MED: Health Computing Mock Exam 2 with 100% Correct Answers |UPDATED|

MED: Health Computing Mock Exam 2 with 100% Correct Answers |UPDATED| A 16-year-old male was treated at your facility for a closed head injury. The patient's 18- year-old wife accompanied him to the hospital and signed the consent for admission and treatment because of the patient's incapacity at the time. The patient has requested that copies of his medical records be sent to his attorney. Who should sign the authorization to release the records? the patient's wife the patient the patient's parent or legal guardian either of the patient's parents the patient The patient must authorize the release of his records since he is an emancipated minor by marriage. An 11-year-old female is brought to the emergency room with a compound, comminuted fracture of the right tibia and fibula. Her mother was very seriously injured in the same accident and is unconscious. What should be done? The hospital should quickly seek a court-appointed guardian for the child. Nothing, until consent can be obtained from the nearest relative. The mother can be treated under implied consent but not the child. Both patients can be treated under implied consent. Both patients can be treated under implied consent. Even though the mother is not able to give expressed consent for treatment, permission is implied when the provider is acting in the patient's best interest to prevent death or preserve a limb. The coder works 7.5 hours per day. If a time standard is determined from sample observations to be 2.50 minutes per record for coding emergency room records, what is the daily standard for the number of records coded when a 15% fatigue factor is allowed? 192 records per day 180 records per day 153 records per day 200 records per day 153 records per day Calculation:7.5 hours x 60 minutes per hour = 450 minutes per day450 x 15% = 67.5450 − 67.5 = 382.5382.5/2.5 = 153 The ER staff has collected the data on the number of visits and corresponding wait times in the ER. The data are displayed on the chart shown above. Based on this information, what kind of correlation do you see between the number of visits (Variable X) and the wait times (Variable Y)? a negative correlation between Variable X and Variable Y a positive correlation between Variable X and Variable Y a causative correlation between Variable X and Variable Y a conjunctive correlation between Variab a positive correlation between Variable X and Variable Y Scatter diagrams display the strength of relationship between two variables. A strong relationship is seen as the data come closer to forming a straight line. When both variables increase and decrease at the same time, and the line progresses from the lower left toward the upper right corner, a positive relationship is demonstrated. Mary is 6 weeks post-mastectomy for carcinoma of the breast. She is admitted for chemotherapy. What is the correct sequencing of the codes? {C50.911 Malignant neoplasm of unspecified site of right female breast Z85.3 Personal history of malignant neoplasm of breast Z51.11 Encounter for antineoplastic chemotherapy Z08 Encounter for follow-up examination after completed treatment for malignant neoplasm} Z08, Z51.11 Z51.11, Z85.3 Z85.3 Z51.11, C50.911 Z51.11, C50.911 The cancer is coded as a current condition as long as the patient is receiving adjunct therapy.See the Official Guidelines for Coding and Reporting 2018, Section 1.c.2.d. Primary malignancy previously excised "When a primary malignancy has been previously excised or eradicated from its site and there is no further treatment directed to that site and there is no evidence of any existing primary malignancy, a code from category Z85, Personal history of malignant neoplasm, should be used to indicate the former site of the malignancy." The file clerks in your department's main file area report that they are able to locate 400 out of 450 requested records during the past month. There are a total of 4,500 records in the main file. What is the area's accuracy rate? 1.1% 88.9% 8.9% 10.0% 88.9% 400 / 450 = 0.888888 x 100 = 88.9% You have received a valid patient authorization and subpoena duces tecum requesting the custodian of records to appear in court with all records kept in the normal course of business. In reviewing the request and the master patient index, you validate that the patient was treated at your facility on the date referenced in the request. When preparing the records, you must consider the organization's definition of: Hybrid Record Legal Health Record Designated Record Set Metadata Legal Health Record The legal health record is released upon a valid request and the contents may vary based on how the organization defines it. It may include information other than clinical documents, such as radiological images, videos, or photographs. The designated record set is defined by HIPAA as a covered entity's health records and records involved in billing, insurance, enrollment, coverage and any other documents used to make decisions about individuals. All documents and data must be evaluated for designation as the legal health record and/or designated record set. According to CPT, a biopsy of the breast that involves removal of only a portion of the lesion for pathologic examination is percutaneous. punch. excisional. incisional. incisional. An incisional biopsy is cutting of breast tissue where a small portion or slice of a lesion is removed. The Pharmacy and Therapeutics Committee has asked you to find out more about a computerized order entry system that calculates drug dosages based on patient parameters (weight, age, etc.) and even suggests the best drug given the patient's diagnosis and current treatment. The committee is asking for information on a(n) clinical decision support system. practice parameters system.