d. accreditation
The process by which an organization or agency performs an external review and grants recognition
to the program of study or institution that meets certain predetermined standards is called:
a. standardization
b. registration
c. formalization
d. accreditation
d. 67%
Dr. Barbette is delinquent, with 10 of 15 of medical records needing to be completed. what is her
delinquency rate?
a. 5%
b. 10%
c. 33%
d. 67%
b. the patient left against medical advice
Upon discharge analysis of a patient's record, the analyst does not see a discharge order written by
the physician. what can the analyst assume?
a. the patient died prior to discharge.
b. the patient let against medical advice.
c. the family members requested hospice care.
d. the patient will continue treatment on an outpatient basis
a. ICD-9-CM code of 650 in the diagnostic index
which of the following is a secondary record for J. Pratt?
a. ICD-9-CM code of 650 in the diagnostic index
b. emergency room record dated June 6
c. Mental health record at Houston Honorary Adolescent Center
d. admitted and discharged same day with ICD-9-CM code of 650
d. indefinitely
how long should the master patient index be maintained?
a. 5 years
b. 10 years
c. 20 years
d. indefinitely
a. enacted legislation funding the construction of hospitals and other healthcare facilities
The Hill-Burton Act of 1946:
a. enacted legislation funding the construction of hospitals and other healthcare facilities
b. established the retrospective payment system
c. assured the provision of health care for the indigent
d. provided health care to Americans 65 years of age and older
,c. draw a single line through the error
Dr. Thomas made an error in recording the progress notes in a patient's medical record. what is the
first thing he should do to correct the error?
a. remove the page on which he made the error
b. tell the nursing staff to ignore the statement
c. draw a single line through the error
d. obliterate the error and enter the correct entry
b. final progress note
a patient is hospitalized for less than 48 hours. which of the following is permissible in lieu of a
discharge summary?
a. discharge order
b. final progress note
c. discharge diagnosis
d. final diagnosis
d. medical staff
who is responsible for developing bylaw governing physicians' completion of medical records?
a. governing board
b. chief of medicine
c. chief executive officer
d. medical staff
c. unit numbering
Which system avoids assigning a new number for each patient encounter?
a. straight numerical
b. serial numbering
c. unit numbering
d. serial-unit numbering
b. treatments and procedures to be performed by healthcare providers
By signing a consent for treatment, the patient agrees to
a. allow the hospital to release information to his or her insurance company
b. treatments and procedures to be performed by healthcare providers.
c. take all medications prescribed and dispensed by healthcare providers
d. allow hospital to dispose of property and value in the case of death.
d. quantitative analysis
Reviewing the record to assure the presence of a discharge summary is referred to as
a. legal analysis
b. qualitative analysis
c. documentation analysis
d. quantitative analysis
a. speed at which individual sheets can be located
,a major advantage of the source-oriented medical record is the
a. speed at which individual sheets can be located
b. ease with which healthcare providers can follow the course of one problem
b. coercive
William Esther, RHIT, informs his staff that he will begin to suspend individuals who are delinquent in
meeting the required coding standard of 50 records per day. This reflects what power?
a. reward
b. coercive
c. expert
d. referent
a. null hypothesis
The surgical department of Houston Hospital conducted a study on post-surgical deaths and age of
patients. The researcher hypothesized, "There is no relationship between post-surgical deaths and
the age of the patients." This statement is generally called the:
A: null hypothesis.
B: statement of problem.
C: statement of problem.
D: alternative hypothesis.
C: leukocytopenia.
A white blood cell count may be used to diagnose:
A: diarrhea.
B: Crohn's disease.
C: leukocytopenia.
D: glaucoma.
D: negligence.
Failure to do something a reasonable, prudent person would do in a similar situation is:
A: failure to warn.
B: breach of duty.
C: medical abandon
D: negligence.
A: the employer provides health care to the patient.
The privacy rule allows a hospital to disclose information to an employer when:
A: the employer provides health care to the patient.
B: the employee has an infectious disease.
C: the employer suspects the employee of malingering.
D: the employee's injury affects his/her job performance.
A: reward.
, The most important function of management, and the most neglected, is:
A: reward.
B: expert.
C: referent.
D: coercive.
A: Oral warning, written warning, suspension, and termination
Identify the steps of the progressive discipline process in the correct sequence.
A: Oral warning, written warning, suspension, and termination
B: Written warning, oral warning, written warning, and suspension
C: Oral warning, written warning, suspension, and oral warning
D: Written warning, oral warning, suspension, and termination
B: Determining productivity standards for each area and job function
Recently, numerous complaints have surfaced about the department's effectiveness. As the director
of the HIM department, you choose to provide an in-service to assist department supervisors in
improving productivity in their respective areas. Which of the following components is critical to
achieving desired productivity outcomes?
A: Tailoring the training to each individual employee
B: Determining productivity standards for each area and job function
C: Delegating employee training to the most efficient employee within the department
D: Selecting the right person for the job
B: management-support information
Information systems that provide information primarily to support managerial decisions are
________ systems.
A: expert
B: management-support information
C: operation-support
D: enterpirse-wide
A: serial.
If a patient is admitted to a health care facility on three different occasions and receives three
different health record numbers, what numbering system is in use?
A: serial.
B: Terminal-digit
C: Alphabetic
D: Unit
C: a handheld device used for computing, faxing, and networking.
A personal digital device is: