RHIT #3 Flashcards

CK-MB

AST (SGOT)

Which department will most likely be responsible for taking corrective action regarding the number of insurance claims requiring resubmission due to errors (not related to coding) will not exceed 3%?

The most common rickettsial disease in the United States is

Medicare Physician Fee Schedule (MPFS)

Full-blown AIDS sets in as

Common kidney stone treatments that allow small particles to be flushed out of the body through the urinary system include

Clinical privileges are granted to the physician for an interval specified in the medical staff by laws, but not longer than

An ophthalmologist has requested permission to perform specialized laser procedures within the hospital. His request is evaluated by the Credentials Committee through a process to determine the specific procedures and services this physician can perform. This is known as

What is a disadvantage of retrospective data collection?

A patient, who is HIV positive, has raised red or purple lesions that appear on his skin, in his mouth, and most anywhere on his body. What is the stage of his disease process in today's medical terminology?

Traditional management functions, such as ________, must be applied to performance improvement initiatives.

The Joint Commission recently surveyed an acute care hospital. The hospital just received the survey report and the accreditation decision. Which of the following categories should the hospital leaders address first?

What common vitamin should be taken by pregnant women to substantially reduce the occurrence of neural tube defects, such as spina bifida, in a developing fetus?

The process of reviewing and validating qualifications, granting professional or medical staff membership, and awarding delineated privileges is called the _____.

Without even performing any complex calculations, you can get a quick, simple measure of dispersion in the LOS for yesterday's discharges by computing the

What is the correct sequence that depicts the flow of blood through the heart to the lungs in order for gas exchange to occur?

A stapedectomy is a common treatment for

In which brain lobe is the processing of emotions, intellect, and personality performed?

What process assists a health care facility in continuously looking at the ways that problems develop and seeking ways to prevent problems from happening in the future?

The board of directors of a 400-bed women's hospital receives a report of key quality indicator results on a periodic basis. The report always includes the quarterly cesarean section rate. This reporting period, they see a rise in the rate and want to know if it is a significant increase. What is the best QI tool for this purpose?

these items are "packaged" under the Medicare outpatient prospective payment system

Under APCs, payment status indicator "V" means

The hospital Quality Department adopted the Lean Management quality model using JIT, which ensures required process items and resources are

The federally mandated resident assessment instrument used in long-term care facilities consists of three basic components, including the new care area assessment, utilization guidelines, and the

The Minimum Data Set is

UHDDS is used in

OASIS is used in

DEEDS is used in

Most carbon dioxide is carried in the

The most common bloodborne infection in the United States is

Under the RBRVS, each HCPCS/CPT code contains three components, each having assigned relative value units. These three components are

The etiology of aplastic anemia is

The ability to obtain the same results from different studies using different methodologies and different populations is

modified radical mastectomy

In systemic circulation, what vessels carries oxygenated blood?

HEDIS gathers data in

Which valve is between the left atrium and left ventricle?

In determining your acute care facility's degree of compliance with prospective payment requirements for Medicare, the best resource to reference for recent certification standards is the

On his 12/23/15 admission to Metropolitan Hospital, David Robinson was assigned the medical record number 07-23-38. The previous record number assigned to Mr. Robinson during a 9/1/15 admission was 07-10-47. In a serial numbering/filing system, how would these records be filed?

A pathological diagnosis of transitional cell carcinoma is made. The examined tissue was removed from the

Using a template to collect data for key reports may help to prompt caregivers to document all required data elements in the patient record. This practice contributes to data

The Six Sigma methodology differs from other quality improvement models by defining improvement opportunities using

Pasadena Bay Hospital reports an average LOS in January of 3.7 days with a standard deviation of 20. This tells us that

The most fatal type of lung cancer is

In 1987, OBRA helped shift the focus in long-term care to patient outcomes. As a result, core assessment data elements are collected on each SNF resident as defined in the

The PQRS is a reporting system established by the federal government for physician practices who participate in Medicare for

Amanda, an EHR project manager, wants to increase her implementation staff's problem-solving skills. Which of the following approaches is likely to have the best and most long-lasting results?

Units that provide support services to the organization, such as human resources, finances, and information systems, are referred to as

You have been asked to develop scenarios that will be used to design and program a new release of information system. These scenarios will include the processes to be used in detail. What are you designing?

