verified solutions
The nominal group technique gives each member of the team an opportunity to select the most
important ideas from an affinity diagram. This technique allows groups to do which of the
following? - correct answer ✔✔Narrow the focus of discussion without extended involvement
You are asked to write a report to capture patient injuries by diagnosis code. To determine
which injuries happened while the patient was in the hospital, you look to the present on
admission indicator. Which indicator would show you the injuries occurring while the patient
was in the hospital? - correct answer ✔✔N
Which of the following is a system which may include alerts, reminders, and links for clinical
care providers? - correct answer ✔✔Clinical decision support system
Which data element would be used to verify if the present on admission coding was correct on
a patient with an admitting diagnosis to decubitus ulcer? - correct answer ✔✔Skin exam
HEDIS (HealthCare Effectiveness Data Information Set) is a set of measures to be used by
consumers and purchasers of healthcare to compare performance of managed care plans.
Which hospital department would be responsible for entering and tracking data for this? -
correct answer ✔✔Quality
One way to examine readmissions with a given timeframe at your facility is to retrieve patient
data for that time frame, and look for duplicates of which attribute common in clinical data
sets? - correct answer ✔✔Medical record number
,A hospital that is installing beside monitoring devices that must feed data into the electronic
health record should be sure to conform to which of the following standards? - correct answer
✔✔DICOM(Digital Imaging and Communications in Medicine)
What entity is responsible for maintaining vital statistics data? - correct answer ✔✔State
government
Which of the following items are packaged under the Medicare hospital outpatient prospective
payment system (HOPPS)? - correct answer ✔✔Surgical procedures
DRGs or MS-DRGs may be grouped into categories called - correct answer ✔✔MDCs (Major
Diagnostic Categories)
The amount of copay or deductible due from a patient is transmitted to the provider via a -
correct answer ✔✔claims processing code
If the total practice expense for a group is $1,500,000 and the total RVUs provided by that
practice is 125,000, what is the break even conversion factor? - correct answer ✔✔$12
Once all data are posted to a patient's account, the claim can be reviewed for accuracy and
completeness. Many facilities have internal auditing system that runs each claim through a set
of edits. These internal auditing systems are called - correct answer ✔✔Scrubber
Which information found on the chargemaster describes payment codes for services or items,
and is usually a three or four digit number? - correct answer ✔✔Revenue Code
In which of the following phases of systems selection and implementation would the process of
running a mock query to assess the functionality of a database be performed? - correct answer
✔✔Testing
, Which national database includes data on all discharged patients regardless or payer? - correct
answer ✔✔Healthcare Cost and Utilization Project
OASIS data is used to assess the ____ of home health services. - correct answer ✔✔Outcomes
The federal initiative to collect data for research about the delivery and organization of
healthcare in the United States is called _____. - correct answer ✔✔HCUP (Healthcare Cost and
Utilization Project)
Benchmarking may be used to ________ - correct answer ✔✔Determine areas of improvement
Mary Smith, RHIA has been asked to work on the development of a hospital trauma data
registry. Which of the following data sets would be most helpful in developing this registry? -
correct answer ✔✔DEEDS (Data Elements for Emergency)
A patient born with a neural tube defect would be included in which type of registry? - correct
answer ✔✔Birth Defects
Which work measurement tool uses random sample observations to obtain information about
the performance of an entire department? - correct answer ✔✔Work Sampling
Resource-based relative value (RBRVS) rates are calculated based on practice, expense,
malpractice cost, and physician work and are then adjusted by a - correct answer
✔✔Geographical practice cost index
What term refers to information that provides physicians with pertinent health information
beyond the health record itself used to determine treatment options? - correct answer
✔✔Clinical practice guidelines