER✔✔-
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? |- |CORRECT |ANSWER✔✔-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? |- |CORRECT |ANSWER✔✔-outcome
in |long-term |care |settings, |the |resident's |care |plan |is |based |on |data |collected |in |the |- |
CORRECT |ANSWER✔✔-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? |- |
CORRECT |ANSWER✔✔-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 |- |
CORRECT |ANSWER✔✔-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? |- |CORRECT |ANSWER✔✔-Clinical |data |repository
Which |of |the |following |are |phases |of |the |systems |development |life |cycle |(SDLC)? |- |CORRECT |
ANSWER✔✔-Analysis, |design, |and |implementation
CMS |pays |for |inpatient |services |provider |to |Medicare |patients |via: |- |CORRECT |ANSWER✔✔-
IPPS |(inpatient |prospective |payment |system)
In |which |EHR |database |model |is |all |of |the |healthcare |entity's |patient |health |information |
stored |in |one |system? |- |CORRECT |ANSWER✔✔-Centralized
DRGs |or |MS-DRGs |may |be |grouped |into |categories |called |- |CORRECT |ANSWER✔✔-MDCs
Under |the |OPPS |payment |system, |the |payment |is |based |primarily |on: |- |CORRECT |
ANSWER✔✔-the |weight |of |the |APCs |(Ambulatory |Payment |Classifications)
RVUs |are |used |as |the |basis |of |Medicare |payment |for |which |type |of |provider? |- |CORRECT |
ANSWER✔✔-Physician
In |which |form |of |database |would |data |mining |to |support |complex |data |analysis |most |
effectively |take |place? |- |CORRECT |ANSWER✔✔-clinical |data |warehouse
, Which |of |the |following |sites |is |considered |a |facility |in |the |RBRVS |payment |system? |- |CORRECT |
ANSWER✔✔-ambulance
In |which |form |of |database |would |data |mining |to |support |complex |data |analysis |most |
effectively |take |place? |- |CORRECT |ANSWER✔✔-clinical |data |warehouse
Which |of |the |following |sites |is |considered |a |facility |in |the |RBRVS |payment |system? |- |CORRECT |
ANSWER✔✔-ambulance
The |ambulatory |payment |classification |(APC) |system |is |based |on |the |categorization |of |
___________ |services. |- |CORRECT |ANSWER✔✔-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 |- |CORRECT |ANSWER✔✔-National |Committee |on
|Vital |and |Health |Statistics
Which |of |the |following |is |an |external |user |of |data? |- |CORRECT |ANSWER✔✔-public |health |
department
Facility-based |cancer |registries |receive |approval |as |part |of |the |facility |cancer |program |from |
which |of |the |following |agencies? |- |CORRECT |ANSWER✔✔-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? |- |CORRECT |ANSWER✔✔-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? |- |CORRECT |ANSWER✔✔-
Answers
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? |- |CORRECT |ANSWER✔✔-information |technology |staff
Which |code |set |would |be |utilize |to |create |a |report |showing |a |hospital's |case |mix |index? |- |
CORRECT |ANSWER✔✔-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? |- |CORRECT |ANSWER✔✔-
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? |- |CORRECT |ANSWER✔✔-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? |- |CORRECT |ANSWER✔✔-outcome
in |long-term |care |settings, |the |resident's |care |plan |is |based |on |data |collected |in |the |- |
CORRECT |ANSWER✔✔-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? |- |
CORRECT |ANSWER✔✔-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 |- |
CORRECT |ANSWER✔✔-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? |- |CORRECT |ANSWER✔✔-Clinical |data |repository
Which |of |the |following |are |phases |of |the |systems |development |life |cycle |(SDLC)? |- |CORRECT |
ANSWER✔✔-Analysis, |design, |and |implementation
CMS |pays |for |inpatient |services |provider |to |Medicare |patients |via: |- |CORRECT |ANSWER✔✔-
IPPS |(inpatient |prospective |payment |system)
In |which |EHR |database |model |is |all |of |the |healthcare |entity's |patient |health |information |
stored |in |one |system? |- |CORRECT |ANSWER✔✔-Centralized
DRGs |or |MS-DRGs |may |be |grouped |into |categories |called |- |CORRECT |ANSWER✔✔-MDCs
Under |the |OPPS |payment |system, |the |payment |is |based |primarily |on: |- |CORRECT |
ANSWER✔✔-the |weight |of |the |APCs |(Ambulatory |Payment |Classifications)
RVUs |are |used |as |the |basis |of |Medicare |payment |for |which |type |of |provider? |- |CORRECT |
ANSWER✔✔-Physician
In |which |form |of |database |would |data |mining |to |support |complex |data |analysis |most |
effectively |take |place? |- |CORRECT |ANSWER✔✔-clinical |data |warehouse
, Which |of |the |following |sites |is |considered |a |facility |in |the |RBRVS |payment |system? |- |CORRECT |
ANSWER✔✔-ambulance
In |which |form |of |database |would |data |mining |to |support |complex |data |analysis |most |
effectively |take |place? |- |CORRECT |ANSWER✔✔-clinical |data |warehouse
Which |of |the |following |sites |is |considered |a |facility |in |the |RBRVS |payment |system? |- |CORRECT |
ANSWER✔✔-ambulance
The |ambulatory |payment |classification |(APC) |system |is |based |on |the |categorization |of |
___________ |services. |- |CORRECT |ANSWER✔✔-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 |- |CORRECT |ANSWER✔✔-National |Committee |on
|Vital |and |Health |Statistics
Which |of |the |following |is |an |external |user |of |data? |- |CORRECT |ANSWER✔✔-public |health |
department
Facility-based |cancer |registries |receive |approval |as |part |of |the |facility |cancer |program |from |
which |of |the |following |agencies? |- |CORRECT |ANSWER✔✔-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? |- |CORRECT |ANSWER✔✔-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? |- |CORRECT |ANSWER✔✔-