Question 1

When a patient is being admitted for a health-related issue, the physician must state the patient's ___________.

Accepted Answer

A)  symptoms 
B)  procedures 
C)  chief complaint 
D)  diagnosis 
A)  symptoms 
B)  procedures 
C)  chief complaint 
D)  diagnosis

Question 2

Which is a preventive control?

Accepted Answer

A)  The CPOE alerts the provider about a contraindication for a medication she is ordering. 
B)  The nursing supervisor reviews charts to ensure that progress notes are being recorded. 
C)  The deficiency system sends email reminders to physicians about incomplete records. 
D)  A coder uses an encoder to assign a procedure code. 
A)  The CPOE alerts the provider about a contraindication for a medication she is ordering. 
B)  The nursing supervisor reviews charts to ensure that progress notes are being recorded. 
C)  The deficiency system sends email reminders to physicians about incomplete records. 
D)  A coder uses an encoder to assign a procedure code.

Question 3

Overseas hackers gained access to the hospital's EHR and threatened to make health records public unless they received a large sum of money. When the crisis is over and the hospital regains control, what is the problem with the health records?

Accepted Answer

A)  their integrity is in question 
B)  they may not be encrypted 
C)  they are no longer interoperable 
D)  they may have viruses or malware 
A)  their integrity is in question 
B)  they may not be encrypted 
C)  they are no longer interoperable 
D)  they may have viruses or malware

Question 4

Which describes computer-assisted coding (CAC)?

Accepted Answer

A)  The software analyzes documents and assigns codes 
B)  The software reads codes and creates health records 
C)  The software analyzes symptoms and assigns codes 
D)  The coder uses software to look up codes 
A)  The software analyzes documents and assigns codes 
B)  The software reads codes and creates health records 
C)  The software analyzes symptoms and assigns codes 
D)  The coder uses software to look up codes

Question 5

Which statement about protected health information (PHI) is true?

Accepted Answer

A)  it may only be seen by the patient 
B)  health care professionals may view it at any time 
C)  it may only be disclosed when the patient consents, with no exceptions 
D)  health care professionals may only access it on a need-to-know basis 
A)  it may only be seen by the patient 
B)  health care professionals may view it at any time 
C)  it may only be disclosed when the patient consents, with no exceptions 
D)  health care professionals may only access it on a need-to-know basis

Question 6

Data governance is concerned with:

Accepted Answer

A)  policies for collecting data at the point of care. 
B)  release of information policy. 
C)  monitoring staff credentials. 
D)  how the facility's systems interface with pharmacies 
A)  policies for collecting data at the point of care. 
B)  release of information policy. 
C)  monitoring staff credentials. 
D)  how the facility's systems interface with pharmacies

Question 7

A patient with a seafood allergy had a reaction to the contrast dye used during her x-ray hysterosalpingography (HSG). The facility began a ______________ to determine how the error happened.

Accepted Answer

A)  detective control 
B)  nonrepudiation analysis 
C)  exception report 
D)  root cause analysis (RC
A)  
A)  detective control 
B)  nonrepudiation analysis 
C)  exception report 
D)  root cause analysis (RC
A)

Question 8

Which is NOT identified during quantitative analysis?

Accepted Answer

A)  missing signature on a physician progress note. 
B)  discharge report has not been dictated. 
C)  requested cardiology consultation was not performed. 
D)  history and physical (H&P) was dictated and transcribed on the third day of the admission. 
A)  missing signature on a physician progress note. 
B)  discharge report has not been dictated. 
C)  requested cardiology consultation was not performed. 
D)  history and physical (H&P) was dictated and transcribed on the third day of the admission.

Question 9

Which control cannot be used retrospectively?

Accepted Answer

A)  corrective 
B)  detective 
C)  preventive 
D)  root cause analysis (RC
A)  
A)  corrective 
B)  detective 
C)  preventive 
D)  root cause analysis (RC
A)

Question 10

Which scenario is a breach?

