CCS Exam Prep Health Data Content and
Standards TEST BANK EXAM 2025 -2026
LATEST VERSION WITH COMPLETE QUESTIONS
AND ACCURATE DETAILED ANSWERS
\VERIFIED 100% \GRADED A+
14. As part of Joint Commission's National Patient
Safety Goal initiative, acute care hospitals are now
required to use a preoperative verification process to
confirm the patient's true identity and to confirm that
necessary documents such as X-rays or medical
C records are available. They must also develop and use
a process for A. including the primary caregiver in
surgery consults. B. including the surgeon in the
preanesthesia assessment. C. marking the surgical site.
D. apprising the patient of all complications that might
occur.
15. Currently, the enforcement of HIPAA Privacy and
Security Rules is the responsibility of the
A A. Office for Civil Rights. B. FBI. C. Office of Inspector
General. D. Department of Recovery Audit
Coordinators.
16. Using the SOAP method of recording progress
notes, which entry would most likely include a
A
differential diagnosis? A. assessment B. plan C.
subjective D. objective
, 17. You have been asked by a peer review committee
to print a list of the medical record numbers of all
patients who had CABGs performed in the past year
D at your acute care hospital. Which secondary data
source could be used to quickly gather this
information? A. disease index C. master patient index
B. physician index D. operation index
18. The best example of point-of-care service and
documentation is A. using an automated tracking
system to locate a record. B. using occurrence
D screens to identify adverse events. C. doctors using
voice recognition systems to dictate radiology
reports. D. nurses using bedside terminals to record
vital signs.
19. Which of the following is a form or view that is
typically seen in the health record of a long-term
A care patient but is rarely seen in records of acute care
patients? A. pharmacy consultation C. physical exam
B. medical consultation D. emergency record
20. In determining your acute care facility's degree of
compliance with prospective payment
requirements for Medicare, the best resource to
D
reference for recent certification standards is the A.
CARF manual. C. Joint Commission accreditation
manual. B. hospital bylaws. D. Federal Register.
, 21. In an acute care hospital, a complete history and
physical may not be required for a new
admission when A. the patient is readmitted for a
similar problem within 1 year. B. the patient's stay is
D
less than 24 hours. C. the patient has an uneventful
course in the hospital. D. a legible copy of a recent
H&P performed in the attending physician's office is
available.
22. When developing a data collection system, the
most effective approach first considers
A A. the end user's needs. C. hardware requirements. B.
applicable accreditation standards. D. facility
preference.
23. A key data item you would expect to find
recorded on an ER record but would probably NOT
see
C
in an acute care record is the A. physical findings. C.
time and means of arrival. B. lab and diagnostic test
results. D. instructions for follow-up care.
Standards TEST BANK EXAM 2025 -2026
LATEST VERSION WITH COMPLETE QUESTIONS
AND ACCURATE DETAILED ANSWERS
\VERIFIED 100% \GRADED A+
14. As part of Joint Commission's National Patient
Safety Goal initiative, acute care hospitals are now
required to use a preoperative verification process to
confirm the patient's true identity and to confirm that
necessary documents such as X-rays or medical
C records are available. They must also develop and use
a process for A. including the primary caregiver in
surgery consults. B. including the surgeon in the
preanesthesia assessment. C. marking the surgical site.
D. apprising the patient of all complications that might
occur.
15. Currently, the enforcement of HIPAA Privacy and
Security Rules is the responsibility of the
A A. Office for Civil Rights. B. FBI. C. Office of Inspector
General. D. Department of Recovery Audit
Coordinators.
16. Using the SOAP method of recording progress
notes, which entry would most likely include a
A
differential diagnosis? A. assessment B. plan C.
subjective D. objective
, 17. You have been asked by a peer review committee
to print a list of the medical record numbers of all
patients who had CABGs performed in the past year
D at your acute care hospital. Which secondary data
source could be used to quickly gather this
information? A. disease index C. master patient index
B. physician index D. operation index
18. The best example of point-of-care service and
documentation is A. using an automated tracking
system to locate a record. B. using occurrence
D screens to identify adverse events. C. doctors using
voice recognition systems to dictate radiology
reports. D. nurses using bedside terminals to record
vital signs.
19. Which of the following is a form or view that is
typically seen in the health record of a long-term
A care patient but is rarely seen in records of acute care
patients? A. pharmacy consultation C. physical exam
B. medical consultation D. emergency record
20. In determining your acute care facility's degree of
compliance with prospective payment
requirements for Medicare, the best resource to
D
reference for recent certification standards is the A.
CARF manual. C. Joint Commission accreditation
manual. B. hospital bylaws. D. Federal Register.
, 21. In an acute care hospital, a complete history and
physical may not be required for a new
admission when A. the patient is readmitted for a
similar problem within 1 year. B. the patient's stay is
D
less than 24 hours. C. the patient has an uneventful
course in the hospital. D. a legible copy of a recent
H&P performed in the attending physician's office is
available.
22. When developing a data collection system, the
most effective approach first considers
A A. the end user's needs. C. hardware requirements. B.
applicable accreditation standards. D. facility
preference.
23. A key data item you would expect to find
recorded on an ER record but would probably NOT
see
C
in an acute care record is the A. physical findings. C.
time and means of arrival. B. lab and diagnostic test
results. D. instructions for follow-up care.
