Question 1

A longitudinal patient record documents a patient's health status, conditions, and treatments _____________________________.

Accepted Answer

A)   using electronic signals to transmit clinical information from one site to another 
B)   throughout the patient's life 
C)   in a prospective payment system 
D)   throughout the patient's residence in a particular community 
A)   using electronic signals to transmit clinical information from one site to another 
B)   throughout the patient's life 
C)   in a prospective payment system 
D)   throughout the patient's residence in a particular community B

Question 2

The ____________________ program is designed to recover improper Medicare payments.​

Accepted Answer

Recovery Audit Contractor
RAC​

Question 3

Describe what a personal health record (PHR) is and three attributes that make them useful for patients.?

Accepted Answer

It is "an Internet-based set of tools that allows people to access and coordinate their life-long health information and make appropriate parts of it available to those who need it." The Markle Foundation goes on to describe the following attributes of a PHR:
$\bullet$Each person controls his or her own PHR. Individuals decide which parts of their PHR can be accessed, by whom, and for how long.
$\bullet$PHRs contain information from one's entire lifetime.
$\bullet$PHRs contain information from all health care providers.
$\bullet$PHRs are accessible from any place at any time.
$\bullet$PHRs are private and secure.
$\bullet$PHRs are "transparent." Individuals can see who entered each piece of data, where it was transferred from, and who has viewed it.
$\bullet$PHRs permit easy exchange of information with other health information systems and health professionals?

Question 4

A(n) ____________________________ is a partner or contractor performing a job or service on behalf of a covered entity.​

Accepted Answer

The answer of A(n) ____________________________ is a partner or contractor...

Question 5

Medicare pays skilled nursing facilities, home health providers, inpatient rehabilitation hospitals, and long-term care hospitals under prospective payment systems.

Accepted Answer

A) True 
 B)False

Question 6

Match each description with the correct item
- This legislation made significant revisions to the Medicare program by calling for the creation of Part D, e-prescribing for prescription drug plans, revision of claims processing, and a Medicare payment recovery demonstration project.

Accepted Answer

A)  Health Insurance Portability and Accountability Act (HIPA
A)  
B)  American Recovery and Reinvestment Act (ARR
A)  
C)  Hill-Burton Act 
D)  Medicare Prescription Drug, Improvement, and Modernization Act 
E)  Patient Protection and Affordable Care Act (PPAC
A) 
F) Health Information Technology for Economic and Clinical Health Act (HITECH)
G) Medicaid Integrity Program (MIP)
H) Zone Program Integrity Contractors (ZPICs) 
A)  Health Insurance Portability and Accountability Act (HIPA
A)  
B)  American Recovery and Reinvestment Act (ARR
A)  
C)  Hill-Burton Act 
D)  Medicare Prescription Drug, Improvement, and Modernization Act 
E)  Patient Protection and Affordable Care Act (PPAC
A) 
F) Health Information Technology for Economic and Clinical Health Act (HITECH)
G) Medicaid Integrity Program (MIP)
H) Zone Program Integrity Contractors (ZPICs)

Question 7

_________________________________ is a general term referring to electronic health records and related information systems to manage health care processes.​

Accepted Answer

Health inf

Question 8

Match each description with the correct item
- An entity that oversees and governs the exchange of health-related information among organizations according to nationally recognized standards, often used synonymously with regional health information organization (RHIO).

Accepted Answer

A)  Patient safety organizations (PSO) 
B)  Office of the National Coordinator for Health Information Technology (ON
C)  
C)  Health information exchange organizations 
D)  Regional extension centers (RE
C)  
E)  Recovery audit contractors (RA
C) 
F) Quality improvement organizations (QIO) 
A)  Patient safety organizations (PSO) 
B)  Office of the National Coordinator for Health Information Technology (ON
C)  
C)  Health information exchange organizations 
D)  Regional extension centers (RE
C)  
E)  Recovery audit contractors (RA
C) 
F) Quality improvement organizations (QIO)

Question 9

The State Children's Health Insurance Program (SCHIP or CHIP) is _________________.

Accepted Answer

A)   a private health insurance program with variable coverage from state-to-state 
B)   a Medicare Part A program for uninsured children 
C)   a Medicare Part D program for uninsured children 
D)   a joint state-federal program providing insurance for lower income children not covered by Medicaid 
A)   a private health insurance program with variable coverage from state-to-state 
B)   a Medicare Part A program for uninsured children 
C)   a Medicare Part D program for uninsured children 
D)   a joint state-federal program providing insurance for lower income children not covered by Medicaid

Question 10

In a prospective payment system, the health care provider charges and is paid for each item of service provided.

