HIT Review Quiz 5

1. One way to encourage more productivity in a transcription unit is to

Shorten the work day by an hour

Vary the work assigned to each transcriptionist

Place all transcriptionists on a part-time basis

Have the desks of transcriptionists face each other

2. Depicting a chronological flow of work through graphic representation is done using a

Flow chart

Work sample

Work distribution chart

PERT network

3. As health information management department director, you wish to submit a capital budget request for five new open shelving units. The department's file area has enough space to hold the units. The present shelves are not adequate to hold records, and you do not wish to microfilm any closer to the current year. In preparing your request, you first task will be to describe

The cost of the new shelves

The need for the new shelves

The shelving

Where the shelving will be placed

4. The key consideration in planning the physical layout of a health information management department is

Productivity of employees

Work flow

The budget

Lighting

5. Before designing a new procedure to replace a current, inadequate one, the manager would NOT do which of the following?

Make a detailed analysis of the current procedure

Become thoroughly familiar with the current procedure

Discard the current procedure and write an entirely new one

Gather information about problems with the current procedure

6. The complexity of patients treated in a facility, categorized by type and volume, is the

Census

Case-mix

Blended rate

Severity of illness

7. Which of the following would not be considered a scientific method of establishing standards?

Stopwatch studies

Work sampling

Personal experience

Time-log studies

8. One type of plan expressed in numerical terms is called a

Quantitive analysis

Budget

Quantitive procedure

Number policy

9. The hospital'l revenue budget is usually prepared by the accounting department. The health information management department's contribution to revenue is usually limited to which of the following departmental functions?

Correspondence

Abstracting

Filing

Assembly

10. In problem analysis and decision making, asking an employee to note how often he or she answers the telephone each day is an example of which task?

Proposing alternative solutions to the problem

Gathering relevant data

Choosing the best alternative

Making the decision

11. Budgets usually planned for the 12-month period are kown as the

Calendar year

Functional year

Fiscal year

Accounting year

12. A supervisor over the assembly area in a health information management department has determined that one employee can assemble 15 charts per hour, on average. Assuming that an employee can work 1,850 hours per year (after allowing for vacation, holidays, etc.) and that there are 12,500 discharges expected during the next budget year, how many FTEs should the supervisor recommend the department have next year?

0.45

0.21

1.23

0.50

13. The outpatient classification system developed by CMS to replace the ASC list is knows as

APCs

DRGs

RUGs

RVUs

14. A type of budget that is created as if all activites of the organization or depertment were new is called a

Zero-based budget

Standard budget

Departmental budget

Zero-start budget

15. All of the following are considered long-term care facilities EXCEPT

Assisted living facility

Substance abuse facility

Independent living facility

Domiciliary facility

16. Given the following members of a health information management department, who would find color coding of health record folders most helpful?

Director

Filing room supervisor

Quality assurance coordinator

Coding supervisor

17. A department's organization chart cannot show employees which of the following?

The quality of management in the department

Possible lines of promotion

Their organizational relationship to other employees

The limits of their authority and responsibility

18. The first step in preparing a departmental budget is

Counting the total number of hours the department will be open during the next fiscal period

Reviewing the department's objectives for the next fiscal year

Reviewing the supplies and equipment already on hand

Determining how many hours employees will be on leave during the next fiscal period

19. One way to initiate or manage change in the workplace is (are) through

Job redesign

Job enlargement

Job enrichment

Job descriptions

20. One of the best sources for discovering problems with procedures is the

Medical staff

Department director

Director's immediate supervisor

Employees using the procedure

21. Which of the following is false about procedures?

Reviewed against actual performance periodically

Assigned to only one employee at a time

Designed to ensure uniformity of practice

They should be specific to a task

22. Departmental objuectives should complement and supplement the

Department director's professional goals

Personal goals of the director's immediate supervisor

Hospital's goals

Goals of other departments inthe hospital

23. Which of the following is not included in a procedure document?

Title of the procedure

Effective date

Qualifications of the person performing the procedure

Statement giving the purpose of the task outlined inthe procedure

24. The use of a good job decription would not be useful information for which of the following?

Performance evaluation

Personnel selection

Preparing job orientation plans

Placement of equipment

25. The crisis manager demonstrates poor ability in which management funtions?

Planning

Organizing

Controlling

Actuating

26. An organizaiton chart ensures good

Organization within the department

Management

Visualization of the department's structure

Line relationship

27. CARF accredits

Home health care

Respite care programs

Neighborhood health centers

Rehabilitation facilities

28. Main aisles in an office should be at least

3 feet wide

5 feet wide

7 feet wide

8 feet wide

29. Certain records are better filed in an area where health information management department personnel other than the director cannot have access to them. Which of the following would not be included?

