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The HIM director is part of the revenue cycle management team. The discharged-not-final-billed days are increasing because discharges are increasing. The number of coding staff is five. In an n effort to increase productivity, the HIM director is researching staffing alternatives. With the implementation of an electronic document storage system, telecommuting has been suggested as an alternative. Studies have reported that coding productivity can increase as much as 20% with telecommuting. Given that discharges have increased from 100 per day to 124, how many more FTEs would need to be hired if the department went to telecommuting? 0.5 FTE 0.75 FTE 1 FTE 2 FTEs - correct answer 1 FTE Which of the following elements is not a component of most patient records? Patient identification Clinical history Invoice for services Test results - correct answer Invoice for services You are the Director of HIM at a Community Hospital. One of your physicians has asked you for the total number of appendectomies that he performed at your hospital last year. You will provide the physician with: Patient-specific data Aggregate data Operating room data Nothing. You cannot obtain this data after the fact - correct answer Aggregate data Each of the three dimensions (personal, provider, and community) of information defined by the National Health Information Network (NHIN) contains specific recommendations for? Government regulations Core data elements Privacy controls Technology requirements - correct answer Core data elements A hospital can monitor its performance under the MS-DRG system by monitoring its: Accession data indicator data Reference data Demographic data - correct answer Demographic data Community Hospital wants to compare its hospital acquired urinary tract infection (UTI) rate for Medicare patients with the national average. The hospital is using the MEDPAR database for its comparison. The MEDPAR database contains 13, 000, 000 discharges. 200,000 of these individuals were admitted with a principal diagnosis of infectious diseases, and 700,000 had a diagnosis of hypertension. Given this information, which of the following would provide the best comparison data for Community Hospital? All individuals in the MEDPAR database All individuals in the MEDPAR data base except those admitted with a principal diagnosis of UTI All individuals in the MEDPAR database except those admitted with a principal diagnosis of UTI or infectious diseases All individuals in the MEDPAR database except those admitted with the diagnosis of hypertension. - correct answer All individuals in the MEDPAR database except those admitted with a principal diagnosis of UTI or infectious disease In analyzing the reason for changes in hospital's Medicare case-mix index over time, the analyst should start with which of the following levels of detail? Account level MS-DRG level MDC level MS-DRG triples, pairs, and singles - correct answer MS-DRG triples, pairs, and singles The link that tracks patient, person, or member activity within healthcare organizations and across patient care settings is known as: The master patient index (MPI) Benchmarking Case-mix management The OIG work plan - correct answer The master patient index (MPI Which of the following is considered the authoritative key in locating a health record? Disease index Master patient index Patient directory Patient registry - correct answer Master patient index What is the difference between data and information? Data represents basic facts, while information represents meaning. Data is expressed in numbers, while information is expressed in words. Information must be kept confidential, while data is meant to be shared. Information is about people, while data is about things. - correct answer Data represents basic facts, while information represents meaning. The RHIT supervisor for the filing and retrieval section of the Community Clinic is developing a staffing schedule for the year. The clinic is open 260 days per year and has an average of 600 clinic visits per day. The standard for filing records is 60 records per hour. The standard for retrieval of records is 40 records per hour. Given these standards, how many filing hours will be required daily to retrieve and file records for each clinic day? 6 hours per day 10 hours per day 15 hours per day 25 hours per day - correct answer 25 hours per day An important early step in designing an EHR is to develop a (n) _________________ in which the characteristics of each data element are defined. Accreditation manual Core content Continuity of care record Data dictionary - correct answer Data dictionary A health data analyst has been asked to compile a listing of daily blood pressure readings for patients with a diagnosis of hypertension that were treated on the medicine unit within a two week period. What clinical report would be the best source to gather this information? Admission record Initial nursing assessment record Physician progress notes Vital signs record - correct answer Vital signs record A health data analyst has been asked to compile a report of the percentage of patients who had a baseline Partial Thromboplastin Time (PTT) performed prior to receiving heparin. What clinical reports in the health record would the data analyst need to consult in order to prepare this report? Physician progress notes and medication record Medication record and clinical laboratory reports Nursing and physician progress notes Physician orders and laboratory reports - correct answer Physician progress notes and medication record In designing a paper-based storage system, which of the following should be used if conservation of floor space is the major concern? Carousel system Five-drawer filing cabinets Mobile filing units Open-shelf filing units - correct answer Mobile filing unit Which of the following numbering systems is best for maintaining the encounters of a patient together? Unit Serial-unit Serial Alphabetic - correct answer Unit Evaluate the following sequence of numbers. What filing system is being used if these numbers represent health record numbers of three records filed together within a filing system? 36-45-99 37-45-99 38-45-99 Straight numerical Terminal digit Middle digit Unit - correct answer Terminal digit Mrs. Jones' admitting data indicates that her birth date was March 21, 1948. On the discharge summary, Mrs. Jones' birth date is recorded as July 21, 1948. Which quality element is missing from Mrs. Jones' health record? Data completeness Data consistency Data accessibility Data comprehensiveness - correct answer Data consistency The acute-care hospital discharges an average of 55 patients per day. The HIM department is open during normal business hours only. The volume productivity standard is 6 records per hour when coding 4.5 hours per day. Assuming that standards are met, how many FTE coders does the facility need to have on staff in order to ensure that there is no backlog? 2.85 5 14.26 27 - correct answer 2.85 A coding professional may assume a cause-and-effect relationship between hypertension and which of the following complications?