(GRADED A+)
A set of standards that provides universal names and codes for laboratory and clinical results is
LOINC
Medical severity diagnosis-related groups (MS-DRGs) represent a prospective payment system
implemented by the CMS to reimburse hospitals a predetermined amount for services provided to
_____.
Inpatients
Which of the following is an external user of data?
Question 3 options:
Public health department
Medical staff
Hospital administrator
Director of the clinical laboratory
Public health department
ICD-10-CM is an example of a _____.
Data dictionary
Clinical classification
Nomenclature
Clinical vocabulary
Clinical classification
The technology commonly utilized for automated claims processing (sending bills directly to
thirdparty payers) is _____.
Optical character recognition
Bar coding
Neural networks
Electronic data interchange
Electronic data interchange
The first level of HCPCS consists of _____.
CPT
Which of the following coding systems is not used to characterize procedures performed on a patient?
ICD-10-CM
SNOMED-CT is a _____-based terminology.
, Concept
SNOMED-Systemized Nomenclature of Medicine
DRGs or MS-DRGs may be grouped into categories called _____.
MDCs
Which of the following is the term that describes a method of combining data that may be categorized
by clinical classification systems as well as those classified by clinical nomenclatures?
Ontology
Place of service codes are used on what type of billing form?
CMS-1500
Which of the following is a system which may include alerts, reminders, and links for clinical care
providers?
Clinical decision support system
The practice of using a code that results in a higher payment to the provider than the code that
actually reflects the service or item provided is known as _____.
Upcoding
Which IT activity best fits the domain of the health information management profession?
Promoting interoperability
Under RBRVS, which elements are used to calculate a Medicare payment?
Work value and practice expenses
Resource-based relative value (RBRVS) rates are calculated based on practice, expense, malpractice
cost, and physician work and are then adjusted by a _____.
Geographical practice cost index
In order to assure a successful implementation of electronic health records (EHR), the organization
must identify and define strategic planning roles. These planning roles may be defined in 3 categories:
leadership, internal stakeholders, and external stakeholders. The governing body (board) is an
example of which of the following?
Leadership and external stakeholder
Leadership and internal stakeholder
Internal and external stakeholder
Leadership Only
Leadership Only
Which one of the following statements most accurately describes the optimal relationship between
strategic planning and strategic IM planning in a healthcare entity?