CHDA EXAM QUESTIONS WITH VERIFIED ANSWERS
(GRADED A+)
The federal government is determined to lower the overall payments to physicians. To incur the least
administrative work, which of the following elements of the physician payment system would the
government reduce?
Conversion factor
Which of the following items are packaged under the Medicare hospital outpatient prospective
payment system (HOPPS)
supplies (other than pass-through) and recovery room
HOPPS
Hospital outpatient prospective payment system.
A set of standards that provides universal names and codes for laboratory and clinical results is
LOINC
Why is a strategic IM plan developed?
so that all information management efforts are aligned with the organization's strategic plan and ensure
that information management goals and strategies support the organization's high-level initiatives.
LOINC
The Logical Observation Identifiers Names and Codes.
A database protocol developed by the Regenstrief Institute for Health Care aimed at standardizing
laboratory and clinical codes for use in clinical care, outcomes management, and research that enable
the exchange and aggregation of electronic health data from many independent systems
DRG
Diagnosis-related Groups: created by Medicare in 1983 as an attempt to contain health care costs. A
hospital receives a set amount of money for a patient with a certain diagnosis.
The CMI is calculated by
Dividing the sum of the weights of diagnosis-related groups (DRGs) for patients discharged during a
given period divided by the total number of patients discharged
A higher weighted DRG is indicative of...
an admission that requires a higher level of resource intensity and is assigned a higher payment.
Averaging the DRG relative weight for all patients discharged describes...
, the typical resource intensity of the patients treated at a hospital
In which of the following phases of systems selection and implementation would the process of
running a mock query to assess the functionality of a database be performed?
Testing
The implementation life cycle includes multiple steps and processes, including these 6 key stages
Discovery and planning
Design
Development
Support
Deployment
Training.
MS-DRGs
Medicare-Severity Dx Related Groups. A prospective payment system implemented by the CMS to
reimburse hospitals a predetermined amount for services provided to inpatients. It ultimately
determines payment rates.
Activities of daily living (ADL) are components of...
MDS and OASIS
OASIS data
The Outcome and Assessment Information Set - A group of standard data elements that home health
agencies (HHAs) integrate into their comprehensive assessment, to collect and report quality data to the
Centers for Medicare & Medicaid Services (CMS).
HHRGs (or case-mix score)
Home Health Resource Group (pronounced 'Herg'). Also known as the case mix score, it is determined
by answering certain OASIS data items in the clinical severity, functional status, and service utilization
domains.
Case Mix
An aggregate of the severity of conditions requiring clinical intervention. It is determined by assessing
each patient's condition and estimating the amount of resources the patient will need.
Case Mix Diagnoses (CMD)
Certain diagnoses chosen by Medicare to contribute to the case mix or HHRG score. A case-mix variable
table indicates the number of points, that diagnosis may provide in the particular equation.
(GRADED A+)
The federal government is determined to lower the overall payments to physicians. To incur the least
administrative work, which of the following elements of the physician payment system would the
government reduce?
Conversion factor
Which of the following items are packaged under the Medicare hospital outpatient prospective
payment system (HOPPS)
supplies (other than pass-through) and recovery room
HOPPS
Hospital outpatient prospective payment system.
A set of standards that provides universal names and codes for laboratory and clinical results is
LOINC
Why is a strategic IM plan developed?
so that all information management efforts are aligned with the organization's strategic plan and ensure
that information management goals and strategies support the organization's high-level initiatives.
LOINC
The Logical Observation Identifiers Names and Codes.
A database protocol developed by the Regenstrief Institute for Health Care aimed at standardizing
laboratory and clinical codes for use in clinical care, outcomes management, and research that enable
the exchange and aggregation of electronic health data from many independent systems
DRG
Diagnosis-related Groups: created by Medicare in 1983 as an attempt to contain health care costs. A
hospital receives a set amount of money for a patient with a certain diagnosis.
The CMI is calculated by
Dividing the sum of the weights of diagnosis-related groups (DRGs) for patients discharged during a
given period divided by the total number of patients discharged
A higher weighted DRG is indicative of...
an admission that requires a higher level of resource intensity and is assigned a higher payment.
Averaging the DRG relative weight for all patients discharged describes...
, the typical resource intensity of the patients treated at a hospital
In which of the following phases of systems selection and implementation would the process of
running a mock query to assess the functionality of a database be performed?
Testing
The implementation life cycle includes multiple steps and processes, including these 6 key stages
Discovery and planning
Design
Development
Support
Deployment
Training.
MS-DRGs
Medicare-Severity Dx Related Groups. A prospective payment system implemented by the CMS to
reimburse hospitals a predetermined amount for services provided to inpatients. It ultimately
determines payment rates.
Activities of daily living (ADL) are components of...
MDS and OASIS
OASIS data
The Outcome and Assessment Information Set - A group of standard data elements that home health
agencies (HHAs) integrate into their comprehensive assessment, to collect and report quality data to the
Centers for Medicare & Medicaid Services (CMS).
HHRGs (or case-mix score)
Home Health Resource Group (pronounced 'Herg'). Also known as the case mix score, it is determined
by answering certain OASIS data items in the clinical severity, functional status, and service utilization
domains.
Case Mix
An aggregate of the severity of conditions requiring clinical intervention. It is determined by assessing
each patient's condition and estimating the amount of resources the patient will need.
Case Mix Diagnoses (CMD)
Certain diagnoses chosen by Medicare to contribute to the case mix or HHRG score. A case-mix variable
table indicates the number of points, that diagnosis may provide in the particular equation.