Accepted Answer

A)  Nurses discussing Mrs. Logan's patient care during morning report 
B)  An HIM employee discussing his migraines with his neighbor 
C)  A hospital employee reviewing the record of a celebrity currently admitted to the facility 
D)  An administrator who left sales figures on the train 
A)  Nurses discussing Mrs. Logan's patient care during morning report 
B)  An HIM employee discussing his migraines with his neighbor 
C)  A hospital employee reviewing the record of a celebrity currently admitted to the facility 
D)  An administrator who left sales figures on the train

Question 11

At registration, the patient access clerk searches the ____________ history files to determine whether the patient has been treated at the facility on a previous occasion.

Accepted Answer

A)  abstract database 
B)  batch control form 
C)  discharge register 
D)  master patient index (MPI) 
A)  abstract database 
B)  batch control form 
C)  discharge register 
D)  master patient index (MPI)

Question 12

Patient records are sometimes abstracted for __________, collections of data specific to a disease, diagnosis, or procedure.

Accepted Answer

A)  data sets 
B)  registries 
C)  indices 
D)  vital statistics 
A)  data sets 
B)  registries 
C)  indices 
D)  vital statistics

Question 13

Which is a function of information governance?

Accepted Answer

A)  monitoring data quality and integrity within the EHR 
B)  ensuring accurate data collection by patient access staff 
C)  regular meetings of the forms committee 
D)  making policy for how data will be used in a health information exchange (HI
E)  
A)  monitoring data quality and integrity within the EHR 
B)  ensuring accurate data collection by patient access staff 
C)  regular meetings of the forms committee 
D)  making policy for how data will be used in a health information exchange (HI
E)

Question 14

Which patient is health literate?

Accepted Answer

A)  the patient who understands medical terms 
B)  the patient who understands the risks and benefits of a treatment 
C)  the patient who correctly diagnoses himself using information from the Internet 
D)  the patient who reads American Sign Language (ASL) 
A)  the patient who understands medical terms 
B)  the patient who understands the risks and benefits of a treatment 
C)  the patient who correctly diagnoses himself using information from the Internet 
D)  the patient who reads American Sign Language (ASL)

Question 15

When speech recognition software is used for transcription:

Accepted Answer

A)  the author can view the transcription concurrently 
B)  no digital signature is necessary 
C)  properly formatted reports are not an issue 
D)  physicians are discouraged from typing or writing by hand 
A)  the author can view the transcription concurrently 
B)  no digital signature is necessary 
C)  properly formatted reports are not an issue 
D)  physicians are discouraged from typing or writing by hand

Question 16

During assembly, paper components are typically ___________ into the computer system through the use of an electronic document management system (EDMS).

Accepted Answer

The answer of During assembly, paper components are typically ___________...

Question 17

Which statement is true about the use of the patient's health record in a legal dispute?

Accepted Answer

A)  the health record cannot be used in a court of law 
B)  the health record is in the public domain and may be accessed freely 
C)  the health record may be used to defend the provider's actions 
D)  the health record is only used for legal matters when the patient is injured 
A)  the health record cannot be used in a court of law 
B)  the health record is in the public domain and may be accessed freely 
C)  the health record may be used to defend the provider's actions 
D)  the health record is only used for legal matters when the patient is injured

Question 18

What is another term that refers to the period postdischarge?

Accepted Answer

A)  concurrent 
B)  nonrepudiation 
C)  quantitative 
D)  retrospective 
A)  concurrent 
B)  nonrepudiation 
C)  quantitative 
D)  retrospective

Question 19

Which reflects data timeliness?