Psychiatric records

Records of health information management department personnel

Records of famous persons

Records involving legal actions against the facility or members of the medical staff

30. Which provide an explantion regarding the need for a special report?

Notes

Headings

Guidelines

Symbols

31. A disadvantage ofinformal organization include which of the following?

Communication may be enhanced

A safety valve for employee frustrations is developed

Social values of the informal organization may work against the formal organization's objectives

Employees' personal satisfaction may be increased

32. In a terminal digital filing system with 100,000 records, the goal is to have a file guide for every 50 records. How many guides should be purchased?

200

5,000

500

2,000

33. ICD-9-CM, Volume 1, contains

Tabular list of V codes

Alphabetical index of V codes

Procedure codes

Table of drugs and chemicals

34. Procedure provide for

Flexibility in performing a task

Guidelines for designing a policy

Standardization in performing a task

Interpretation while performing a task

35. An organization chart may not be arranged according to

Job

Function

Either job or pay grade

Either job or function

36. The hospital administrator requests a report on the number of cholecystectomies performed by a particular physician in April of the previous year. Of the following, the place to look for this information might be the

Patient register

Diagnostic index

Operating room register

Operation index

37. A health information management department director would NOT be expected to predict which of the following when preparing a budget?

The number of personnel that will be required

Equipment needs

The supplies that will be needed

Increases in Social Security taxes

38. File cabinets, desks, computer hardware, and typewriters are examples of

Operational budget items

Incremental budget items

Capital budget items

Supplies and expenses budget items

39. During work sampling of a file clerk's activity, it is noted that out of 300 observations the employee is speaking on the telephone during 76 observations. How much of the employee's time is spent on the phone if the employee works 7 hours a day?

1.77 hours

3.28%

9.2%

3.94%

40. The concept indicating the limits placed on an individual's ability to decide on actions or to order actions from others is called

Delegation

Responsibility

Authority

Management

41. Given the following information, compute the number of open shelving units needed. Each unit is 8 shelves high and 36 inches wide. The current file area houses 22,075 linear filing inches of records. The goal is to expand this by 10%.

78 units

85 units

77 units

84 units

42. One reason for collecting procedures into a procedure manual might be

To satisfy state law

To aid in cross-training of employees

To keep procedures from getting lost

To allow easy review by the medical staff

43. Employees' desk should be

5 to 6 feet apart

1 to 2 feet apart

0 to 2 feet apart

2.5 to 3 feet apart

44. Which of the following is not included in the MBO cyclic process?

Organization

Feedback

Planning

Preformance review

45. Which type of microfilm has the greatest storage density?

Aperture cards

Roll film

Microfiche

Microfilm jackets

46. A department's operational plan is comprised of apecific, veriable

Standards

Procedures

Objectives

Rules

47. The first task in completing the work distribution chart is to

Determine the job position of each employee

Have each employee complete a list of his or her daily activites

Have each supervisor complete a list of the daily activites of his or her subordinates

Have the department director complete a list of the daily activites of each employee

48. The work distribution chart cannot show which of the following organizational problem?

Uneven distribution of benefits

Uneven distribution of work

Inappropriate specialization

Disproportionate use of time

49. Which solution given should be the last one used to solve a problem that becomes apparent from variance analysis?

Making adjustments in procedures

Redistributing workload

Hiring more staff

Providing more training

50. Budgeting for depreciable equipment is part of

Operational budgeting

Capital budgeting

Zero-based budgeting

Incremental budgeting

51. In the policy, "If possible, no more than two employees of the health information management department should be on vacation at one time," which phrase encourgaes the use of the manager's judgement?

Health information management department

Vacation

Employees

If possible

52. The work distribution chart will show

The exact way each moment of the day's time is spent by the employee

The time spent by the employee within a 10% to 15% margin of discrepancy

The best way to use equipment each day

The exact way each moment of the day's time is spent by the employee, with the exeption of recognized breaks

53. As a health information management department director, you are faced with the problem of a persistent backlog of work that you know is caused by a shortage of coding personnel. You've had several somplaints from the business office about this problem. Your bidget does not allow for overtime or for hiring additional personnel. Your own time is too limited for you to begin coding yourself. You do not wish to hurry your coders because their coding is of a resonable speed and excelent quality. Which of the following would NOT be considered a constraint in this problem that will affect your sicision making?

