Final Exam HIM 110 Flashcards

1
Q

The chief financial officer is responsible for the day to day operations of the facility.

A

False

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2
Q

A patient would visit a primary care physician for an annual exam

A

True

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3
Q

The governing board has ultimate authority over granting physicians a staff status

A

True

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4
Q

The professional practice experience completed in your final quarter is 160 hours

A

True

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5
Q

HIM students are required to have a background check in order to complete the PPE.

A

True

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6
Q

An RHIA is qualified to serve as an organizational chief privacy officer

A

True

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7
Q

Critical access hospitals are reimbursed the same way as metropolitan acute care facilities

A

False

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8
Q

CAHIIM is responsible for the accreditation of academic programs

A

True

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9
Q

Honorary staff routinely admit patients to the hospital

A

False

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10
Q

Free standing facilities are owned by a hospital, however, they are just located away from the main facility

A

False

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11
Q

Ambulatory status patients can stay up to 48 hours prior to discharge

A

False

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12
Q

An orthopedist would be an example of a secondary care physician

A

True

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13
Q

HIIM students will take milestone exams every so often during the curriculum after a pre established set of courses has been completed

A

True

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14
Q

EATALA is also known as the anti-dumping statute

A

True

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15
Q

TEFRA created the prospective payment system

A

True

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16
Q

Medicaid eligibility is based on being age 65

A

False

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17
Q

Accreditation by the joint commission is voluntary

A

True

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18
Q

The AMA was founded to improve the quality of care of surgery patients

A

False

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19
Q

The first hospital in the United States was located in Maryland

A

False

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20
Q

Blue cross was the first plan to guarentee hospital coverage for paid premiums

A

True

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21
Q

Physicians are required to submit to a background check through the NPDB during the credentialing process

A

True

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22
Q

COBRA allows former employees the option to seek unemployment payments for being terminated or a reduction in workforce

A

False

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23
Q

Quality improvement organizations monitor the utilization of services provided to medicare beneficiaries

A

True

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24
Q

Continuum of care matches the patient’s needs with options for services

A

True

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25
Q

The Louisiana Tech mascot is a bulldog

A

True

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26
Q

Provides medications to the nursing units in a hospital setting

A

Pharmacy

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27
Q

Coordinates the meals for the patients and visitors

A

Nutrition

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28
Q

Conducts hospital orientation for new hire employees

A

Human resources

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29
Q

24 hour triage for crisis patients

A

Emergency Room

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30
Q

Maintains the patient records for all patients receiving treatment in the facility

A

Health information management

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31
Q

Monitors the appropriateness of care and the outcomes of treatment

A

Performance improvement

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32
Q

Buys all the equipment utilized in the facility

A

Purchasing

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33
Q

Repairs the heating and cooling systems when required

A

Plant operations

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34
Q

Installs all computer software used in your HIIM department

A

Information systems

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35
Q

Discovered x-rays

A

Roentgen

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36
Q

Created medicare and medicaid in 1965

A

Social security act

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37
Q

Established the bill of rights in intermediate care facilities

A

Nursing home reform act

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38
Q

Overall responsibility for daily operations of the facility

A

CEO

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39
Q

Developed radium

A

Pierre and marie curie

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40
Q

Governs the privacy and security of health information

A

HIPAA

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41
Q

Required that consumers be given informed consent

A

Patient self determination act

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42
Q

Authorized 1.5 billion in incentive money to get your EHR installed and working

A

America reinvestment and reconciliation act

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43
Q

Reviews and verifies medical staff application data

A

Credentials committee

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44
Q

Created to elevate the standard of medical education in the US

A

American medical association

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45
Q

Monitors hospital acquired infections

A

Infection control

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46
Q

Evaluates the pre op and post up diagnosis for consistency.