The credentialing process requires healthcare facilities to

Which type of joint, such as the sutures of the skull, has no movement?

This document is published by the Office of Inspector General (OIG) every year. It details the OIG's focus for Medicare fraud and abuse for that year. It gives health care providers an indication of general and specific areas that are targeted for review. It can be found on the Internet on CMS's Web site.

The major purpose of random assignment in a clinical trial is to

What types of members are best for a committee?

The DNFB report includes all patients who have been discharged from the facility but for whom, for one reason or another, the billing process is not complete. DNFB is an acronym for _____________.

The manager of the Quality Department is listing various sources of data. What data source would be an example of an external source?

South Beach Medical Center is preparing to open as a new 250-bed acute care hospital. This facility is located in a growing area of the city and is projected to have 85% occupancy within 3 years. To determine the number of employees needed in the HIM department, the director must first

A work environment that is not ergonomically sound could lead to

What helps the organization prioritize investment opportunities?

The most realistic approach that could encourage increased productivity in the tedious prepping area is to

A liver panel includes

cross-sectional or prevalence studies are known for

What reflects the stage where teams may experience disequilibrium?

The researchers at AHIMA started by assuming there was no relationship between job stress and job satisfaction. This statement is generally called the

pathophysiological factors in anemia include

An anatomical part involved in both the respiratory and digestive systems

Human Resources use a systematic procedure to determine the relative worth of a position to the organization. When this approach is used, compensation for the position is most likely based on

In order to improve efficiency and productivity, what sequence of steps is the most effective?

There were some HIM professionals who refused to participate in a job stress/job satisfaction study. This is of great concern to the AHIMA researchers, who worry about the introduction of

The Director of a Health Information Department prepared a document in which the following information could be obtained: job title, reporting line, span of control, and routes of promotion. The document she was preparing was an

Using Donabedian's framework for quality assessment (structure, process, and outcome), what is an appropriate human resource outcome?

Scabies, a highly contagious condition that produces intense pruritus and a rash, is caused by

The expense budget is also known as the

Your facility has decided to implement the new laboratory information system on one unit and then add more units as your confidence in the system grows. What go-live model are you using?

_______________ refers to the flatness or peakedness of one distribution in relation to another distribution.

What emphasizes the work climate in which harmony and cohesion promote good work?

The EHR utilizes existing source systems to supply data.

A type of job evaluation that requires the identification of essential factors or elements common to all jobs and the comparison of jobs on the basis of rating those elements (not the job as a whole), refers to

The leading cause of blindness in the United States is a vision-related pathology caused by diabetes. It is called

Human Resource managers increasingly advise what as the best approach for obtaining a legally sound and reliable reference?

In developing a training "to-do list," Susan is reviewing the staff and what general training and specialized training topics would be necessary. What tool would be most helpful in organizing this information?

The hospital is undergoing the development of an information system strategic plan. The part of the process where changes in the community, legislation, and other factors are monitored is called

One of the most common rater biases that affect an employee's evaluation is the "halo effect," which suggests that the supervisor

The vendor that you work for has decided to get into the EHR market. What standard should you suggest using in developing the functions performed by the EHR?

Treponema pallidum infection

What method of performance appraisal requires the supervisor to document exceptional behavior by the employee?

A PEG procedure would most likely be done to facilitate

You have been asked to make a recommendation about the framework for the state's health information exchange. The committee wants a system that does not require the health information exchange to store the patient information. What model should you recommend?

Under APCs, payment status indicator "S" means

In a hospital, a document that contains a computer-generated list of procedures, services, and supplies, along with their revenue codes and charges for each item, is known as a

The standard deviation of a particular set of measures was found to be 20.00. The sample variance would then be:

principles illustrated in an organizational chart

These are assigned to every HCPCS/CPT code under the Medicare hospital outpatient prospective payment system to identify how the service or procedure described by the code would be paid.

Summer is the document imaging manager. She has had a meeting with the scanning clerks. They are complaining that the pay rate for their position is too low in their facility. What would be the best way to deal with this complaint?

