Record Specialist (CEHRS) Study
Guide AVTEC Exam Questions &
Answers18
MAR - ANSWERS -Verifies the time of medication administration
What federal act mandates physical, technical, and administrative safeguards? - ANSWERS -
HIPAA Title II
What addresses new breach notifications for covered entities and business associates? -
ANSWERS -HITECH
What is the single largest health care coverage in the US? - ANSWERS -CMS
Who mandates and updates code changes? - ANSWERS -AMA - American Medical Association
What is a component of a facilities disaster recovery plan? - ANSWERS -Maintaining a list of IT
infrastructure
When coding a burn, what should be coded first? - ANSWERS -Classification
When coding a burn, what should be coded second? - ANSWERS -Severity
What is necessary for computer systems to exchange information? - ANSWERS -Interoperability
,Benchmarking - ANSWERS -Comparing best practices
What is an example of a static report? - ANSWERS -Birth registration for a particular day
What is an example of protected health information in a medical record? - ANSWERS -
Photographic images
Accounts Receivable - ANSWERS -Patient bills for services that have already been provided that
legally are due to a facility.
Autopsy Rates - ANSWERS -The percent of autopsies performed on patients who die in the
hospital; reasons for not performing an autopsy in the hospital may include legal inquiry or
family preference.
Average Length of Stay (ALOS) - ANSWERS -The total number of patient days in a period divided
by the number of patients; for example, the ALOS for cardiology services in February was 6.1
days.
Benchmarks - ANSWERS -Goals or metrics a facility wants to meet; for example, if the industry
standard is 90% of patients should have advance directives entered into their patient record
within 24 hour of admission, and a hospital was only meeting this for 45% of the patients, they
would use the external benchmark of 90% as a goal and track performance toward that goal by
month or quarter.
Centers for Disease and Control and Prevention (CDC) - ANSWERS -A division of the Department
of Health and Human Services.
Chief Executive Officer (CEO) - ANSWERS -Leader of a facility who reports to the Board of
Directors.
, Chief Financial Officer (CFO) - ANSWERS -Leader who oversees all financial and fiscal decisions
and issues for a facility; generally reports to the CEO.
Commercial Insurers - ANSWERS -Private, non-government insurers; these are often the
insurance options available through employers.
Comorbidity - ANSWERS -Disease that exists at the same time as a primary disease that a
patient is being treated for at the time; for example, a patient who has cancer is receiving
cancer specific treatment and is also a diabetic - diabetes mellitus would be considered the
comorbid condition.
Complications - ANSWERS -Unexpected events or circumstances that happen to a patient during
the course of his care; hospital-acquired infections, such as those involving MRSA, are
considered to be complications, as are reactions to medications or an adverse response to any
treatment.
Copayment - ANSWERS -Money the patient must pay toward the bill as contracted between the
insurer and provider; amounts range from $5 to $50, and $75 for emergency room and
specialist visits; provider's office visits are often in the $10 to $35 range.
Daily Census - ANSWERS -The count of how many patients are in beds by patient care unit for an
inpatient facility.
Department of Health and Human Services (HHS) - ANSWERS -Principle agency for protecting
Americans' Health
Institute of Medicine (IOM) - ANSWERS -Non-governmental, independent, and nonprofit
organization that provides unbiased, expert advice to governmental and private decision-
makers, as well as the public.
Morbidity - ANSWERS -Refers to disease