2026 COMPLETE QUESTIONS WITH CORRECT
DETAILED ANSWERS || 100% GUARANTEED PASS
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1. A health record technician has been asked to review the discharge patient
abstracting module of a proposed new electronic health record (EHR).
Which of the following data sets would the technician consult to ensure the
system collects all federally required discharge data elements for Medicare
and Medicaid inpatients in an acute-care hospital?
a. CARF
b. DEEDS
c. UACDS
d. UHDDS - ANSWER ✔ d. UHDDS (Uniform Hospital Discharge
Data Set)
The Uniform Hospital Discharge Data Set (UHDDS) data characteristics
include patient-specific items on every inpatient.
2. Standardizing medical terminology to avoid differences in naming various
health conditions and procedures (such as the synonyms bunionectomy,
McBride procedure, and repair of hallux valgus) is one purpose of:
a. Content and structure standards
b. Security standard
c. Transaction standards
d. Vocabulary standards - ANSWER ✔ d. Vocabulary standards
,Vocabulary standards are a list or collection of clinical words or phrases with
their meanings; also, the set of words used by an individual or group within a
particular subject field, such as to provide consistent descriptions of medical
terms for an individual's condition in the health record.
3. Patient care managers use the data documented in the health record to:
a. Determine the extent and effects of occupational hazards
b. Evaluate patterns and trends of patient care
c. Generate patient bills and third-party payer claims for reimbursement
d. Provide direct patient care - ANSWER ✔ b. Evaluate patterns and
trends of patient care
Patient care managers are responsible for the overall evaluation of services
rendered for their particular area of responsibility. To identify patterns and
trends, they take details from individual health records and put all the
information together in one place.
4. The evaluation of coders is recommended at least quarterly for the purpose
of measurement and assurance of:
A. Speed
B. Data quality and integrity
C. Accuracy
D. Effective relationships with physicians and facility personnel -
ANSWER ✔ Data quality and integrity
Coders should be evaluated at least quarterly, with appropriate training needs
identified, facilitated, and reassessed over time. Only through this continuous
,process of evaluation can data quality and integrity be accurately measured and
ensured.
5. Which of the following is a legal concern regarding the EHR?
A. Ability to subpoena audit trails
B. Template design
C. ANSI standards
D. Data sets - ANSWER ✔ Ability to subpoena audit trails
There are a number of legal issues facing the electronic health record (EHR).
State laws vary as to what is and is not acceptable in a court of law regarding
EHRs. Healthcare providers frequently receive subpoenas requesting the
production of the health record. The subpoenas may require the production of
audit trails.
6. Healthcare fraud is all except which of the following?
A. Damage to another party that reasonably relied on
misrepresentation
B. False representation of fact
C. Failure to disclose a material fact
D. Unnecessary costs to a program - ANSWER ✔ Unnecessary
costs to a program
Healthcare fraud is the intentional deception or misrepresentation that an
individual knows (or should know) to be false, or does not believe to be true,
and makes, knowing the deception could result in some unauthorized benefit to
himself or some other person(s). Unnecessary costs to a program, in and of
itself, would not be healthcare fraud, there would need to be some intentional
deception for it to be considered fraud.
, 7. Corporate compliance programs became common after adoption of which of
the following?
A. False Claims Act.
B. Federal Sentencing Guidelines
C. Office of the Inspector General for HHS
D. Federal Physician Self-Referral Statute - ANSWER ✔ Federal
Sentencing Guidelines
The U.S. Federal Sentencing Guidelines outline seven steps as the hallmark of
an effective program to prevent and detect violations of law. These seven steps
were the basis for the OIG's recommendations regarding the fundamental
elements of an effective compliance program.
8. A group practice has hired an HIT as its chief compliance officer. The
current compliance program includes written standards of conduct and
policies, and procedures that address specific areas of potential fraud. It also
has audits in place to monitor compliance. Which of the following should
the compliance officer also ensure are in place?
A. A bonus program for coders who code charts with higher
paying MS-DRGs
B. A hotline to receive complaints and adoption of procedures to
protect whistleblowers from retaliation
C. Procedures to adequately identify individuals who make
complaints so that appropriate follow-up can be conducted
D. A corporate compliance committee that reports directly to
CFO - ANSWER ✔ A hotline to receive complaints and
adoption of procedures to protect whistleblowers from
retaliation