HIT, Chapter 3 Exam ACTUAL QUESTIONS AND
CORRECT ANSWERS
Health record - CORRECT ANSWER Information relating to the physical or mental
health or condition of an individual, collected by a health professional
Primary purposes of health records - CORRECT ANSWER Patient care, managing
patient care, and administrative purposes
Secondary purposes of health records - CORRECT ANSWER Education; legal,
accreditation, and policy development; and public health and research
Individual users of the health record - CORRECT ANSWER Patient care providers;
patient care managers and support staff; coding and billing staff; patients; employers;
lawyers; law enforcement officials; healthcare researchers and clinical investigators; and
government policy makers
Institutional uses of the health record - CORRECT ANSWER Healthcare delivery
organizations; third party payers; medical review organizations; research organizations;
educational organizations; accreditation organizations; government licensing agencies; and
policy making bodies
Hybrid health record - CORRECT ANSWER combination of the paper record and the
EHR
Aggregate data - CORRECT ANSWER data that has been extracted from individual
health records and combined to form deidentified information about group of patients that
can be compared and analyzed
HIM functions include... - CORRECT ANSWER record processing; monitoring of
record completing; transcription; clinical coding, abstracting, and clinical data analysis; birth
and death certificate completion
, Master Patient Index (MPI) - CORRECT ANSWER Permanent record of all patients
treated at a healthcare facility
Enterprise master patient index (EMPI) - CORRECT ANSWER Links the patient's
information at different facilities
MPI Quality Control - CORRECT ANSWER To maintain the MPI, algorithms are used
to match patients so patient information can be merged
Overlay - CORRECT ANSWER where a patient is erroneously assigned another
persons health record number
Overlap - CORRECT ANSWER when a patient has more than one health record
number at different locations in an enterprise
Delinquent record - CORRECT ANSWER A record that remains incomplete longer
than the time allowed by medical staff rules and regulations
Serial numbering system - CORRECT ANSWER a patient is issued a unique numerical
identifier for every encounter at the healthcare facility; this method is inefficient and costly
Unit numbering system - CORRECT ANSWER commonly used in large healthcare
facilities; patient is issued a health record number at the first encounter and that number is
used for all encounters
Serial-unit numbering system - CORRECT ANSWER A combination of the serial and
unit numbering systems
Outguide - CORRECT ANSWER identifies where the health record is located and
when it was removed
Requisition - CORRECT ANSWER request for the health record
CORRECT ANSWERS
Health record - CORRECT ANSWER Information relating to the physical or mental
health or condition of an individual, collected by a health professional
Primary purposes of health records - CORRECT ANSWER Patient care, managing
patient care, and administrative purposes
Secondary purposes of health records - CORRECT ANSWER Education; legal,
accreditation, and policy development; and public health and research
Individual users of the health record - CORRECT ANSWER Patient care providers;
patient care managers and support staff; coding and billing staff; patients; employers;
lawyers; law enforcement officials; healthcare researchers and clinical investigators; and
government policy makers
Institutional uses of the health record - CORRECT ANSWER Healthcare delivery
organizations; third party payers; medical review organizations; research organizations;
educational organizations; accreditation organizations; government licensing agencies; and
policy making bodies
Hybrid health record - CORRECT ANSWER combination of the paper record and the
EHR
Aggregate data - CORRECT ANSWER data that has been extracted from individual
health records and combined to form deidentified information about group of patients that
can be compared and analyzed
HIM functions include... - CORRECT ANSWER record processing; monitoring of
record completing; transcription; clinical coding, abstracting, and clinical data analysis; birth
and death certificate completion
, Master Patient Index (MPI) - CORRECT ANSWER Permanent record of all patients
treated at a healthcare facility
Enterprise master patient index (EMPI) - CORRECT ANSWER Links the patient's
information at different facilities
MPI Quality Control - CORRECT ANSWER To maintain the MPI, algorithms are used
to match patients so patient information can be merged
Overlay - CORRECT ANSWER where a patient is erroneously assigned another
persons health record number
Overlap - CORRECT ANSWER when a patient has more than one health record
number at different locations in an enterprise
Delinquent record - CORRECT ANSWER A record that remains incomplete longer
than the time allowed by medical staff rules and regulations
Serial numbering system - CORRECT ANSWER a patient is issued a unique numerical
identifier for every encounter at the healthcare facility; this method is inefficient and costly
Unit numbering system - CORRECT ANSWER commonly used in large healthcare
facilities; patient is issued a health record number at the first encounter and that number is
used for all encounters
Serial-unit numbering system - CORRECT ANSWER A combination of the serial and
unit numbering systems
Outguide - CORRECT ANSWER identifies where the health record is located and
when it was removed
Requisition - CORRECT ANSWER request for the health record
