HIM 103 STUDY GUIDE QUESTIONS
WITH 100% CORRECT ANSWERS |
ALREADY PASSED
The fundamental purpose of ____________ (136) is to assist physicians in achieving
the best documentation of their medical decision-making process. - Answer- CDI
Which of the following is not included as a use for health information in an internal
health care facility? - Answer- Develop community awareness of health care issues
Records that are grouped together by date of discharge and are moved as a group
through assembly, analysis, and coding is an example of what? - Answer- Batch by
days
____________ refers to the way in which the paper record is processed from one HIM
function to another or moved from one desk to another. - Answer- Workflow
The ____________ requires that managed care organizations comply with clinical and
administration performance standards, includes a requirement for health records. -
Answer- NCQA
__________ is fundamental to compliance with medication and disease-management
instructions given to the patient. - Answer- Health literacy
__________ is not generally recorded and tracked because the clinician is expected to
see the flag the next time her or she reviews the record. - Answer- Concurrent analysis
Quantitative analysis reviews the health record to ensure the documentation reflects the
care the patient received and qualitative analysis reviews health care content to sure it
is complete according to organizational policies. (T/F) - Answer- False
Which of the following is NOT included in the ROI process? - Answer- Accept payment
for the process of information
The absence of a document, an incomplete document, or a missing authentication are
all examples of: - Answer- Deficiencies
, Which of the following is a detective control? - Answer- The nursing supervisor reviews
a chart to ensure that medication administration notes were properly entered.
An 82 year old patient presents to the physician's office for a routine physical
examination. He give the receptionist two cards, a government-funded insurance plan
that pays for most of the bill and an additional, private plan that covers the remaining
charges. The patient's secondary insurance is called: - Answer- Supplement
The exchange of payment for professional services rendered at a rate less than the
normal fee for service is called: - Answer- Discounted fee for service
The process of determining the most accurate DRG payment is called DRG grouper.
(T/F) - Answer- False
A patient was treated by his primary care physician. Upon leaving the office, the patient
gave the physician a $10 co-pay. This patient's insurance plan is most likely a(n): -
Answer- Managed care plan
The payment rate established by an insurance company, based on it's knowledge of the
regional charges for a service, is called: - Answer- Usual and customary fee
One who is eligible to receive or is receiving benefits from an insurance policy or a
managed care program is called a payer - Answer- False
What type of health care professional performs duties under the supervision of a fully
qualified physician? - Answer- Resident
What type of standards includes the quality of providers, certain policies and
procedures, and financial issues and are updated in the Code of Federal Regulations? -
Answer- Conditions of Participations
Clinical and allied health professional use _______________ to communicate with one
another and monitor patient's health. - Answer- Health record
Daisy Community Center is an acute care facility with 350 beds. On May 1, there were
305 inpatients. What is the percent occupancy? - Answer- 87%
305/350=.87=87%
Nurse midwives and nurse anesthetists are examples of a(n): - Answer- Advanced
practice registered nurse (APRN)
A facility that focuses totally on palliative care is a(n): - Answer- hospice
What federal agency is a division of the Department of Health and Human Services that
oversees Medicare and Medicaid? - Answer- CMS
WITH 100% CORRECT ANSWERS |
ALREADY PASSED
The fundamental purpose of ____________ (136) is to assist physicians in achieving
the best documentation of their medical decision-making process. - Answer- CDI
Which of the following is not included as a use for health information in an internal
health care facility? - Answer- Develop community awareness of health care issues
Records that are grouped together by date of discharge and are moved as a group
through assembly, analysis, and coding is an example of what? - Answer- Batch by
days
____________ refers to the way in which the paper record is processed from one HIM
function to another or moved from one desk to another. - Answer- Workflow
The ____________ requires that managed care organizations comply with clinical and
administration performance standards, includes a requirement for health records. -
Answer- NCQA
__________ is fundamental to compliance with medication and disease-management
instructions given to the patient. - Answer- Health literacy
__________ is not generally recorded and tracked because the clinician is expected to
see the flag the next time her or she reviews the record. - Answer- Concurrent analysis
Quantitative analysis reviews the health record to ensure the documentation reflects the
care the patient received and qualitative analysis reviews health care content to sure it
is complete according to organizational policies. (T/F) - Answer- False
Which of the following is NOT included in the ROI process? - Answer- Accept payment
for the process of information
The absence of a document, an incomplete document, or a missing authentication are
all examples of: - Answer- Deficiencies
, Which of the following is a detective control? - Answer- The nursing supervisor reviews
a chart to ensure that medication administration notes were properly entered.
An 82 year old patient presents to the physician's office for a routine physical
examination. He give the receptionist two cards, a government-funded insurance plan
that pays for most of the bill and an additional, private plan that covers the remaining
charges. The patient's secondary insurance is called: - Answer- Supplement
The exchange of payment for professional services rendered at a rate less than the
normal fee for service is called: - Answer- Discounted fee for service
The process of determining the most accurate DRG payment is called DRG grouper.
(T/F) - Answer- False
A patient was treated by his primary care physician. Upon leaving the office, the patient
gave the physician a $10 co-pay. This patient's insurance plan is most likely a(n): -
Answer- Managed care plan
The payment rate established by an insurance company, based on it's knowledge of the
regional charges for a service, is called: - Answer- Usual and customary fee
One who is eligible to receive or is receiving benefits from an insurance policy or a
managed care program is called a payer - Answer- False
What type of health care professional performs duties under the supervision of a fully
qualified physician? - Answer- Resident
What type of standards includes the quality of providers, certain policies and
procedures, and financial issues and are updated in the Code of Federal Regulations? -
Answer- Conditions of Participations
Clinical and allied health professional use _______________ to communicate with one
another and monitor patient's health. - Answer- Health record
Daisy Community Center is an acute care facility with 350 beds. On May 1, there were
305 inpatients. What is the percent occupancy? - Answer- 87%
305/350=.87=87%
Nurse midwives and nurse anesthetists are examples of a(n): - Answer- Advanced
practice registered nurse (APRN)
A facility that focuses totally on palliative care is a(n): - Answer- hospice
What federal agency is a division of the Department of Health and Human Services that
oversees Medicare and Medicaid? - Answer- CMS