Time

Money

Personalities

Quality

54. A strategic plan would be used for

Develop and/or revising the mission statement

Developing next year's budget

Developing a new smoking policy

Developing a new release of information policy

55. In designing a microfilm system, which of the following should be consedered last?

The type of equipment to be used for storage of the mircofilm

The nature of the information being microfilmed

How large the documents to be filmed are

How to microfilm can best be organized

56. Which of the following would not be considered a constraint that may impede planning of the part of the health information management department director?

His or her superior's attitude toward change

Provision in the next budget for an additional employee

Interdepartmental relationships

Medical staff

57. The major advangate of effective controlling is that

Employees are disciplined appropriately

Plans are revised

Activites are streamlined

Problems are identified more quickly

58. Counting the number of typographical errors in transcription is an example of what type of monitor?

Direct inspection

Work simplification

Work sampling

Quality control

59. Authority developed be an employee that is NOT delegated is called

Assumed authority

Informal authority

Attained authority

Token authority

60. Leadership can be characterized as

Dominance given (through force or fear) to the leader by followers

A formal relationship of administrative control

Dominance given (essentially voluntarily) to the leader by followers

Manipulation of followers

61. A transcriptionist's line count per day has dropped significantly over the past 2 weeks, causing a back log in histories and physicals and several angry phone calls from physicians and the operating room supervisor. The transcript supervisor should

Fire the transcriptionist

Refer the matter to the director of the health information management department (the supervisor's superior)

Speak to the transcriptionist privately

Suspend the transcriptionist for a few days

62. Which of the following would not be normally factored in when preparing a budget?

A review of the effectiveness of the department's present operation

Prejoctions for growth in the facility's operations

Changes in the patient turnover rate

A review of the qualifications of present employees

63. Which of the following is not an example of a control tool?

Work distribution charts

Performance standards

Variance analysis

Monitors

64. The sources of power in which the follower perceives that the leader has special knowledge or expertise is called

Coercive power

Reward power

Referent power

Expert power

65. Control methods that are combined with the planning process does not include which of the following?

PERT network

Work distribution chart

Budgets

MBO

66. Which of the following is not a step in goal setting as an operational planning technique?

The setting of objectives by subordinates

Setting the goals

Providing support (e.g., equipment, time, etc.)

Obtaining commitment to the goals

67. How would the last name, St. John, be filed in an alphabetical file?

St. John

Stjohn

John, St.

Saint John

68. A special tool that aids in the placement of equipment is the

Configuration chart

Office layout chart

Movement diagram

Flow process chart

69. The controlling power of the budget is exercised when a comparison is made between

This year's projections and last year's projections

Next year's projections and last year's expenses

This year's expenses and this year's budgeted expenses

The year's budgeted expenses and next year's projections

70. When planning an office, which of the following should not be considered?

A supervisor should be placed at the back of the employees be or she supervises

Employees' desk should be placed so that employees face each other, if possible

The file area should not be placed near the department entrance

Employees dealing with people outside the department should be placed near the department's entrance

71. An effective policy requires which of the following by the manager?

Judgment

Strict adherence

Diversification

Manipulation

72. All of the following are physicians EXCEPT

Ophthalmologists

Osteopaths

Anesthesiologists

Optometrists

73. The director of nursing services decides that the file clerks in the health information management department must share weekend coverage in order to relieve the weekend supervisory nurses of the task of finding records. This decision is

Reasonable, given the director's authority

Inappropriate

Responsibile, given the supervisory demands of the weekend nurses

Fair if the file clerks want extra work

74. Which of the following would not cause delgation to fail?

A sufficient amount of authority is not granted to the subordinate

The subordinate is not held responsible for accomplishing the task

The manager allows the subordinate to accept risk

The manager does not define the results expected

75. Of the following, which is the step taken last in the problem analysis and decision-making process?

Controlling the alternative solution chosen

Gathering further information

Defining how and when the alternative will be accomplished

Chossing the solution to the problem

76. A planning technique in which the flow of planning moves from the bottom of the organizational hierarchy up is called

