PART 1 Flashcards
An Advance Beneficiary Notice (ABN) is a document signed by the
A. physician advisor indicating that the patient’s stay is denied.
B. utilization review coordinator indicating that the patient stay is not medically necessary.
C. patient indicating whether he/she wants to receive services that Medicare probably will not pay for.
D. provider indicating that Medicare will not pay for certain services.
Patient, indicating whether he/she wants to receive healthcare services that Medicare probably will not pay for.
As the Director of the Health Information Department, you are preparing a request for approval for the purchase of an encoding system. Because this is considered a capital request, you required to submit the cost-bene t ratio. The software and license costs $6,000, hardware. maintenance is $1,500, and the training of two employees will cost $500. It is expected that encoding system will increase reimbursement by $10,000. The cost- bene t ratio is
A. 0.8.
B. 1.7.
C. 1.25.
D. 1.33.
1.25
As the project manager for the upcoming EHR implementation, you ask your assistant to develop a work breakdown structure (WBS). Critical to implementation and project success, the WBS
A. lists steps needed to complete the project.
B. determines dependencies among project tasks.
C. describes project responsibilities.
D. defines the project’s critical path.
List steps needed to complete the project
The CFO of your facility asks you to prepare a budget for the fiscal year based on the past volume and expected capacity for the coming year. This process is an example of using the __________________ budgeting method.
A. rolling budget
B. fixed budget
C. flexible or statistics budget
D. zero-based budget
Fixed budget
Changes in case-mix index(CMI) may be attributed to all of the following factors EXCEPT
A. changes in coding rules.
B. changes in coding productivity.
C. changes in services offered.
D. changes in medical staff composition.
Changes in coding productivity
The coder works 7.5 hours per day. If a time standard is determined from sample observations to be 2.50 minutes per record for coding emergency room records, what is the daily standard for the number of records coded when a 15% fatigue factor is allowed?
A. 153 records per day
B. 180 records per day
C. 192 records per day
D. 200 records per day
153 records per day.
Ethical obligations to the ____ include advocating changes when patterns or system problems are not in the best interest of the patient, reporting violation of practice standards to the proper authorities.
a. peers
b. AHIMA
c. public
d. employer
Public
The federal physician self-referral statute is also known as the
a. Sherman Anti-Trust Act.
b. Deficit Reduction Act.
c. False Claims Act.
d. Stark Law.
Stark Law
Greg is a recent graduate who has applied for a Trauma Registry position at a Chicago hospital while he prepared to apply to graduate school. In maligning the decision, he considered the offer of $15 per hour for a 40 hour week, benefits of 27.5% of his salary, and tuition waivers of 6 credits per year of $145. He calculated that his total compensation, rounded to the nearest dollar would be
a. $40,650
b. $39,563
c. $38,599
d. $31,030
$40,650
A group of researcher wanted to determine the pre-accident risk factors of white males who were paralyzed in diving accidents. Which research design should the researchers use?
a.Double-blind study
b.Parallel-group trial
c.Cross-over trial
d.Case-control study
Case-control study