Accepted Answer

A)  Laboratory results are waiting to be scanned into the patient's record at nursing station 3. 
B)  Laboratory results were entered into the patient's electronic health record a few hours after they arrived. 
C)  Dr. Johnson had to call the medical clinic out of state to get the patient's previous laboratory results. 
D)  A laboratory report was just scanned into the record of a patient who was discharged 42 days ago. 
A)  Laboratory results are waiting to be scanned into the patient's record at nursing station 3. 
B)  Laboratory results were entered into the patient's electronic health record a few hours after they arrived. 
C)  Dr. Johnson had to call the medical clinic out of state to get the patient's previous laboratory results. 
D)  A laboratory report was just scanned into the record of a patient who was discharged 42 days ago.

Question 20

Which is a hallmark of efficient paper record processing?

Accepted Answer

A)  records are moved as little as possible 
B)  steps are completed at the same time (concurrently) whenever possible 
C)  the record is coded before it is scanned 
D)  photocopies of the record are kept in the master file 
A)  records are moved as little as possible 
B)  steps are completed at the same time (concurrently) whenever possible 
C)  the record is coded before it is scanned 
D)  photocopies of the record are kept in the master file

When a patient is being admitted for a health-related issue, the physician must state the patient's ___________.

Which is a preventive control?

Overseas hackers gained access to the hospital's EHR and threatened to make health records public unless they received a large sum of money. When the crisis is over and the hospital regains control, what is the problem with the health records?

Which describes computer-assisted coding (CAC)?

Which statement about protected health information (PHI) is true?

Data governance is concerned with:

A patient with a seafood allergy had a reaction to the contrast dye used during her x-ray hysterosalpingography (HSG). The facility began a ______________ to determine how the error happened.

Which is NOT identified during quantitative analysis?

Which control cannot be used retrospectively?

Which scenario is a breach?

At registration, the patient access clerk searches the ____________ history files to determine whether the patient has been treated at the facility on a previous occasion.

Patient records are sometimes abstracted for __________, collections of data specific to a disease, diagnosis, or procedure.

Which is a function of information governance?

Which patient is health literate?

When speech recognition software is used for transcription:

During assembly, paper components are typically ___________ into the computer system through the use of an electronic document management system (EDMS).

Which statement is true about the use of the patient's health record in a legal dispute?

What is another term that refers to the period postdischarge?

Which reflects data timeliness?

Which is a hallmark of efficient paper record processing?

The Health Care Industry

Collecting and Storing Health Care Data

Sources of Data

Coded Data

Financial Management

Statistics and Data Analytics

Confidentiality and Compliance

Management and Leadership

Performance Improvement and Project Management

Filters

Exam 4: Data Quality and Management

When a patient is being admitted for a health-related issue, the physician must state the patient's ___________.

Which is a preventive control?

Overseas hackers gained access to the hospital's EHR and threatened to make health records public unless they received a large sum of money. When the crisis is over and the hospital regains control, what is the problem with the health records?

Which describes computer-assisted coding (CAC)?

Which statement about protected health information (PHI) is true?

Data governance is concerned with:

A patient with a seafood allergy had a reaction to the contrast dye used during her x-ray hysterosalpingography (HSG). The facility began a ______________ to determine how the error happened.

Which is NOT identified during quantitative analysis?

Which control cannot be used retrospectively?

Which scenario is a breach?

At registration, the patient access clerk searches the ____________ history files to determine whether the patient has been treated at the facility on a previous occasion.

Patient records are sometimes abstracted for __________, collections of data specific to a disease, diagnosis, or procedure.

Which is a function of information governance?

Which patient is health literate?

When speech recognition software is used for transcription:

During assembly, paper components are typically ___________ into the computer system through the use of an electronic document management system (EDMS).

Which statement is true about the use of the patient's health record in a legal dispute?

What is another term that refers to the period postdischarge?

Which reflects data timeliness?

Which is a hallmark of efficient paper record processing?

The Health Care Industry

Collecting and Storing Health Care Data

Sources of Data

Coded Data

Financial Management

Statistics and Data Analytics

Confidentiality and Compliance

Management and Leadership

Performance Improvement and Project Management

Filters