HEALTH INFORMATION MANAGEMENT MIDTERM EXAM NEWEST
2025/2026 ACTUAL EXAM WITH COMPLETE 250 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A ________________ patient record contains records from different episodes of
care, providers, and facilities that are linked to form a view, over time, of a
patient's health care encounters.
a) Integrated
b) Longitudinal
c) Hybrid
d) Legal
Correct answer: b) Longitudinal
The term ____________________ is used currently by the Institute of Medicine
(IOM) and HL7 to describe the development of standards that relate to the
exchange of clinical health information.
a) Personal health record
b) Electronic medical record
c) Health information exchange
d) Electronic health record
Correct answer: d) Electronic health record
A ____________________ is a collection of related records.
a) Database
b) Folder
c) File
d) Index
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Correct answer: c) File
Optical disk imaging is also known as ____________________.
a) Digital archiving
b) Document imaging
c) Data abstraction
d) Record scanning
Correct answer: b) Document imaging
Suzy Supervisor is working to transition the HIM department from a paper patient
record system to an electronic record system. Currently each patient's record has
a paper history and physical, operative report, and discharge summary, while the
progress notes and medication administration records are maintained in an
electronic system. This is known as a(n):
a) Electronic health record
b) Integrated record
c) Hybrid record
d) Longitudinal record
Correct answer: c) Hybrid record
AHIMA recommends that anyone who documents inpatient records be trained
and follow the organization's standards and policies for ____________________.
a) Coding
b) Auditing
c) Documentation
d) Accreditation
Correct answer: c) Documentation
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The physicians at Sunny Valley Hospital have requested that all progress notes be
organized with the most current progress note filed first, a type of filing order
known as:
a) Alphabetical order
b) Terminal digit order
c) Universal chart order
d) Reverse chronological date order
Correct answer: d) Reverse chronological date order
The abbreviation q.h. means:
a) Every day
b) Every hour
c) Every morning
d) Every evening
Correct answer: b) Every hour
Which filing order saves time in processing discharged records?
a) Alphabetical order
b) Chronological order
c) Universal chart order
d) Terminal digit order
Correct answer: c) Universal chart order
The American Hospital Association recommends that patient records be retained
for:
a) Three years
b) Seven years
c) Ten years
d) Five years
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Correct answer: d) Five years
Demographic data is documented on the face sheet of a manual patient record.
a) False
b) Not applicable
c) Partially true
d) True
Correct answer: d) True
A physician practice in which the physician does not have a partner or
employment affiliations with other practice organizations is a
______________________________.
a) Group practice
b) Integrated delivery system
c) Solo physician practice
d) Multispecialty practice
Correct answer: c) Solo physician practice
Medicare will reimburse subacute care facilities if the care provided is
____________________ and medically necessary.
a) Cost-effective
b) Preventive
c) Long-term
d) Appropriate
Correct answer: d) Appropriate
A ____________________ is an electronic network of patient medical information
gathered from multiple health care organizations in a geographical region.
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