Mark Beck is a new graduate preparing for an interview. In school, he had the opportunity to role-play a technique that requires applicants to give specific examples of how they have performed a specific task or handled a specific problem in the past. This technique is becoming more popular and is known as a

As part of a quality improvement study, you have been asked to provide information on the menstrual history, number of pregnancies, and number of living children on each OB patient from a stack of old obstetrical records. The best place in the record to locate this information is the

Discharge summary documentation must include

The limiting charge is a percentage limit on fees specified by legislation that the nonparticipating physician may bill Medicare beneficiaries above the non-PAR fee schedule amount. The limiting charge is

What classification system was designed with electronic systems in mind and is currently being used for problem lists, ICU unit monitoring, patient care assessments, data collection, medical research studies, clinical trials, disease surveillance, and images?

You have been asked how to handle versioning of documents in the EDMS. What should be your response?

myelomeningocele

Patient mortality, infection and complication rates, adherence to living will requirements, adequate pain control, and other documentation that describe end results of care or a measurable change in the patient's health are examples of

What quality improvement (QI) tool uses criteria to weigh different alternatives? This display would assist in viewing all relevant information at the same time.

The most secure model of signatures used in information systems is

Penicillin is effective in the treatment of

cells that produce histamine in a type I hypersensitivity reaction

The major sources of case findings for cancer registry programs are

The number index identifies

The physicians' index identifies

The patient index links

The facility is implementing a new PACS. They know that the volume of data that will be passing over the Internet will significantly increase. As a result, they have updated their network. They want to determine if the updated network can handle the amount of data that is expected to be sent across the system. Which type of testing would they use?

In your department, employee performance is rated using a continuous scale range of unsatisfactory through average to outstanding. Some other departments use a discrete system in which the supervisor assigns "fails to meet standards," "meets standards," and "exceeds standards." Both systems being used are

capitation

Patient data collection requirements vary according to health care setting. A data element you would expect to be collected in the MDS, but NOT in the UHDDS would be

The opposing interaction of two drugs in which one decreases or cancels out the effects of the other is termed a

Many of the principles of forms design apply to both paper-based and computer-based systems. For example, the physical layout of the form and/or screen should be organized to match the way the information is requested. Facilities that are scanning and imaging paper records as part of a computer-based system must give careful consideration to

The _____ is the largest solid organ of the body, but the ____ is the largest organ overall.

In ICD-10-PCS, to code "removal of a thumbnail," the root operation would be

The category “Commercial payers” includes private health information and

____________ is the most common type of skin cancer and _________ is the most deadly type of skin cancer.

A chronic inflammatory bowel disease where affected segments of the bowel may be separated by normal bowel tissue is characteristic of

The medical malpractice crisis of the 1970s prompted the development of _____________________ in health care facilities.

scalar or chain of command principle

The project definition justifies the need for the new project. What would you expect to see in the project justification?

A toxic goiter has what distinguishing characteristic?

The Director of Health Information Services has recently received approval to purchase a new high-speed scanner. The director plans to redo the department layout to accommodate the equipment and to ensure that the equipment is placed in the most appropriate area of the department. Which of the following tools will best assist the director with this new layout?

What organ has endocrine and exocrine functions?

Huntington's disease

myringotomy with tympanostomy tubes

Administration has asked the clinical provider order-entry task force to select the method of implementation that will reduce risk to the hospital. What method should they choose?

What federal legislation passed in 1986 gave immunity from legal action to practitioners regarding some peer review process activities?

A histogram is a valuable tool for representing

An elevated serum amylase would be characteristic of

What two types of budgets are often prepared by managers of health information departments?

The Assistant Director of HIM is evaluating software that would use electronic logging of the location of incomplete and delinquent records as they move through the completion process. What departmental function is this most useful for?

You are developing a complete data dictionary for your facility. What resources will be most helpful in providing standard definitions for data commonly collected in acute care hospitals?

The primary goal of a hospital-based cancer registry is to

For inpatients, the first data item collected of a clinical nature is usually

As part of Joint Commission's National Patient Safety Goal initiative, acute care hospitals are now required to use a preoperative verification process to confirm the patient's true identity, and to confirm that necessary documents such as x-rays or medical records are available. They must also develop and use a process for

Which quality management theorist believed that merit raises, formal evaluations, and quotas established through benchmarking hinder worker productivity and growth?

Which filing system would provide the most convenient method for the record retrieval of 200 patients consecutively admitted to the hospital?

