RHIA D1: Questions Flashcards
The HIM manager tasked the coding manager to development a dashboard that shows the discharges pending final billing so that she can plan for staffing. Because this data changes throughout the day, what analysis technique is needed?
a. Predictive modelling
b. Indirect standardization
c. Real-time analytics
d. Data mining
A physician on your staff asked you to help her collect information about the effects of smoking during pregnancy on the birth weight of babies. You were asked to collect the following information: whether or not the mothers smoke during pregnancy; birth weight of the babies; Apgar scores at one minute; and Apgar scores at five minutes. The scales of these variables would be:
a. Nominal, ordinal, interval, ratio
b. Nominal, ratio, ordinal, ordinal
c. Ordinal, nominal, ratio, interval
d. Ratio, ordinal, interval, nominal
The following descriptors about the data element DISCHARGE_DATE are included in a data dictionary: definition: date patient was discharged from the hospital; data type: date; field length: 15; required field: yes; default value: none; template: none. For this data element, data integrity would be better assured if:
a. The template was defined
b. The data type was numeric
c. The field was not required
d. The field length was longer
The HIM director at Community Hospital has noticed that history and physicals and operative reports are not being transcribed and returned by the transcription service within the negotiated timeframes. What should be her primary concern related to this issue?
a. That the transcription service company will overcharge the hospital for reports that are delayed
b. That physicians will stop dictating reports and just include comments in the progress notes
c. That the Joint Commission will find that history and physicals are not being uploaded to the EHR system within the required 24-hour timeframe
d. That information is not being made available in the patient portal within the required timeframe
Which statistics should a health data analyst recommend to a manager who would like to measure the relationship between length of stay and time to code a health record?
a. Slope of the linear regression time
b. T-test
c. Correlation
d. Intercept of the linear regression line
Danny, an HIM analyst for Memorial Hospital, is conducting a qualitative analysis of a discharged patient’s chart. His goal in this process is:
a. Determining if the documentation includes all requirements set by CMS, the state, and accrediting bodies
b. Identifying whether all lab orders have corresponding lab reports in the chart
c. Verifying that health professionals are providing appropriate care
d. Ensuring the hospital bill is correct
Gladys was admitted to Sunshine Nursing Facility for rehabilitation following her hip fracture. Upon admission, the nursing staff assessed Gladys in multiple areas, some of which are cognitive loss, mood, vision function, pain, and the medications she is taking. This information will be recorded in her health record for the:
a. Minimum data set to plan her care
b. Pay-for-performance initiatives to manage payment
c. Requirements of the CDC
d. Identification of patients for NPSGs
In order to set the budget for next year, the hospital administrator tasked a business analyst with determining the average charges and average length of stay for Medicaid patients. The business analyst uses hospital claims data for this analysis and provides the results to the administrator. What type of data are the claims data in this case?
a. Clinical data
b. Statistical data
c. Secondary data
d. Primary data
The Western Hospital Corporation’s HIM director wants to compare the time that each of the hospitals in the corporation are spending on chart analysis and determine how they are performing against the best practice standard. The HIM director generated the following data for comparison. What is this comparison process called?
Western Hospital Corporation
HIM Corporate Dashboard
April, 20xx
Analysis Days
Delinquency Rate
IP
SDS
ED
Community Region Facilities
Hospital A
- 0
- 0
- 0
5%
Hospital B
- 0
- 0
- 0
0%
Hospital C
- 0
- 0
- 0
8%
Urban Region Facilities
Hospital D
- 0
- 0
- 0
12%
Hospital E
- 0
- 0
- 0
23%
Hospital F
3.0
- 0
- 0
8%
Corporate Average
2.33
- 00
- 33
9%
Best Practice Standard
2.0
2.0
1.0
<15%
a. Process comparison
b. Outcome comparison
c. Comparing
d. Benchmarking
At Memorial Hospital, HIM professionals are located in the nursing stations, where they are responsible for all aspects of health record processing. While the patient is in the facility, the HIM professional does a daily concurrent review of the record. How does this assist the organization?
a. By helping to remind providers to complete documentation requirements and sign orders, which is easier to do while the patient is still at the facility
b. By indicating to physicians what documentation must be completed once the patient goes home
c. By giving the billing department a list of all the charges to date for the patient
d. By allowing the documentation to be uploaded to the patient portal for the patient to use after discharge
A staff member is assigned to sit in the waiting room of the physician’s office to collect data on patient waiting times. The staff member records the time at which the patient comes in the door and when the patient is called to the examining room. This is an example of what type of data collection?
a. Direct observation
b. Interview
c. Survey
d. Work imaging
Lisa, an HIM analyst for Healthwise Hospital, is conducting a quantitative analysis of a discharged patient’s chart. Her goal in this process is:
a. To ensure that the record is legible
b. To identify deficiencies in the chart early so they can be corrected
c. To verify that health professionals are providing appropriate care
d. To ensure that the hospital bill is correct
Which of the following is not associated with a typical data dictionary?
