Questions I Got Wrong

42 Questions  I  By Neelam1215
QUESTIONS I GOT WRONG
FINAL 

  
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Question Excerpt

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1.  Which of the following organizations is not an accrediting body for long-term acute-care hospitals?
A.
B.
C.
D.
2.  The _______________ 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 focused on a specific disease process or pathway.
A.
B.
C.
D.
3.  Coordination of care is dependent upon the quality of ________________ provided by each of the healthcare providers involved in the patient’s treatment.
A.
B.
C.
D.
4.  Which of the following is not a component of the Resident Assessment Instrument (RAI)?
A.
B.
C.
D.
5.  What percentage of all healthcare services are performed in an ambulatory-care setting?
A.
B.
C.
D.
6.   ______________ play a major role in referral and tracking of the patient’s use of specialty providers.
A.
B.
C.
D.
7.  The Joint Commission’s ORYX and Centers for Medicare and Medicaid Services’ OASIS are data sets that function as benchmarks of ___________________within and among organizations.
A.
B.
C.
D.
8.   Determination of __________________________ is considered to be one of the most difficult documentation issues facing the long-term care environment including the LTCH.
A.
B.
C.
D.
9.  A comprehensive _____________________ is designed to minimize the facility’s potential risks and, when an incident occurs, its losses.
A.
B.
C.
D.
10.  What organizations offer a wide range of healthcare services and coverage in return for prepayment of a fixed fee, regardless of the services the individual enrollees use?
A.
B.
C.
D.
11.  Which of the following is not one of the three predefined formats required for meaningful documentation in the ambulatory health record?
A.
B.
C.
D.
12.  How are patients using ambulatory surgical centers for elective surgical procedures classified?
A.
B.
C.
D.
13.  Because it was developed to enhance comprehensive patient care, which record system format is especially appropriate for health maintenance organizations (HMOs) and neighborhood health centers, where a team of professionals offers total patient care?
A.
B.
C.
D.
14.  Which of the following is not an element that should be included on a problem or summary list?
A.
B.
C.
D.
15.  Medicare Conditions of Participation 484.55 requires that each patient receive, and a home health agency provide a patient-specific ______________________________
A.
B.
C.
D.
16.  Which of the following is not a function of the plan of care documentation?
A.
B.
C.
D.
17.   In data quality management, _________________ is the purpose for which data are collected
A.
B.
C.
D.
18.   In data quality management, _________________ is the processes by which data elements are accumulated.  
A.
B.
C.
D.
19.  Which of the following represents one of the biggest challenges in Electronic Health Record (EHR) development and implementation?
A.
B.
C.
D.
20.  In data quality management, _________________ is the processes and systems used to archive data and data journals
A.
B.
C.
D.
21.  Medicare has defined four general hospice care levels and has assigned different reimbursement rates to each. Which of the following is not a Medicare-defined hospice care level?
A.
B.
C.
D.
22.  In data quality management, _________________ is the process of translating data into information utilized for an application
A.
B.
C.
D.
23.  Which of the following is not among the general categories that govern admission criteria?
A.
B.
C.
D.
24.  According to Federated Ambulatory Surgery Association, what percentage of all surgeries in America are outpatient?
A.
B.
C.
D.
25.  To prevent denials, coding personnel are advised to use the most specific diagnosis codes and to ensure that the ______________________ is always listed as the principal diagnosis.
A.
B.
C.
D.
26.  How often must homecare agencies electronically report all OASIS data collected on all applicable patients in a format that meets Centers for Medicare and Medicaid Services (CMS) electronic data and editing specifications?
A.
B.
C.
D.
27.  What is the key characteristic of the problem-oriented health record (POMR)?  
A.
B.
C.
D.
28.  _________ is the process of providing proof of the authorship of health record documentation?
A.
B.
C.
D.
29.  What mechanism allows two or more databases to transfer data between them?
A.
B.
C.
D.
30.  Dr. Smith orders 500 mg of penicillin by mouth tid for Jane Doe in the hospital emergency department. The computer sends an alert to Dr. Smith to tell her that the patient, Jane Doe, is allergic to penicillin. What type of computer system is Dr. Smith using?
A.
B.
C.
D.
31.   What is the term used in reference to the systematic review of sample health records to determine whether documentation standards are being met?
A.
B.
C.
D.
32.  Health Information Management (HIM) professionals sometimes monitor the records of current inpatients as well as closed records after the patients have been discharged or transferred. What is this process called?
A.
B.
C.
D.
33.  A(n)_________________________ is a unique personal identifier that is entered by the author of Electronic Health Record (EHR) documentation using computer technology.
A.
B.
C.
D.
34.  What type of authentication is created when a person signs his or her name on a pen pad and the signature is automatically converted and affixed to a computer document?  
A.
B.
C.
D.
35.  What process helps to ensure the quality and completeness of health record content in both paper-based and computer-based environments?
A.
B.
C.
D.
36.  Automated insertion of clinical data using templates or similar tools with predetermined components using uncontrolled and uncertain clinical relevance is an example of a potential breach of ____________.
A.
B.
C.
D.
37.  What type of health record analysis assesses the completeness and accuracy of patient health records?
A.
B.
C.
D.
38.   ________________ is/are the origin of recorded information that is attributed to a specific individual or entity.
A.
B.
C.
D.
39.  Each individual that has been authorized to document in the electronic health record uses a ___________ in the form of a code or password.
A.
B.
C.
D.
40.  Borrowing record entries from another source and representing or displaying past as current documentation and are examples of a potential breach of ____________.  
A.
B.
C.
D.
41.  Inadequate functions that make it impossible to detect when an entry was modified or borrowed from another source and misrepresented as an original entry by an authorized user is an example of a potential breach of ____________.
A.
B.
C.
D.
42.   Automated registration entries that generate erroneous patient identification—possibly leading to patient safety and quality of care issues, enabling fraudulent activity involving patient identity theft, or providing unjustified care for profit—is an example of a potential breach of ____________.
A.
B.
C.
D.
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