A

Tissue review

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47
Q

Prepares and distributes patient bills

A

Business office

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48
Q

Assists with spiritual and religious needs of patients and families

A

Chaplain

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49
Q

Registers patients into the hospital computer system and obtains general consent to treat

A

Patient registration

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50
Q

Provides patients with wheelchairs, walkers, and other equipment as needed

A

Durable medical equipment

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51
Q

The oaks at willow creek has 200 beds and the average length of stay is 2.5 years. Most of the patients are elderly. What type of facility is the oaks?

A

Intermediate care facility-skilled nursing

52
Q

Peaceful serenity is a facility that focuses totally on palliative care. What type of facility is peaceful serenity?

A

Hospice

53
Q

Broken hips are our specialty. What type of facility are we?

A

Rehabilitation

54
Q

The number of beds that facility has set up, equipped and staffed is the:

A

Bed count

55
Q

A hospitalist specializes in treatment of patients in this type of care setting?

A

Acute care

56
Q

Which of the following patients is considered inpatient for acute care?

A

Y’vonne who had an overnight stay for treatment of pneumonia and dehydration

57
Q

Which of the following is an example of a diagnosis?

A

Tiger’s tonsillitis

58
Q

All of the following are ancillary services except?

A

Shana’s emergency room visit

59
Q

Health information management services include which of the following

A

Doris assigning codes and abstracting charts

60
Q

Rehabilitation facilities are least likely to have

A

Operating room services

61
Q

Nohemi is a healthcare professional responsible for insuring the timely, accurate and complete collection of cancer data. Nohemi is a?

A

Certified tumor registrar

62
Q

Which healthcare professional is responsible for the admission orders to the facility

A

Both Dr. Kate and Linchi can write admission orders

63
Q

Medicare is administered by

A

Center for medicare and medicaid services

64
Q

which of the following agencies can qualify your facility for “deemed status”?

A

The joint commission

65
Q

Which of the following is NOT an AHIMA credential?

A

CHS

66
Q

Health information management professionals are responsible for all of the following

A

Both A and B (coding and billing & release of information)

67
Q

Eligibility for medicaid is based on

A

Socioeconomic circumstances

68
Q

Non profit facilities participate in which of the following activities?

A

Reinvest in the facility

69
Q

Chesapeake shores facility provides care only to pediatric patients with cancer? which type of provider is Chesapeake shores?

A

Speciality

70
Q

Erin has a serious, sudden onset, acute illness. Erin is going to be treated at the:

A

Emergency Room

71
Q

Happy hills center treats patients that are dual diagnosed. what type of facility is happy hills?

A

Behavioral health

72
Q

Forever and a day treats patients who are a ventilator dependent. what type of hospital is forever and a day?

A

Long term acute care

73
Q

We keep our kars facility has a combination of custodial, living and non-medical care services. What type of facility is we keep our kars?

A

Assisted living

74
Q

Keep is short and sweet is a facility with 25 beds or less. our patients stay less than 96 hours. What type of facility are we?

A

Critical access

75
Q

Chania attends LaTech, her school colors are

A

Red and Blue

76
Q

Patient complains of dizziness and shortness of breath. This is an example of which of the following components of medical decision making?

A

Subjective

77
Q

“pupils equal, round, and reactive to light and accommodation” is an example of which of the following components of medical decision making?

A

Objective

78
Q

“chest x-ray to rule out CHF” is an example of which of the following components of medical decision making

A

Plan

79
Q

Authentication shows:

A

The person responsible for the data on a form

80
Q

An electronic health care system that allows physicians to enter their orders through a computer is called:

A

Computerized provider order entry (CPOE)

81
Q

SOAP notes are examples of __ data

A

Clinical

82
Q

Which of the following data sets is used by acute care facilities?

A

UHDDS

83
Q

A major disadvantage to EHR implementation is ____

A

A and B, but not C

84
Q

Pre- and post-anesthesia evaluations would be found in a(n) ___ record

A

Surgical Care

85
Q

Sam, the HIIM director at Providence Hospital, suspects that some of his employees have been viewing patients that they are not authorized to view. What can Sam do to investigate?

