Comparative Health Information
Management Chapters 1-6 Midterm
Practice2026 Questions and Answers
(100% Correct Answers) Already
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accreditation Ans: a voluntary process in which facilities
agree to follow a set of standards and receive recognition
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for having met those standards
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administrative simplification Ans: provisions of Health
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Insurance Portability and Accountability Act (HIPAA) that
addressed standardization of electronic data interchange,
privacy of health information, and security of health data
American College of Surgeons (ACS) Ans: a professional
organization founded in 1913 to "improve the quality of
care for the surgical patient by setting high standards for
surgical education and practice" (ACS, 2003, p.1); in the
early twentieth century, the ACS established a hospital
standardization program that was the forerunner of
today's accreditation organizations
American Recovery and Reinvestment Act (ARRA) Ans:
Also known as the "Stimulus Act" or the "Recovery Act",
ARRA was enacted in 2009; its main purpose was to create
jobs and stimulate economic growth; however, it contains
many provisions for health care, including billions of
dollars for health information technology; Title XIII of
ARRA is Health Information Technology for Economic and
Clinical Health (HITECH) that addresses many of the health
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information and technology requirements, including
privacy
business associate (BA) Ans: partner or contractor
performing a job or service on behalf of a covered entity;
the original HIPAA legislation required covered entities to
have a business associate
capitation Ans: a method of payment for health care in
which the health care provider receives a monthly
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payment based on the number of persons the provider has
agreed to treat, regardless of the number of persons
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actually treated or the amount of service rendered
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Centers for Medicare & Medicaid Services Ans: a federal
agency within the Department of Health and Human
Services; its main focus is to administer the Medicare and
Medicaid programs
Children's Health Insurance Program (CHIP) Ans: allows
states to offer health insurance plans for children, up to
age 19, who are not already insured; CHIP affords families
who earn too much to qualify for Medicaid an opportunity
to obtain health insurance for their children
clinical documentation improvement (CDI) program Ans: a
locally implemented program focused upon improving the
quality of clinical documentation to "facilitate an accurate
representation of health care services through complete
and accurate reporting of diagnosis and procedures";
accurate clinical documentation can positively affect
reimbursement, severity of illness and mortality risk
assessment, and reporting of quality an pay-for-
performance measures
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covered entity (CE) Ans: under HIPAA, a health plan, a
health care clearinghouse, or any health care provider that
transmits health information in electronic form
deemed status Ans: the status of a health care provider
that is deemed to meet federal Conditions of Participation
by virtue of accreditation by a federally approved
voluntary accrediting organization. the health care
provider's accreditation satisfies the COP & routine
surveys by the state agency are unnecessary
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electronic health record (EHR) Ans: a system in which a
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health care provider maintains individual patient health
records electronically; fully developed EHRs include
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capabilities such as generating clinical alerts and
reminders and providing readily available decision
support
fee-for-service Ans: a method of payment for health care
in which the health care provider charges and is paid for
each item of service provided
Flexner Report Ans: a report published in 1910, examining
the state of medical education in the US and Canada; the
Flexnor Report resulted in sweeping changes in the way
North American physicians were educated
health information exchange (HIE) Ans: a process defined
as "the electronic movement of health-related information
among organizations according to nationally recognized
standards (contrast with HIE organization)
health information technology (HIT) Ans: electronic health
records and related information systems to manage health
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care processes; the major focus of the HITECH Act of 2009
is to promote adoption of HIT in an effort to improve the
quality, efficiency, and safety of health care delivery while
reducing costs and minimizing medical errors
Health Information Technology for Economic and Clinical
Health (HITECH) Ans: The Health Information Technology
for Economic and Clinical Health (HITECH) Act was enacted
as part of the American Recovery and Reinvestment Act of
2009 to promote the adoption and meaningful use of
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health information technology; amends HIPAA privacy and
security rules by introducing additional privacy
regulations, breach notification rules, and stiffer civil and
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criminal penalties for security violations
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Health Insurance Portability and Accountability Act of
1996 (HIPAA) Ans: provisions include the portability of
health care benefits, prevention of fraud and abuse in
health care, and simplification of the electronic
interchange of health care data, while improving the
privacy and security of health information
health record banking Ans: a concept analogous to online
financial banking, where the patient controls access to the
health record "account"; deposits and withdrawals may be
made by authorized individuals; an alternative to a
personal health record (PHR), while achieving similar goals
HIE organization Ans: an entity that "oversees and governs
the exchange of health-related information among
organizations according to nationally recognized
standards"; often used synonymously with regional health
information organization (RHIO), which focuses more on
HIE within a specific region; contrast with health