2026(latest version verified for accuracy) | 2024\2025
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Dr. Smith enters he Chief complaint
following info as part of a
progress note: "2/3/YYYY.
Patient
complains of right upper
abdominal pain for four
days duration." Is his info
represents the:
A consent to admission False
documents a
patient's for all medical
treatment including
procedures and surgeries
to be completed during the
current admission.
true/false
Which characteristic of Determines claim status within 14 hours
electronic data interchange
(EDI) below is incorrect?
Dr. Sharp, a surgeon, has Forms committee
designed a new form that
she wants to use when
she
completed cataract surgery.
Final approval of the form
would be given by the:
Audits
List the activities for which Civil, administrative or criminal
authorization is not needed investigations Inspections
to disclose PHI to health Licensure or disciplinary actions
oversight agencies. Civil, administrative or criminal proceedings
,Commercial health insurance True
payers
include private and employer-
based health insurance
plans.
True/False
Failure to obey a subpoena contempt of court
constitutes _______________ _.
Upcoming or maximizing True
codes is considered DRG
creep. True/false
The medical record must be Professional practice standards and federal/state regulations
maintained according to:
When a patient is Transfer summary
transferred to a different
level of care with in the
same hospital the
summary report is called
a:
The intent of standard True
coding guidelines is to
simplify claim submission
for healthcare providers.
True/False
A data dictionary is a False
standard method for
collecting and reporting
individual data
elements. True/false
Which of the following Medical documentation is technically considered hearsay
correctly describes a
patient record?
The national limitation False
amount serves as a feeling
on the amount the third
party payers can pay for
clinical laboratory test.
true or false
,The hospital is riding every Disease
tension policy for the health
information management
department? which index
must be retained
permanently?
The hospital is Patient names
conducting research on
Alzheimer's disease and
wishes to obtain
information from a state
registry. which
information below would
be unavailable from the
registry?
Which of the following is not Signature of requesting physician
documented as part of a
consultation report?
Only authorized personnel True
should have acess to file
areas and the file areas
should be secured when a
file staff member is not in
the fail area. True/false
Private and public sector Covered entities
organizations that must
follow HIPPA provisions are
called _.
The QI department needs to Disease index
obtain a list of patients
discharged within the last
three months with a
diagnosis of diverticulitis.
This info can be obtained from
the:
The name address and Identifiable date
phone number of the third-
, party payer is considered
Rebecca Brown was born at Unit numbering system
the hospital in 1967 and I
assigned a patient number
576890. she was admitted 1974
for
tonsillectomy and reassign
number 576890. All of her
admissions are found in a
single folder.the system
being used is called a
The medical information False
bureau was legislative
by the healthcare
quality improvement
act of 1986. True/false
A unit number in system False
requires the retrieval of
patient's record from
multiple locations in the
filing system when previous
records are requested by a
physician.
True/false
Medicaid is a joint federal and False
state
program that provides
healthcare coverage to
individuals age 65 and
older. True/false
The hospital is converting Filing space
from my cereal to a unit
number in system which
of the following will
decrease?