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CCA practice exam 2 domain 1: health records and data content domain 2: health
information requirements and standards domain 3: clinical classification systems
domain 4: reimbursement methodologies domain 5: information and communication
technologies domain 6: privacy, confidentiality, legal, and ethical issues
Although the HIPAA Rule allows patient access to personal health information
about themselves, which of the following cannot be disclosed to patients?
Psychotherapy notes
Identify the punctuation mark that is used to supplement words or
explanatory information that may or may not be present in the
statement of diagnosis or
procedure in ICD-9-CM coding. The punctuation does not affect the code
number assigned to the case. The punctuation is considered a nonessential
modifier, and all three volumes of ICD-9-CM use them.
Parentheses ( )
What is the name of the organization that develops the billing form that
hospitals are required to use?
National Uniform Billing Committee (NUBC)
,Which of the following ethical principles is being followed when an HIT
professional ensures that patient information is only released to those who
have a legal right to access it?
Beneficence
A hospital currently includes the patient's social security number on the
face sheet of the paper medical record and in the electronic version of the
record. The hospital risk manager has identified this as a potential identity
fraud risk and wants the
information removed. The risk manager is not getting cooperation from the
physicians and others in the hospital who say that they need the information
for
identification and other purposes. Given this situation, what should the HIM
director suggest?
Avoid displaying the number on any document, screen, or data collection field.
Both HEDIS and the Joint Commission's ORYX program are designed to
collect data to be used for _.
Performance improvement programs
Which of the following would be classified to an ICD-9-CM category for
bacterial diseases?
Staphylococcus aureous
,A patient with known COPD and hypertension under treatment was admitted
to the hospital with symptoms of a lower abdominal pain. He undergoes a
laparoscopic
appendectomy and develops a fever. The patient was subsequently
discharged from the hospital with a principal diagnosis of acute
appendicitis and secondary
diagnoses of post-operative infection, COPD, and hypertension. Which of
the following diagnoses should not be tagged as POA?
Postoperative infection
CPT was developed and is maintained by:
AMA
Which organization developed the first hospital standardization program?
American College of Surgeon
On review of the audit trail for an EHR system, the HIM director discovers that
a
departmental employee who has authorized access to patient records is
printing far more records than the average user. In this cases, what should
the supervisor do?
Determine what information was printed and why
What are possible "add-on" payments that a hospital could receive in addition
to the basic Medicare DRG payment?
Additional payments may be made to disproportionate share hospitals, for
indirect medical education, for new technologies, and for cost outlier cases.
, The _______ is a type of coding that is a natural outgrowth of the electronic
heath
record.
Computer-assisted coding
Today, Janet Kim visited her new dentist for an appointment. She was not
presented with a Notice of Privacy Practices. Is this acceptable?
No, it is a violation of the HIPAA Privacy rule
Which of the following would be the best technique to ensure that
registration clerks consistently use the correct notation for assigning
admission date in an electronic
health record (EHR)?
Provide an input mask for entering data in the field
What should a hospital do when a state law requires more stringent privacy
protection than the federal HIPAA privacy standard?
Comply with both the state law and the HIPAA Standard
An employee in the physical therapy department arrives early every
morning to snoop through the clinical information system for potential
information about
neighbors and friends. What security mechanisms should be implemented to
prevent this security breach?
Information access controls