Which of the following best describes data accessibility? (Test 11)
Data are reliable
Data are easy to obtain
Data are correct
Data include all required elements - correct answer Data are easy to obtain
The new opportunity for HIM professionals that deals with data repositories and data warehouses is:
Enterprise content andinformation manager
Clinical data specialist
Data resource administrator
Health information manager - correct answer Data resource administrator
The HITECH Act creates incentives under the Medicare Fee-for-Service (FFS), Medicare Advantage (MA),
and Medicaid programs for EPs, eligible hospitals and CAHs to adopt and demonstrate meaningful use of
certified EHR technology, and
payment adjustments under the Medicare FFS and MA programs for EPs, eligible hospitals, and CAHs
who fail to adopt and demonstrate meaningful use of certified EHR technology.
True
False - correct answer True
Which of the following is an example of clinical data?
Date and time of admission
Admitting diagnosis
Insurance information
Health record number - correct answer Admitting diagnosis
Which of the following activities is not a traditional medical records function?
,Productivity monitoring
Forms control
Quantitative analysis
Data administration - correct answer Data administration
An ambulatory surgery operative report for a 75-year-old male patient states that the patient received a
full- thickness graft of the cheek following lesion removal of a basal carcinoma. The lesion plus margins
are documented to be 3.2 cm in diameter. A 10-sq-cm graft is applied with donor skin from his thigh,
closed by suture. Which of the following code sets is correct for this surgery?
173.30 Basal cell carcinoma of skin and upper unspecified parts of face
11644 Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to
4.0 cm
11646 Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over
4.0 cm
15004 Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar
(including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth,
neck, ears, orbits, - correct answer 173.31, 15240, 11644
Which ICD-9-CM code should you report for a malignant neoplasm of the middle lobe of the lung?
162 Malignant neoplasm of trachea, bronchus, and lung
162.2 Main bronchus
162.3 Upper lobe, bronchus or lung
162.4 Middle lobe, bronchus or lung
, 162.5 Lower lobe, bronchus or lung - correct answer 162.4 Middle lobe, bronchus or
lung
Microscopic vessels that carry blood from small arteries to small veins are:
capillaries.
sinusoids.
arterioles.
venules. - correct answer capillaries.
The HPI must be documented in the medical record by:
the patient's next door neighbor
any office staff member
the physician
the patient - correct answer the physician
Business continuity planning is the term used to describe the routine maintenance performed
True
False - correct answer False
Speech recognition technology systems today use sentence structure, meaning, and context based on
statistical algorithms, this is known as:
artificial neural networks
key word spotting
hidden Markov model
natural language processing - correct answer natural language processing
In designing an electronic health record, one of the best resources to use in helping to define the
content of the record as well as to standardize data definitions is the E1384 standard promulgated by
the: