QUESTIONS & VERIFIED ANSWERS (A+ GUIDE)
Standardizing medical terminology to avoid differences in naming various medical
conditions and procedures (such as the synonyms bunionectomy, McBride procedure, and
repair of hallus valgus) is one purpose of:
Transaction standards
Content and structure standards
Vocabulary standards
Security standards
c
During an audit of health records, the HIM director finds that transcribed reports are being
changed by the author up to a week after initial transcription. The director is concerned
that changes occurring this long after transcription jeopardize the legal principle that
documentation must occur near the time of the event. To remedy this situation, the HIM
director should recommend which of the following?
Immediately stop the practice of changing transcribed reports.
Develop a facility policy that defines the acceptable period of time allowed for a
transcribed document to remain in draft form.
Conduct a verification audit.
,Alert hospital legal counsel of the practice.
b
A special webpage that offers secure access to data is called a(n):
Access control
Home page
Intranet
Portal
d
Deidentified information:
Does identify an individual
Is information from which personal characteristics have been stripped
Can be later constituted or combined to re-identify an individual
Pertains to a person that is identified within the information
b
,Data security policies and procedures should be reviewed at least:
Semiannually
Annually
Every two years
Quarterly
b
Which of the following is the concept of the right of an individual to be left alone?
Privacy
Bioethics
Security
Confidentiality
a
. A patient was admitted for abdominal pain with diarrhea and was diagnosed with
infectious gastroenteritis. The patient also has angina and chronic obstructive pulmonary
disease. Which of the following would be the correct coding and sequencing for this case?
Abdominal pain; infectious gastroenteritis; chronic obstructive pulmonary disease; angina
, Infectious gastroenteritis; chronic obstructive pulmonary disease; angina
Gastroenteritis; abdominal pain; angina
Gastroenteritis; abdominal pain; diarrhea; chronic obstructive pulmonary disease; angina
b
Which of the following is not an element of data quality?
Accessibility
Data backup
Precision
Relevancy
b
The Medicare Modernization Act (MMA) of 2003 called for CMS to launch a Medicare
payment recovery demonstration project. The purpose of the act eventually resulted in the
implementation of a group contracted by the government to monitor suspicious and
improper activity of Medicare payments including overpayments and underpayments.
What is this group?
Operation Restore Trust
Payment Error Prevention Program