QUESTIONS SET 7 Flashcards
In creating a new form or computer view, the designer should be most driven by
a. medical staff bylaws.
b. needs of the users.
c. QIO standards.
d. flow of data on the page or screen.
needs of the users.
The health care providers at your hospital do a very thorough job of periodic open record review to ensure the completeness of record documentation. A qualitative review of surgical records would likely include checking for documentation regarding
A. whether the severity of illness and/or intensity of service warranted acute level care.
B. the presence or absence of such items as preoperative and postoperative diagnosis,description of findings, and specimens removed.
C. the quality of follow-up care.
D. whether a postoperative infection occurred and how it was treated.
the presence or absence of such items as preoperative and postoperative diagnosis,description of findings, and specimens removed.
Your state regulations require health records to be kept for a statute of limitations period of 7 years. Federal law required records to be retained for 5 years. The minimum retention period for health records in your facility should be
A. 5 years.
B. 7 years.
C. 10 years.
D. either 5 or 7 years, as determined by the facility.
7 years.
The clinical laboratory department staff can use a database that allows them to see what laboratory test were conducted and the results of those tests. By contrast, the billing department staff can only see that portion of the database that lists the laboratory tests that generate a charge, but they cannot see the test results. What kind of control is this an example of?
A. concurrency
B. access
C. integrity
D. cost
Access
Which one of the following systems was designed with electronic systems in mind and is currently being used for problem lists, ICU monitoring, patient care assessments, data collection, medical research studies, clinical trials, disease surveillance, and images?
A) SNDO
B) GEM
C) ICDPC-2
D) SNOMED CT
SNOMED CT
Given the diagnosis “carcinoma of axillary lymph nodes and lungs, metastatic from the breast”, what is the primary cancer site(s)?
A. axillary lymph nodes
B. lungs
C. breast
D. both A and B
Breast
The best place to ascertain the size of an excised lesion for accurate CPT coding is the
A. discharge summary.
B. operative report.
C. pathology report.
D. anesthesia record.
operative report
To gather statistics for surgical services provided on an outpatient basis, which of the following codes are needed?
a. ICD-9-CM codes
b. evaluation and management codes
c. CPT codes
d. HCPCS Level II Codes
CPT codes
A 63-year-old patient with terminal pancreatic cancer has started palliative chemotherapy. Palliative means
A. increasing the immune response to fight infections.
B. alleviating or eliminating distressing symptoms of the disease.
C. the combining of several medications to cure the cancer.
D. quick destruction of cancerous cells.
Alleviating of eliminating distressing symptoms of the disease
A “pill-rolling” tremor of the hand is a characteristic symptom of
A. epilepsy
B. Guillain–Barré
C. myasthenia Travis
D. Parkinson disease
Parkinson disease