Accepted Answer

A) True 
 B)False

Question 11

Under Part C, beneficiaries pay a monthly premium for the insurance plan, in addition to their Part B premium

Accepted Answer

A) True 
 B)False

Question 12

Describe the differences between Medicare Parts A, B, C and D.?

Accepted Answer

Part A: Hospital Insurance
Part B: Medic

Question 13

Part A of Medicare pays for hospital inpatient care, home health care, skilled nursing care, and hospice care.

Accepted Answer

A) True 
 B)False

Question 14

Match each description with the correct item
- This program focuses on Medicaid overpayments.

Accepted Answer

A)  Health Insurance Portability and Accountability Act (HIPA
A)  
B)  American Recovery and Reinvestment Act (ARR
A)  
C)  Hill-Burton Act 
D)  Medicare Prescription Drug, Improvement, and Modernization Act 
E)  Patient Protection and Affordable Care Act (PPAC
A) 
F) Health Information Technology for Economic and Clinical Health Act (HITECH)
G) Medicaid Integrity Program (MIP)
H) Zone Program Integrity Contractors (ZPICs) 
A)  Health Insurance Portability and Accountability Act (HIPA
A)  
B)  American Recovery and Reinvestment Act (ARR
A)  
C)  Hill-Burton Act 
D)  Medicare Prescription Drug, Improvement, and Modernization Act 
E)  Patient Protection and Affordable Care Act (PPAC
A) 
F) Health Information Technology for Economic and Clinical Health Act (HITECH)
G) Medicaid Integrity Program (MIP)
H) Zone Program Integrity Contractors (ZPICs)

Question 15

A(n) _________ links data provided by various health care providers.

Accepted Answer

A)  HIE organization/RHIO 
B)  patient-focused record 
C)  fee-for-service network 
D)  prospective payment system 
A)  HIE organization/RHIO 
B)  patient-focused record 
C)  fee-for-service network 
D)  prospective payment system

Question 16

Match each description with the correct item
- Enacted in 2009 and also known as the "Stimulus Act," its main purpose was to create jobs and stimulate economic growth; however, it contained many provisions for health care, including billions of dollars for health information technology.

Accepted Answer

A)  Health Insurance Portability and Accountability Act (HIPA
A)  
B)  American Recovery and Reinvestment Act (ARR
A)  
C)  Hill-Burton Act 
D)  Medicare Prescription Drug, Improvement, and Modernization Act 
E)  Patient Protection and Affordable Care Act (PPAC
A) 
F) Health Information Technology for Economic and Clinical Health Act (HITECH)
G) Medicaid Integrity Program (MIP)
H) Zone Program Integrity Contractors (ZPICs) 
A)  Health Insurance Portability and Accountability Act (HIPA
A)  
B)  American Recovery and Reinvestment Act (ARR
A)  
C)  Hill-Burton Act 
D)  Medicare Prescription Drug, Improvement, and Modernization Act 
E)  Patient Protection and Affordable Care Act (PPAC
A) 
F) Health Information Technology for Economic and Clinical Health Act (HITECH)
G) Medicaid Integrity Program (MIP)
H) Zone Program Integrity Contractors (ZPICs)

Question 17

This legislation amends the HIPAA privacy and security rules.

Accepted Answer

A)   Hill-Burton Act 
B)   Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MM
A)  
C)   Health Information Technology for Economic and Clinical Health Act (HITECH) 
D)   Clinical documentation improvement (CDI) 
A)   Hill-Burton Act 
B)   Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MM
A)  
C)   Health Information Technology for Economic and Clinical Health Act (HITECH) 
D)   Clinical documentation improvement (CDI)

Question 18

​The ____________________ program was implemented by CMS to identify and investigate malicious fraudulent claims activity within Medicare's seven geographic regions (zones).

Accepted Answer

Zone Progr

Question 19

Americans have heavily depended on hospitals for lifesaving health care since the 1700s.

Accepted Answer

A) True 
 B)False

Question 20

​​A(n) _________________________________ is a locally implemented program focused upon improving the quality of clinical documentation to facilitate an accurate representation of health care services through complete and accurate reporting of diagnoses and procedures.

Accepted Answer

​​clinical

A longitudinal patient record documents a patient's health status, conditions, and treatments _____________________________.

The ____________________ program is designed to recover improper Medicare payments.

Describe what a personal health record (PHR) is and three attributes that make them useful for patients.?

A(n) ____________________________ is a partner or contractor performing a job or service on behalf of a covered entity.

Medicare pays skilled nursing facilities, home health providers, inpatient rehabilitation hospitals, and long-term care hospitals under prospective payment systems.

Match each description with the correct item - This legislation made significant revisions to the Medicare program by calling for the creation of Part D, e-prescribing for prescription drug plans, revision of claims processing, and a Medicare payment recovery demonstration project.

_________________________________ is a general term referring to electronic health records and related information systems to manage health care processes.