Necrosis extending down to the underlying fascia is characteristic of a decubitus ulcer in stage

PTCA

Percutaneous transluminal coronary angioplasty (PTCA)

CAD

Coronary Artery Disease (CAD)

LAD

left anterior descending (LAD) and the circumflex (Cx) coronary arteries

IUP

SROM

Pfannenstiel incision

EMG

Electromyography (EMG)

MRA

magnetic resonance angiogram (MRA)

ESRD

RYGB

esprit de corps

Human Resources has recently provided training for and implemented a new performance appraisal system that includes input from managers, peers, and staff. This approach is typically known as

This registry collects data on recipients of heart valves and pacemakers.

Currently, which prospective payment system is used to determine the payment to the "physician" for physician services covered under Medicare Part B, such as outpatient surgery performed on a Medicare patient?

A nomenclature of codes and medical terms that provides standard terminology for reporting physicians' services for third-party reimbursement is

the time period for completion of the history and physical exam documentation should be set at

What is considered a risky practice in the EHR?

A new strain of influenza, H1N1, is a highly virulent strain that spread all over the world. This type of epidemiological disease pattern is referred to as a

Reporting the monthly average turnaround time for the release of information (ROI) over a 6-month period using a run or line chart will reflect

The abstract completed on the patients in your hospital contains the following items: patient demographics; prehospital interventions; vital signs on admission; procedures and treatment prior to hospitalization; transport modality; and injury severity score. The hospital uses these data for its

CPT provides Level I modifiers to explain

There was an unexpected hardware failure for our EHR. It is expected to be up and operational in 3 hours. Until then, what plan would you need to initiate?

RHIT continuing education requirements

RHIA continuing education requirements

CCS continuing education requirements

CCHIIM

<p>There are times when documentation is incomplete or insufficient to support the diagnoses found in the chart. The most common way of communicating with the physician for answers is by</p> <br>

The use of metrics to conduct root cause analysis that will facilitate changes throughout the organization can best be presented using a

Which endocrine gland secretes epinephrine, which activates the “fight or flight” response and increases blood pressure and metabolism?

Charles Jones is employed as a regional coding consultant by a corporate hospital chain. In the organization chart, this position would be

A fetal death occurring during the 21st week of pregnancy, weighing 1,000 g is considered to be an

What is the large serous membrane that covers the abdominal organs and lines the abdominal wall?

A system of preferred terminology for naming disease processes is known as a

You have had a problem with duplicate medical record numbers in your facility's MPI. Now you are joining a health information exchange, so you will need to clean up your database and prevent the duplicates from happening again. If you want to find near matches as well as identical matches in your MPI, you should implement a _________ algorithm.

ICD-10-PCS procedure codes are used on what form to report services provided to a patient?

Accreditation by Joint Commission is a voluntary activity for a facility and it is

Electronic health record built-in tools that can make data capture easier include

The patient’s blood pressure is automatically being recorded. This is an example of what type of clinical information system?

As an HIM coding supervisor, you are asked to compare the current coding process with a proposed concurrent coding process. What visual tool would be the best to identify all the logical steps and sequence of each procedure?

In which brain lobe is the processing of smell and hearing stimuli performed?

What type of filing system is being used if records are filed in the following order: 12-23-75, 12-34-29, 12-35-71, 13-42-14, and 14-32-79?

In a terminal digit filing system, what would be the record number immediately in front of record number 01-06-26?

Lewis-Beck Medical Center has been collecting data on patient satisfaction for six months. It is ready to start retrieving data from the database to improve clinical services. Which tool should be used?

University Hospital, a 900-bed tertiary health care organization, is undergoing an information systems development. What system would best meet its needs?

A file area has limited space, medium file activity, and two file clerks. The HIM department would benefit from choosing which type of storage equipment?

The hospital administrator is making a strategic decision by querying various institutional databases for information. What type of system is the hospital administrator using?

As Director of the HIM Department you have become aware of instances of unauthorized access to the record file area. After considering several options to limit or restrict access to the area, you decide to

The master patient index must, at a minimum, include sufficient information to

What data cannot be retrieved from the MEDPAR?

Which appraisal method places the employees into a set of ordered groups (e.g., top 10%, above average 20%, middle 40%) on the basis of a global measure?

unintentional destruction of evidence is called

Intrusion detection systems analyze

The name given to the error committed when the null hypothesis is rejected and it is actually true is

considered a late effect regardless of time

Which valve is between the left atrium and left ventricle?

How many years does the Food and Drug Administration require research records pertaining to cancer patients be maintained?