a. Table names
b. An entity-relationship diagram
c. A description of each attribute
d. Whether the attribute is required
David was admitted to the hospital following an automobile accident in which he suffered a fractured femur. Two days after surgery to repair the fracture, he developed pneumonia and was transferred to the ICU. Because the pneumonia was not present at the time of admission to the hospital, it is considered a:
a. Healthcare-associated infection
b. Hospital sickness
c. Community-acquired infection
d. Community sickness
What type of report would give administrators structured information in a variety of graphs to better plan facility operations?
a. Enterprise master patient index
b. Integrated delivery system
c. Registration—admissions, discharge, transfer system
d. Executive information system dashboard
Which of the following would not be an appropriate duty for an HIM professional?
a. Documenting additions or deletions in a patient’s record
b. Monitoring documentation guidelines as set forth in legislation or regulatory standards
c. Training care providers in documentation techniques
d. Auditing patient records to determine the quality of the documentation
When an entity relational diagram is implemented as a relational database, an entity will become a(n):
a. Query
b. Form
c. Object
d. Table
A health data analyst has been asked to compile a report on the percentage of patients who had a baseline partial thromboplastin time (PTT) test performed prior to receiving heparin. What clinical reports in the health record would the health data analyst need to consult in order to prepare this report?
a. Physician progress notes and medication record
b. Nursing and physician progress notes
c. Medication administration record and clinical laboratory reports
d. Physician orders and clinical laboratory reports
City Hospital’s revenue cycle management team has established the following benchmarks: (1) The value of discharged, not final billed (DNFB) cases should not exceed two days of average daily revenue; and (2) accounts receivable days are not to exceed 60 days. The net average daily revenue is $1,000,000. What do the following data indicate about how City Hospital is meeting its benchmarks?
a. DNFB cases met the benchmark 100 percent of the time.
b. DNFB cases met the benchmark 75 percent of the time.
c. DNFB cases met the benchmark 50 percent of the time.
d. DNFB cases met the benchmark 25 percent of the time.
An analyst wishes to test the hypothesis that the wait time in the emergency department is longer on weekends than weekdays. What is the alternative hypothesis?
a. The average wait time is shorter on weekends.
b. The average wait time is longer on weekends.
c. The average wait time is different on weekends and weekdays.
d. The average wait time is the same on weekends and weekdays.
The data that describe other data in order to facilitate data quality are found in the:
a. Data definition language
b. Data dictionary
c. Data standards
d. Data definition
Bloodwork results from the laboratory information system, mammogram reports and films from the radiology information system, and a listing of chemotherapy agents administered to the patient from the pharmacy information system are all delivered into the patient’s EHR. These different information systems that feed information into the EHR are known as:
a. Interoperability
b. Source systems
c. Continuity of care records
d. Clinical decision support systems
Which of the following processes is an ancillary function of the health record?
a. Admitting and registration information
b. Billing and reimbursement
c. Patient assessment and care planning
d. Biomedical research
While the focus of inpatient data collection is on the principal diagnosis, the focus of outpatient data collection is on the:
a. Reason for admission
b. Activities of daily living
c. Discharge diagnosis
d. Reason for encounter
The inpatient data set incorporated into federal law and required for Medicare reporting is the:
a. Ambulatory Care Data Set
b. Uniform Hospital Discharge Data Set
c. Minimum Data Set for Long-term Care
d. Health Plan Employer Data and Information Set
Unstructured data may be preferred over structured data because:
a. It does not require processing
b. It provides greater detail
c. Clinicians know how to enter it
d. It is more complete
What document is a snapshot of a patient’s status and includes everything from social issues to disease processes as well as critical paths and clinical pathways that focus on a specific disease process or pathway in a long-term care hospital (LTCH)?
a. Face sheet
b. Care plan
c. Diagnosis plan
d. Flow sheet
Which of the following personnel should be authorized, per hospital policy, to take a physician’s verbal order for the administration of medication?
a. Unit secretary working on the unit where the patient is located
b. Nurse working on the unit where the patient is located
c. Health information director
d. Admissions registrars
Name of element, definition, application in which the data element is found, locator key, ownership, entity relationships, date first entered system, date terminated from system, and system of origin are all examples of:
a. Auto-authentication fields
b. Metadata
c. Data
d. Information fields
. Which statement is true about the following figure?
a. There is no correlation between the variables.
b. There is a negative relationship between the variables.
c. There is a weak negative correlation between the variables.
d. There is a positive relationship between the variables.
Which of the following represents dataflow for a hospital inpatient admission?
a. Registration > diagnostic and procedure codes assigned > services performed > charges recorded
b. Registration > services performed > charges recorded > diagnostic and procedure codes assigned
c. Services performed > charges recorded > registration > diagnostic and procedure codes assigned
d. Diagnostic and procedure codes assigned > registration > services performed > charges recorded
Which of the following is the goal of quantitative analysis performed by health information management (HIM) professionals?
a. Ensuring the record is legible
b. Identifying deficiencies early so they can be corrected
c. Verifying that health professionals are providing appropriate care
d. Checking to ensure bills are correct
To complete a comprehensive assessment and collect information for the Minimum Data Set for Long-Term Care, the coordinator must use which of the following?
a. Core measure
b. Resident Assessment Instrument
c. Precertification
d. Record of transfer
Data content standards are used to:
a. Share data in the same way the users interpret data
b. Share data is a unique way
c. Share data between disparate systems
d. Modify data