Match each description with the correct item - An entity that oversees and governs the exchange of health-related information among organizations according to nationally recognized standards, often used synonymously with regional health information organization (RHIO).

The State Children's Health Insurance Program (SCHIP or CHIP) is _________________.

In a prospective payment system, the health care provider charges and is paid for each item of service provided.

Under Part C, beneficiaries pay a monthly premium for the insurance plan, in addition to their Part B premium

Describe the differences between Medicare Parts A, B, C and D.?

Part A of Medicare pays for hospital inpatient care, home health care, skilled nursing care, and hospice care.

Match each description with the correct item - This program focuses on Medicaid overpayments.

A(n) _________ links data provided by various health care providers.

Match each description with the correct item - Enacted in 2009 and also known as the "Stimulus Act," its main purpose was to create jobs and stimulate economic growth; however, it contained many provisions for health care, including billions of dollars for health information technology.

This legislation amends the HIPAA privacy and security rules.

The ____________________ program was implemented by CMS to identify and investigate malicious fraudulent claims activity within Medicare's seven geographic regions (zones).

Americans have heavily depended on hospitals for lifesaving health care since the 1700s.

A(n) _________________________________ is a locally implemented program focused upon improving the quality of clinical documentation to facilitate an accurate representation of health care services through complete and accurate reporting of diagnoses and procedures.

Hospital-Based Care

Freestanding Ambulatory Care

Managed Care

Dialysis

Correctional Facilities

Mental Health: Long-Term and Acute Services

Substance Abuse

Facilities for Individuals With Intellectual Disabilities

Long-Term Care

Rehabilitation

Home Health Care

Hospice

Dental Care Settings

Veterinary Settings

Consulting

Cancer Registry

Filters

Exam 1: Introduction to Health Care Systems

A longitudinal patient record documents a patient's health status, conditions, and treatments _____________________________.

The ____________________ program is designed to recover improper Medicare payments.​

Describe what a personal health record (PHR) is and three attributes that make them useful for patients.?

A(n) ____________________________ is a partner or contractor performing a job or service on behalf of a covered entity.​

Medicare pays skilled nursing facilities, home health providers, inpatient rehabilitation hospitals, and long-term care hospitals under prospective payment systems.

Match each description with the correct item - This legislation made significant revisions to the Medicare program by calling for the creation of Part D, e-prescribing for prescription drug plans, revision of claims processing, and a Medicare payment recovery demonstration project.

_________________________________ is a general term referring to electronic health records and related information systems to manage health care processes.​

Match each description with the correct item - An entity that oversees and governs the exchange of health-related information among organizations according to nationally recognized standards, often used synonymously with regional health information organization (RHIO).

The State Children's Health Insurance Program (SCHIP or CHIP) is _________________.

In a prospective payment system, the health care provider charges and is paid for each item of service provided.

Under Part C, beneficiaries pay a monthly premium for the insurance plan, in addition to their Part B premium

Describe the differences between Medicare Parts A, B, C and D.?

Part A of Medicare pays for hospital inpatient care, home health care, skilled nursing care, and hospice care.

Match each description with the correct item - This program focuses on Medicaid overpayments.

A(n) _________ links data provided by various health care providers.

Match each description with the correct item - Enacted in 2009 and also known as the "Stimulus Act," its main purpose was to create jobs and stimulate economic growth; however, it contained many provisions for health care, including billions of dollars for health information technology.

This legislation amends the HIPAA privacy and security rules.

​The ____________________ program was implemented by CMS to identify and investigate malicious fraudulent claims activity within Medicare's seven geographic regions (zones).

Americans have heavily depended on hospitals for lifesaving health care since the 1700s.

​​A(n) _________________________________ is a locally implemented program focused upon improving the quality of clinical documentation to facilitate an accurate representation of health care services through complete and accurate reporting of diagnoses and procedures.

Hospital-Based Care

Freestanding Ambulatory Care

Managed Care

Dialysis

Correctional Facilities

Mental Health: Long-Term and Acute Services

Substance Abuse

Facilities for Individuals With Intellectual Disabilities

Long-Term Care

Rehabilitation

Home Health Care

Hospice

Dental Care Settings

Veterinary Settings

Consulting

Cancer Registry

Filters

The ____________________ program is designed to recover improper Medicare payments.

A(n) ____________________________ is a partner or contractor performing a job or service on behalf of a covered entity.

_________________________________ is a general term referring to electronic health records and related information systems to manage health care processes.

The ____________________ program was implemented by CMS to identify and investigate malicious fraudulent claims activity within Medicare's seven geographic regions (zones).

A(n) _________________________________ is a locally implemented program focused upon improving the quality of clinical documentation to facilitate an accurate representation of health care services through complete and accurate reporting of diagnoses and procedures.