A common contraceptive that is implanted in the uterus induces slight endometrial inflammation, which attracts neutrophils to the uterus. These neutrophils are toxic to sperm and prevent the fertilization of the ovum. This contraception is termed

What is expected to enable hospitals to collect more specific information for use in patient care, benchmarking, quality assessment, research, public health reporting, strategic planning, and reimbursement?

In systemic circulation, what vessels carries oxygenated blood?

What test is a more specific marker for an AMI?

What cells produces antibodies?

One record documentation requirement shared by BOTH acute care and emergency departments is

On an EKG, what signifies the electronic stimulation of the ventricles?

In CPT, Category III codes include codes

methods improvement is referred to as

The hospital administrator is making a strategic decision by querying various institutional databases for information. What type of system is the hospital administrator using?

reporting of traffic fatalities

What group maintains healthcare databases in the public and private sectors?

MDR-TB

a severe, chronic, two-phased, bacterial respiratory infection that has become increasingly difficult to treat because many antibiotics are no longer effective against it

The progress of a disease, including initiating factors, signs and symptoms, physical manifestations, residual sequela, prognosis, and finally, the end result, is termed

The prevention of illness through vaccination occurs due to the formation of

Hodgkin's disease is

Fifteen percent of delinquent records show

The foundation for communicating all patient care goals in long-term care settings is the

The nursing staff would most likely use which of the following to facilitate aggregation of data for comparison at local, regional, national, and international levels?

ABC Code Set

Information found in _________________ would not be considered secondary data.

The hypothalamus, thalamus, and pituitary gland are all parts of the

For continuity of care, ambulatory care providers are more likely than providers of acute care services to rely on the documentation found in the

In addition to diagnostic and therapeutic orders from the attending physician, you would expect every completed inpatient health record to contain

Slander is

libel is

HAVEN (Home Assessment Validation and Entry)

An area identified for needed improvement through benchmarking and continuous quality improvement is known as a ____________.

A three-digit code that describes a classification of a product or service provided to a patient is a

The patient's pathology report revealed the presence of Reed-Sternberg cells. This is indicative of

You are developing a list of functions needed by users of a release of information system. You are also evaluating the current system to see what opportunities there are to improve the system. Which stage of the system developmental life cycle stages are you in?

A patient is being cared for in her home by a qualified agency participating in Medicare. The data-entry software used to conduct all patient assessments is known as

When a health care facility fails to investigate the qualifications of a physician hired to work as an independent contractor in the emergency room and is accused of negligence, the health care facility can be held liable under

Regarding hospital emergency department and hospital outpatient evaluation and management CPT code assignment,

Increasing peristalsis of the intestines, increasing salivation, and a slowing heart rate are examples of

In calculating the fee for a physician's reimbursement, the three relative value units are each multiplied by the

The case-mix management system that utilizes information from the Minimum Data Set (MDS) in long-term care settings is called

the Age Discrimination in Employment Act (ADEA) protects employees and applicants between what ages?

Under the inpatient prospective payment system (IPPS), there is a 3-day payment window

When a patient is discharged from the inpatient rehabilitation facility and returns within three calendar days (prior to midnight on the third day) this is called a(n)

With data exchange standards, the ability to transfer data from one system to another system is called

You are interested in performing some data analysis on patients with cardiac problems. You have downloaded the data that you need on the cardiology patients from the data warehouse into a smaller database that you can work with. You are using a

These services are excluded under the Hospital Outpatient Prospective Payment System (OPPS) Ambulatory Payment Classification (APC) methodology.

The HIPAA Privacy and Security Rule requires that training be documented. What methods of documenting training efforts need to be used?

The Health Insurance Portability and Accountability Act (HIPAA) requires the retention of health insurance claims and accounting records for a minimum of ____ years, unless state law specifies a longer period.

This is the amount the facility actually bills for the services it provides.

Physician can ______________ and collect from the patient the difference between the non-PAR Medicare fee schedule amount and the total charge amount.

Gary's primary concern is job continuity and adequate health insurance for his large family. What level of Maslow's hierarchy of needs does Gary operate from?

This accounting method attributes a dollar figure to every input required to provide a service.

______ classify inpatient hospital cases into groups that are expected to consume similar hospital resources.

What tubes conveys sperm from the seminal vesicle to the urethra?

CMS assigns one _______________ to each APC and each ______________ code.