A

Perform and audit trail

86
Q

Acronym that describes the medical decision making process. It also refers to the way physicians organize their progress notes

A

SOAP Format

87
Q

Analysis of body fluids

A

Laboratory Tests

88
Q

Examination of a patient using x-rays

A

Radiology Tests

89
Q

Record of all drugs given to a patient during the hospitalization

A

Medication sheet

90
Q

The diagnostic, therapeutic, or palliative measures that will be taken to investigate or treat the patient’s condition or disease

A

Plan of treatment

91
Q

The physicians directions regarding the patient’s care. also refers to the data collection device on which these elements are captured

A

Physicians orders

92
Q

The physician’s documentation of a surgical procedure, usually dictated and transcribed

A

Operative report

93
Q

The physician’s record of each visit with the patient

A

Progress Note

94
Q

A blank field must be occupied or completed with these

A

Characters and/or data

95
Q

Which of the following should be collected during the patient registration process?

A

An advance directive, to specify the patient’s wishes for his/her care

96
Q

All of the following is needed for a physicians verbal order EXCEPT:

A

The name of the payer or guarantor

97
Q

The best place to find the medications administered for sedation is

A

Anesthesia record

98
Q

The physician’s post-operative note must be completed?

A

Immediately after the procedure

99
Q

A cardiology consultation is typically requested by:

A

Attending physician

100
Q

Which of the following would not be found on an admission record or face sheet?

A

Nursing progress note

101
Q

All of the following are elements of the UHDDS EXCEPT:

a. date of birth
b. gender
c. religion
d. discharge

A

Religion

102
Q

In acute care, physician’s progress notes are:

a. written at least daily to validate the need for care
b. sometimes collected by physician residents, provided they are countersigned by the attending physician
c. only collected by the attending physician
d. both a and b

A

Both A and B

103
Q

A patient’s record contains the following: “mary black is stable and has no complaint of pain. she can be released home. to be seen in my office in two weeks.” this is an example of a:

A

Discharge Order

104
Q

Every report and every page/screen in a manual or computerized patient record must include:

a. patient name and date of birth
b. medical record number and date of birth
c. patient name and social security number
d. A & B

A

A & B

105
Q

Medicare conditions of participation for hospitals require that a complete history and physical examination be performed no more than __ hours after admission

A

24

106
Q

The Joint Commission requires patient records to be completed __ days after a patient is discharged

A

30

107
Q

The principle diagnosis would be located in the

A

Discharge summary

108
Q

Which filing order saves time in locating a lab report from today?

A

Reverse chronological order

109
Q

A document that informs a healthcare provider of a patient’s desire regarding various life sustaining treatment is a:

A

Living will

110
Q

To calculate the delinquent record rate divide the total number of delinquent records by the:

A

Total number of discharges in the period

111
Q

Addendums cannot be made to the patient’s record by nursing staff.

A

False

112
Q

The medical record is the property of the provider.

A

True

113
Q

When an entry is made on the wrong chart it is blocked out with a sharpie and written over with the correct information

A

False

114
Q

Conditions of admission also serves as the general consent to treatment

A

True

115
Q

Surgical consent contains the procedure however it is not necessary to document the risk

A

False

116
Q

Required for nurse practitioners who make rounds on patient in the hospital

A

Countersignatures

117
Q

Third party vendor used to verify accurate payments to providers

A

Recovery audit contractor

118
Q

Pre existing condition that extends the patient’s length of stay

A

Co-morbid diagnosis

119
Q

Cholecystectomy performed to remove gallstones

A

Principal procedure

120
Q

Condition acquired after hospitalization that lengthens to stay of the patient

A

Complication

121
Q

Document that contains the cause of death and filed with the state Department of Health

A

Death certificate

122
Q

Condition after study to be chiefly responsible for occasioning the admission to the hospital

A

Principal diagnosis

123
Q

A late entry made into the discharge summary by the physician

A

Addendum

124
Q

A stakeholder in the health information exchange

A

Physician

125
Q

Contains records from different episodes of care over a period of time

A

Longitudinal record