complete solution
The number-one reason for maintaining patient records is:
a. Legal documentation
b. Communication
c. Patient Care
d. Billing and reimbursement - answerPatient Care
Which is generally not considered part of a patient's medical record:
a. Problem list
b. Medication Record
c. Progress Notes
d. Digital images or films - answerDigital Images or films
Medical records that are created and organized around the patient's problems are known as:
a. Chronological organized medical records
b. "Source - oriented" medical records
c. Content Based Medical Records
d. Patient Oriented Medical Records - answerPatient Oriented Medical Records
A method for measuring performance that allows for the design of measurement systems that
align with the organization's strategy goals and examines multiple measures along several
dimensions is known as:
a. Benchmarking
b. Outcome measures
,c. Balanced scorecard
d. Clinical Value Compass - answerBalanced Scorecard
The category of statistics that are routinely gathered for health care executives are:
a. Census statistics
b. Discharge statistics
c. Mortality Statistics
d. Both a and b - answerCensus Statistics and Discharge statistics
Which standard billing form is submitted for health care provider services such as those provided
by a physician's office to third party payers:
a. UB-04
b. CMS-1450
c. CMS-1500
d. UB-82 - answerCMS-1500
What is a federally mandated standard assessment tool used to collect demographic and clinical
information specifically about long-term care facility residents:
a. MDS
b. ACDS
c. UHDDS
d. HEDIS - answerMDS
The main source(s) of data that go into hundreds of aggregate reports or queries that are often
developed and used by providers and executives in health care organizations are:
a. Patient records
b. Uniform billing information
, c. Discharge data sets
d. All of the above - answerAll of the above
HEDIS measures are specifically used to measure and compare the performance of:
a. Hospitals
b. Skilled nursing facilities
c. Physician practices
d. Health plans - answerHeath Plans
Which organization is responsible for investigating fraud involving government health insurance
programs?
a. OIG
b. CMS
c. AMA
d. WHO - answerOIG
As part of the patient's medical record, the identification form or face sheet is considered both a
clinical and administrative document - answerTrue
CPT codes are published by the American Hospital Association (AHA) and updated each year -
answerFalse
DRGs are used as the basis for determining appropriate inpatient reimbursement for Medicare,
Medicaid, and other health care insurance beneficiaries - answerTrue
Medicare cost reports are filed annually by all hospitals, physician offices, home health agencies,
skilled nursing facilities, and hospices that accept Medicare or Medicaid. - answerFalse