A coding professional enters the appropriate code assignments for diagnoses and
procedures, the patient's age, and the dates of admission and discharge in order to
calculate and assign a reimbursement for hospital inpatients under this process: ***
encoding
A data integrity coordinator is a nontraditional role in HIM. What task(s) might that
person be required to do? *** all of these
A healthcare facility that has been granted approval based on a set of voluntary
standards is known as: *** accredited
A healthcare professional who converts recorded dictation into typed format is known as
a(n): *** coder
A listing of guarantees that a patient should expect such as the right to privacy, the right
to make his/her own medical decisions, the right to refuse treatment, and the right to be
treated fairly is known as: *** patient rights
A network of providers that share financial and clinical responsibility to coordinate care
of their assigned patients led by one primary care physician is known as a(n): ***
affordable care act group
A normal healthy newborn's Apgar score would be: *** 2
A patient was admitted to the hospital for an emergency appendectomy. The EMS
responders hand off initial information about the patient's vitals to go in her health
record. The nurse then updates and adds further information after an initial battery of
tests. The doctor then includes pre-operative and post-operative reports. At this point in
the healthcare process, what is the health record called? *** concurrent
A project "goes live" during which step in the project management process? ***
executing the project
A set of questions asked of a patient regarding symptoms he or she may be having is
known as a: *** history of present illness
A set of regulations that hospitals and providers must meet in order to be eligible to
receive reimbursement from Medicare and Medicaid is: *** medicare licensure
A transcriptionist who is using an EHR would typically look for what type(s) of error(s)?
*** incomplete or missing documentation
or
words that voice technology may not recognize
, A written plan that states the length of time a healthcare facility retains its health records
is called a(n): *** record retention plan
ADT plays an important role in Meaningful Use in all of the following ways EXCEPT:
*** commonly exchanged information supports transition in care.
Accreditation is: *** obligatory
Administrative safeguards include all of the following EXCEPT: ***
All of the following are TRUE about accrediting bodies EXCEPT: ***
All of the following are benefits of the CPOE system EXCEPT: ***
Amanda Miller's recent appendectomy charges from General Hospital totaled $4,500.
Her insurance payment was maximized at $3,000 to the facility. This is an example of:
***
An authorization for a disclosure of PHI should have all the following EXCEPT: ***
An inpatient who has had several stays in a facility has his or her record stored in a
manila folder under one medical record number and then filed. This is known as what
type of record format? ***
Anyone who works in healthcare—whether a professional, volunteer, student, or outside
observers—must sign this. ***
Applications built into database registries that can flag an Ebola outbreak in the Midwest
would be an example of a(n): ***
Approximately what percentage of all healthcare reimbursement continues to be based
on fee-for-service? ***
As of fall 2014, coding staff was using what version of ICD-CM to code patient records?
*** ICD-9-CM
Based on the patient's principal diagnosis and procedure, what tool drives the
reimbursement rate for patients using similar resources within a facility? ***
Before making an appointment for inclusion in a local sleep laboratory, John Doe
decides to more effectively track his own sleep habits. The most efficient way to collect
data for him would be the use of: *** a wearable device that would record his quality of
sleep
Computer-assisted coding or CAC will help the coder how? ***