Chapter 2 Quiz Flashcards
Cancer registries collect cancer data from a variety of sources and report cancer statistics to government and health care agencies. The primary responsibility of the Cancer registrar is to
a. assign code numbers to all diagnoses, services, and procedures, based on patient record documentation.
b. ensure the timely, accurate and complete collection and maintenance of cancer data.
c. organize ,analyze, and maintain patient information to ensure the delivery of quality health care.
d. review health related claims to determine whether the costs are reasonable and medically necessary, based on the patient’s diagnosis. (U.S./CANADA)
B
. A coding specialist ensures that all diagnosis, services and procedures documented in patient records are coded accurately to
a. ensure the delivery of quality healthcare.
b. determine whether the costs are reasonable and medically necessary, based on the patient’s diagnosis.
c. ensure reimbursement, and for research and statistical purposes.
d. plan, direct, coordinate, and supervise the delivery of health care.
C
Patient data is organized, analyzed and maintained by health information managers to:
a. ensure the delivery of quality health care.
b. ensure the timely, accurate, and complete collection and maintenance of cancer data.
c. plan, direct, coordinate, and supervise the delivery of health care.
d. verify claims against third party payer guidelines
A
. Health Insurance specialists verify health claims against third party payer guidelines to:
a. authorize appropriate payment or refer the claim to an investigator for more thorough review.
b. determine whether the costs are reasonable and medically necessary, based on the patients diagnosis.
c. ensure reimbursement, and for research and statistical purposes.
d. ensure the delivery of quality health care
A
Health services managers plan, direct, coordinate, and supervise the delivery of health care. They include specialists who
a. complete physician credentialing procedures
b. coordinate a health care facility’s quality improvement
c. direct clinical departments or services
d. perform routine administrative and clinical task
C
Medical assistants perform routine administrative and clinical tasks, which include
a. answering telephones, greeting patients, and arranging outpatient laboratory tests
b. ensure the timely, accurate, and complete collection and maintenance of cancer data.
c. Examining, diagnosing, and treating patients under the direct supervision of a physician
d. managing the physician credentialing process
A
Medical staff coordinators usually report directly to the health care facility’s administrator, and they are responsible for managing the medical staff office and complying with medical staff bylaws, which means they manage the:
(U.S.)
a. the physician credentialing and re-credentialing process.
b. privacy of patient healthy information.
c. professional and general liability incidents, claims and lawsuits.
d. quality improvement program.
A
A privacy officer oversees the development, implementation, and maintenance of, and adherence to an organization’s policies and procedures covering privacy of and access to patient health information in compliance with:
a. federal and state laws.
b. federal laws only.
c. state laws only.
d. federal laws, regardless of whether state laws supersede federal laws. (US / Canada)
–In Canada it is governed by provincial law
A
A quality manager coordinates a health care facilities quality improvement program to:
a. analyze actual and potential risks to the health care facility.
b. conduct accreditation surveys.
c. identify liability incidents, claims, and lawsuits.
d. improve patient’s outcomes.
D
A risk manager investigates incident reports to
a. ensure the are filed in the patient’s record
b. prepare patient’s for testimony against the facility
c. provide copies to the plaintiffs attorney
d. recommend appropriate corrective action
D
The Hospital’s quality management department has determined that 10% of the medical staff is noncompliant regarding documentation issues related to appropriate assignment of diagnosis and procedure codes. Which professional would be best to provide in-service training in this area?
a. cancer registrar
b. coding specialist
c. medical staff coordinator
d. quality manager
B
. Mrs. Petrie enters the physician’s office for her appointment and signs in at the receptions area. Which professional initially greets Mrs. Petrie and updates her registration information in the computer system?
a. coding specialist
b. health insurance specialist
c. health services manager
d. medical assistant
D