<p>You are given the task of choosing the type of database that your facility will use. You choose one that stores the data in tables. What model did you choose?</p> <br>

Skilled nursing facilities may choose to submit MDS data using RAVEN software, or software purchased commercially through a vendor, provided that the software meets

This is the amount collected by the facility for the services it bills.

trigeminal neuralgia

The administrator has asked us to develop a patient satisfaction database internally. This database will be used to collect data that can be used to improve our services. He does not want this to be a long, drawn-out process. What could speed up this process?

The UB-04 is used by

The CMS-1500 is used by

The CMS-1491 is used by

The first prospective payment system (PPS) for inpatient care was developed in 1983. The newest PPS is used to manage the costs for

The Joint Commission has a standard stating that a hospital must plan and design information management processes to meet _____________ information needs.

CDT code set

CPR charges

CEA test

What federal legislation passed in 1986 gave immunity from legal action to practitioners regarding some peer review process activities?

Discharge summary documentation must include

A hematology laboratory test that evaluates the oxygen-carrying capacity of blood is referred to as a

Under APCs, the payment status indicator "N" means that the payment

Under the APC methodology, discounted payments occur when

The process by which health care facilities and providers ensure their financial viability by increasing revenue, improving cash flow and enhancing the patient’s experience is called

Which quality management theorist focused on zero defects as the goal of performance improvement efforts?

Currently, which prospective payment system is used to determine the payment to the "physician" for physician services covered under Medicare Part B, such as outpatient surgery performed on a Medicare patient?

On an EKG, what signifies the electronic stimulation of the ventricles?

Diastole occurs when

In performing a "what if" query to determine if the facility should expand the emergency department, which of the following systems would be used?

Under APCs, payment status indicator "C" means

A serum potassium level of 2.8 would indicate

Which endocrine gland secretes melatonin, which controls the circadian rhythm of an individual?

Portal hypertension can contribute to

not among the Joint Commission's initial core measure sets for hospitals

As the Compliance Officer for an acute care facility, you are interested in researching recent legislation designed to provide significant funding for health information technology for your next committee meeting. You begin by googling

ARRA

<p>To properly implement performance improvement (PI), organizations should ensure that all employees participate in an integrated, continuous PI program. This is known as ______.</p> <br>

DNFB stands for

When operating under the Health Insurance Portability and Accountability Act of 1996, what is a basic tenet in information security for health care professionals to follow?

Ultimate responsibility for the quality and completion of entries in patient health records belongs to the

An accreditation agency counterpart to the Joint Commission for managed care organizations is the

Dr. Zambrano ordered a CEA test for Mr. Logan, a 67-year-old African American male patient. Dr. Zambrano may be considering a diagnosis of

The ability to obtain the same results from different studies using different methodologies and different populations is

Under ASC-PPS, the patient is responsible for paying the coinsurance amount based upon ____ of the national median charge for the services rendered.

The database being implemented must be able to store video, images, and audio. Which of the following database models should be considered?

Full time = _________ hours per year

What is the primary factor to consider in developing an effective training program?

Under APCs, payment status indicator "T" means

Integration of decision support systems and best practices in medicine is known as the practice of __________.

Which department will most likely be responsible for taking corrective action regarding the following quality indicator:

Ninety-five percent (95%) of physician appointments/reappointments will be completed within 90 days of receipt of all required materials.

The primary difference between an experimental (randomized) clinical trial and other observational study designs in epidemiology is that in an experimental trial, the

OIG

MEDPAR

QIO

The RAC program is mandated to

A HIPPS (Health Insurance Prospective Payment System) code is a five-character alphanumeric code. A HIPPS code is used by home health agencies (HHA) and ____

An elevated serum amylase would be characteristic of

A major consideration in a hospital or facility closure is to

Under the APC methodology, discounted payments occur when

Discounts are applied to those multiple procedures identified by CPT codes with status indicator

The standards for the history and physical exam documentation completion should be set at

The process of cancer development, from exposure through the cellular changes of hyperplasia to neoplasia, is termed

Under APCs, payment status indicator "C" means

An accreditation agency counterpart to the Joint Commission for managed care organizations is the

Which quality management theorist focused on zero defects as the goal of performance improvement efforts?

The database being implemented must be able to store video, images, and audio. What database model should be considered?

On an EKG, what signifies the electronic stimulation of the ventricles?

