QUESTIONS SET 10 Flashcards
Which would be considered a variable cost with regard to budgeting?
a. AHIMA membership dues for employees
b. monthly maintenance fee on copiers
c. lease payment on dictation equipment
d. cost of providing medical coding services
Cost of providing medical coding services
Which financial statement reflects the extent to which a healthcare entity’s revenues exceed its expenses?
a. income statement
b. balance sheet
c. statement of retained earnings
d. statement of cash flows
Income Statement
What could an analysis of a flow chart identify?
a. key performance measures
b. customer needs
c. redundancies in a process
d. productivity standards
Redundancies in a process
ICD-10-CM utilizes a placeholder character. This is used as a 5th character placeholder at certain 6th character codes to allow for future expansion. The placeholder is
a. 0
b. L
c. Z
d. X
X
A team has established rules regarding the organization and presentation of information. What is the set of rules called?
a. systems analysis
b. systems architecture
c. data model
d. systems development life cycle
Data model
What is the primary advantage of using standardized data sets for collecting healthcare information?
a. to ensure collection of complete information
b. patients receive similar care in every facility
c. data can be compared nationally
d. to ensure quality information is documented
Data can be compared nationally
The most recent coding audit has revealed a tendency to miss secondary diagnoses that would have increased the reimbursement for the case. Which of the following strategies would be most likely to correct this problem?
a. facility top 10-15 DRGs by volume and charges
b. development and implementation of a CDI program
c. contracting with larger consulting firm to do audits and education
d. focused reviews on changes in MS-DRGs
Development and implementation of a CDI program
Mappings between ICD-9- CM and ICD-10-CM were developed and released by the National Center for Health Statistics to facilitate the transition from one code set to another. They are called
a. code maps
b. general equivalency mappings
c. medical mappings
d. ICD-10 code maps
General Equivalency Mappings
In a global payment methodology, which is sometimes applied to radiological and similar types of procedures that involve professional and technical components, all of the following are part of the “technical” components EXCEPT
a. Physician/radiologist service
b. Radiologic technicians
c. Radiological equipment
d. Radiological supplies
Physician/radiologist service
A Coding supervisor audits coded records to ensure the codes reflect the actual documentation in the health record. This coding auditing process addresses the data quality element of
a. granularity
b. reliability
c. validity
d. timeliness
Validity
A healthcare facility realized that a disgruntled employee accessed several patient records without authorization. Which healthcare facility representative should manage the health information breach?
a. chief information officer (CIO)
b. chief privacy officer (CPO)
c. chief operations officer (COO)
d. chief security officer (CSO)
chief privacy officer (CPO)