Quality assessment and improvement programs should be conducted in what time
frame? *** Ongoing
What are the current review organizations responsible for improving the quality of care
and utilization of hospital services for targeted conditions and safety issues? *** QIOs
A review of documentation to ensure that it is complete, thorough, and accurate is ***
qualitative analysis
Mary Smith is online reviewing the level of facility cleanliness among the three
community-based hospitals in her city of residence before her admission for an elective
cholecystectomy. She is most likely: *** browsing Hospital Compare data
a join Commission initiative used to measure the quality and safety of healthcare is ***
core measurement system
Long-term care benefits and patients with ESRD are covered under Medicare *** Part
A
The legislated mission of the quality improvement organizations it to *** all of these
Mr. Dodge's records of his recent encounter resulting in his expiration were
automatically sent for review to the Mortality Conference, His daughters requested the
results and minutes of this review as executors of the estate. these records... *** are
not available for release as they are part of a quality assessment process
the review of a provider's work by another physician in the same specialty is known as
*** peer review
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 :
*** allowed charges
what organization administers insurance and other health-related benefits of Medicare
and Medicaid patients while supporting the Affordable Care Act in a variety of areas ***
CMS
Which of the following is NOT collected through the UHDDS abstracting process ***
patient satisfaction
Patient access to tools and alert systems that may help them monitor and assess their
own health should be accomplished under which stage of Meaningful Use *** Stage 3
A hybrid records management system: *** electronic
, paper
electronic signature
ALL OF THESE
the organizations that provide the infrastructure and services allowing or the movement
of health related data between nonaffiliated stakeholders based on nationally
established guidelines are known as *** health information exchagnes
which of the following would NOT be included in the stages of Meaningful Use ***
Decreased privacy concerns due to patient portals
providers must demonstrate that at lease what percentage of patients are accessing
their records online and viewing, downloading, or transmitting them in order to meet the
meaning use requirements *** 5%
patients can obtain personal health information from their health record by request and
by download from a secure server through the use of what technology a requirement of
meaningful use? *** patient portal
which exchange organization provides services only in a smaller region, usually a
metropolitan area? *** HIO
a computer application that shows the following prompts is characteristic of a *** logic-
based encoder
a reporting of electronic transactions performed by a user (through the use of the users
log in ID) including individual patient records accessed, date and time of access, the
length of time the user was in the record, and whether the data were viewed, entered,
edited, or deleted is known as *** audit trail
Which form(s) might a remote coder need to sign to work for a hospital facility? ***
confidentiality agreement and business associate agreement
under HITECH who is allowed to bring an action against a healthcare provider for a
breach of privacy? *** state attorney general
a new HIM supervisor is reviewing policies an procedures and training for HIPAA and
notices the staff has not had any training in compliance with HIPAA for the past three
years. How should this be handled? *** implement a training program immediately for
all staff
many facilities have a custodian of health records individual who is responsible for all of
the following except *** testifying regarding the care of the patient
what does PHI mean according to HIPAA *** Protected Health Information