The type of documentation that uses drop boxes, radio buttons, and pick lists is called

In quality review activities, departments are directed to focus on clinical processes that are

quality indicators for patients with acute myocardial infarction

a quality indicator for stroke patients

A typical indicator for patients with pneumonia is

pineal

Under APCs, the payment status indicator "N" means that the payment

Under APCs, payment status indicator "T" means

In selecting a messaging standard for use in a picture archival communication system, the BEST choice would be

An Advance Beneficiary Notice (ABN) is a document signed by the

A rule

The doctrine that the decisions of the court should stand as precedents for future guidance is

What quality improvement (QI) tool uses criteria to weigh different alternatives? This display would assist in viewing all relevant information at the same time.

epidemiology

IDDM

A major contribution to a successful CDI program is the ability to demonstrate the impact that documentation has on data reporting to a large percentage of the facility's staff. In this role, the Clinical Documentation specialist is acting as a(n)

frequency polygon

frequency distribution

tuberculosis

The causative organism for severe acute respiratory syndrome (SARS) is a

the flow of blood through the heart to the lungs in order for gas exchange

Your job description states that as Assistant Director of the HIM Department, you will supervise day-to-day operations for the record processing, transcription, and release of information areas. What principle of management is described?

The ________________________ refers to a statement sent to the patient to show how much the provider billed, how much Medicare reimbursed the provider, and what the patient must pay the provider.

A plaintiff must establish which burden of proof to recover damages for medical negligence or malpractice?

When the third-party payer refuses to grant payment to the provider, this is called a

seven criteria for high-quality clinical documentation

What is the best tool for differentiating between common cause variation and special cause variation?

Data accuracy denotes that

Data comprehensiveness denotes that

Data granularity denotes that

Data precision denotes that

Under ASC PPSs, bilateral procedures are reimbursed at _______ of the payment rate for their group.

A fetal death occurring during the 21st week of pregnancy, weighing 1,000 g is considered to be an

What is the large serous membrane that covers the abdominal organs and lines the abdominal wall?

What types of software provide a front-end structure/interface that presents information in a familiar format leading to a natural style of interaction through the use of icons and a mouse?

A new three-shot vaccination series protects against the types of HPV that cause most cervical cancer cases

The responsibility for performing quality monitoring and evaluation activities in a departmentalized hospital is delegated to the

In your facility it has become critical that information regarding patients who are transferred to the oncology unit be sent to an outpatient scheduling system to facilitate outpatient appointments. This information can be obtained most efficiently from

R-ADT

the following elements of negligence must be present in order to recover damages

An example of a primary data source for health care statistics is the

The performance of ongoing record reviews is an important tool in ensuring data quality. These reviews evaluate

A 75-year-old patient has a sore tongue with tingling and numbness of the hands and feet. She has headaches and is fatigued. Following diagnostic workup, the doctor orders monthly injections of vitamin B12. This patient most likely has

Joint Commission does not approve of auto authentication of entries in a health record. The primary objection to this practice is that

During a retrospective review of Rose Hunter's inpatient health record, the health information clerk notes that on day 4 of hospitalization there was one missed dose of insulin. What type of review is this clerk performing?

The prospective payment system used to reimburse hospitals for Medicare hospital outpatients is called

this organ has endocrine and exocrine functions

If the department staff are having trouble locating the terminal digit sections quickly, the supervisor could add more

The term used to indicate that the service or procedure is reasonable and necessary for the diagnosis or treatment of illness or injury consistent with generally accepted standards of care is

The hospital Quality Department adopted the Lean Management quality model using JIT, which ensures required process items and resources are

In an acute care facility, the responsibility for educating physicians and other health care providers regarding proper documentation policies belongs to the

In which brain lobe is the processing of emotions, intellect, and personality performed?

The hospital implemented an electronic query system to allow more effective communication with physicians and other health practitioners to improve clinical documentation in the patient record. This program is known as

A lump-sum payment distributed among the physicians who performed the procedure or interpreted its results and the health care facility that provided equipment, supplies, and technical support is known as

The payment of a fee or grant to a doctor, school, or other person or body providing services to a number of people, such that the amount paid is determined by the number of patients, students, or customers.

CMS adjusts the Medicare Severity DRGs and the reimbursement rates every

Reporting the monthly average turnaround time for the release of information (ROI) over a 6-month period using a run or line chart will reflect