HIMA 2300 PRG II | QUESTIONS AND ANSWERS | 2026
UPDATE | WITH COMPLETE SOLUTION
14. Discharge summary documentation must include
A. a detailed history of the patient
B. a note from social services or discharge planning
C. significant findings during hospitalization
D. correct codes for significant procedures Answer - C. significant findings
during hospitalization
15. The performance of qualitative analysis is an important tool in ensuring
data quality. These reviews evaluate
A. quality of care through the use of pre-established criteria
B. adverse effects and contraindications of drugs utilized during hospitalization
C. potentially compensable events
D. completeness, adequacy, and quality of documentation Answer - D.
completeness, adequacy, and quality of documentation
16. Ultimate responsibility for the quality and completion of entries in patient
health records belongs to the
A. chief of staff
B. attending physician
C. HIM director
D. risk manager Answer - B. attending physician
,17. Quantitative and qualitative reviews performed on patient records by
medical record personnel in either a skilled nursing facility or inpatient
psychiatric facility are generally in the form of
A. retrospective deficiency analysis
B. special study audits
C. concurrent chart review
D. occurrence screening Answer - C. concurrent chart review
18. The foundation for communicating all patient care goals in long-term care
settings is the
A. legal assessment
B. medical history
C. individualized patient care plan.
D. Uniform Hospital Discharge Data Set Answer - C. individualized patient care
plan.
19. Which interdisciplinary committee is most likely to be charged with the
responsibility for monitoring trends in delinquent health record percentages?
A. Health Record Committee
B. Utilization Review Committee
C. Risk Management Committee
D. Joint Conference Committee Answer - A. Health Record Committee
20. A health record analyst needs to quickly compare all lab values during one
hospitalization. The paper-based health record format best suited for this
purpose is
A. problem-oriented
, B. source-oriented
C. reverse chronological
D. integrated Answer - B. source-oriented
21. In preparing your facility for initial accreditation by Joint Commission, you
are trying to improve the process of ongoing record review. All health record
reviews are presently performed by a team of HIM department personnel. The
committee meets quarterly and reports to a Quality Management Committee.
In reviewing Joint Commission standards, your first recommended change is to
A. have more frequent committee meetings
B. have the committee report to the Executive Committee
C. have a physician perform all the reviews
D. provide for record reviews to be performed by an interdisciplinary team of
care providers Answer - D. provide for record reviews to be performed by an
interdisciplinary team of care providers
22. As the privacy officer of your facility, you have been charged with
developing policies and procedures for protecting the confidentiality and
security of the clinical data collected in your computerized system. One of the
first steps you will take is to judge the value of information processed by your
system and classify it. Another step you will need to take is to
A. authorize access to information collected based on level of data sensitivity
B. prevent all non-clinicians' access to any confidential information in the
system
C. establish firewalls to protect aggregate data collected within your facility
D. establish passwords for all customers, both internal and external, who
request access to the information in your system Answer - A. authorize access
to information collected based on level of data sensitivity
UPDATE | WITH COMPLETE SOLUTION
14. Discharge summary documentation must include
A. a detailed history of the patient
B. a note from social services or discharge planning
C. significant findings during hospitalization
D. correct codes for significant procedures Answer - C. significant findings
during hospitalization
15. The performance of qualitative analysis is an important tool in ensuring
data quality. These reviews evaluate
A. quality of care through the use of pre-established criteria
B. adverse effects and contraindications of drugs utilized during hospitalization
C. potentially compensable events
D. completeness, adequacy, and quality of documentation Answer - D.
completeness, adequacy, and quality of documentation
16. Ultimate responsibility for the quality and completion of entries in patient
health records belongs to the
A. chief of staff
B. attending physician
C. HIM director
D. risk manager Answer - B. attending physician
,17. Quantitative and qualitative reviews performed on patient records by
medical record personnel in either a skilled nursing facility or inpatient
psychiatric facility are generally in the form of
A. retrospective deficiency analysis
B. special study audits
C. concurrent chart review
D. occurrence screening Answer - C. concurrent chart review
18. The foundation for communicating all patient care goals in long-term care
settings is the
A. legal assessment
B. medical history
C. individualized patient care plan.
D. Uniform Hospital Discharge Data Set Answer - C. individualized patient care
plan.
19. Which interdisciplinary committee is most likely to be charged with the
responsibility for monitoring trends in delinquent health record percentages?
A. Health Record Committee
B. Utilization Review Committee
C. Risk Management Committee
D. Joint Conference Committee Answer - A. Health Record Committee
20. A health record analyst needs to quickly compare all lab values during one
hospitalization. The paper-based health record format best suited for this
purpose is
A. problem-oriented
, B. source-oriented
C. reverse chronological
D. integrated Answer - B. source-oriented
21. In preparing your facility for initial accreditation by Joint Commission, you
are trying to improve the process of ongoing record review. All health record
reviews are presently performed by a team of HIM department personnel. The
committee meets quarterly and reports to a Quality Management Committee.
In reviewing Joint Commission standards, your first recommended change is to
A. have more frequent committee meetings
B. have the committee report to the Executive Committee
C. have a physician perform all the reviews
D. provide for record reviews to be performed by an interdisciplinary team of
care providers Answer - D. provide for record reviews to be performed by an
interdisciplinary team of care providers
22. As the privacy officer of your facility, you have been charged with
developing policies and procedures for protecting the confidentiality and
security of the clinical data collected in your computerized system. One of the
first steps you will take is to judge the value of information processed by your
system and classify it. Another step you will need to take is to
A. authorize access to information collected based on level of data sensitivity
B. prevent all non-clinicians' access to any confidential information in the
system
C. establish firewalls to protect aggregate data collected within your facility
D. establish passwords for all customers, both internal and external, who
request access to the information in your system Answer - A. authorize access
to information collected based on level of data sensitivity