Goal-oriented management

Objective-oriented managment

Management by objectives

Democratic management

77. A transcription supervisor has received permission to expand her unit by one extra person. She has a small but steady backlog of discharge summaries. Her transcriptionists, all excellent employees, handle all of the functions of the unit, including preparing reports for transport to the units, mailing, etc. The supervisor also does some transcription when her time is not exhausted by supervisory duties. She should hire

Another full-time transcriptionist

An assistant supervisor

A transcriptionist who specializes in discharge summaries

A clerk-typist

78. Medicare Part B covers all of the following EXCEPT

Outpatient medical and surgical services and supplies

Clinical laboratory tests

Home health care

Inpatient medical and surgical services and suppliesIden

79. Which of the following tasks could NOT be delegated by a coding supervisor to an expecienced coder?

Preparing a weekly productivity report for the department director

Ordering supplies

Performance appraisal

Serving on a departmental quality improvement team

80. Which statistic would be used to test the validity of data?

Range

Standard deviation

T-test

Variance

81. A production monitor that is most disturbing to the employee is the

Work flow chart

Movement diagram

Employee-reported log

Stopwatch study

82. All of the following signals ould indicate a need to review a department's procedures EXCEPT:

Bottlenecks

Inadequate department forms

New quipment

Lowered costs

83. In procedure writing, the steps in the procedure should be

As detailed as possible

Sequenced with the easiest steps to perform at the beginning

Kept to a minimum

Arranged with those steps taking the most time sequenced first

84. It is suggested that a specific time of day be set, after which routine requisitions for health records to be pulled for the following day will not be accepted.. One factor that might determine what time fo day should be set (noon or 4:00 p.m., for example) is

The size of the file area

The number of charts being requested

The person requesting the charts

Scheduling of file room personnel

85. A coder notices that an attending physician's progress notes do not indicate the fact the patient's temperature was rising and that the white count was abnormal. When the matter is brought to the physician's attention by the health information management department director, the physician states that the notes are satisfactory. The matter should now be

Dropped altogether

Referred to the Quality Management Committee

Referred to the Chief of Staff

Referred to the Health Record/HIM Committee

86. Health information management departments are usually organized according to the

Skills of the employees

Space conficurationfunctions performed

Accessiilty of the other drpartment

Positions that have direct

87. A small hospital's diagnosis and operation indexes currently include only the patient's number and the diagnosis and operation codes. the Utilization Management Committee would like to be able to use the indesex to help find records appropriate for their review. Which of the following data items should be added when records are abstracted for the indexes?

Name of attending physician

Date of admission

Length of stay

Age of the patient

88. Which is not considered (in addition to the statute of limitations) in determining when a health record may be destroyed?

The readmission rate

Costs involved in microfilming, inactive storage, and destruction

The colume of research done in the facility

The number of phsicians on the medical staff

89. A health information management department director notices that final autopsy protocols are not being sent to the department until 5 to 6 weeks after the autopsy was performed. He or she would

Contact the Chief of Staff

Consult with the hospital administrator

Talk to the director of pathology

Do nothing

90. Effective work flow means that

Employees are provided an appropriate amount of work

Paperwork moves in as straight a line as possible

Productivity is measured in units of work accomplished per hour

Employees are provided with an adequate supply of materials to perform the work

91. As director of the health information management department, you manage the department through four supervisors who collectively supervise all of the functions of the department. One day you notice a senior coder quickly code a health record from the face sheet and then turn to the next record, code again from the face sheet, and turn to a third record. You should

Do nothing

Carefully discuss the problem with the coder, pointing out the error and explaining the value of the correct procedure

Discuss the problem with your supervisor because of its implications for reimbursement

Discuss the problem with the coder's supervisor

92. Possible errors in organization that an organization chart cannot point out are which of the following?

Spans of control that are too large

Duplication of functions

Lines of authority that overlap

Spans of control that contain unequal numbers of employees

93. As a filing room supervisor, you employ a file clerk who is about 55 years old, has worked in the file room for many years, but has gradually become dissatisfied. This employee is not interested in further education or in learning a new job. Ways in which you might be able to help the employee include all of the following EXCEPT

Delegation of special assignments

Consulting the employee on various problems

Constructive criticism

Asking the employee to teach others

94. Positions of responsibility that involve assisting and advising others are called

Line positions

Advisory positions

Consultant positions

Staff positions

95. Meeting objectives throught the cooperation of employees is the major objective of which function of management?

Planning

Organizing

Controlling

Directing

96. An approach to determining leadership style the plots concern for people against concern for production is the

Hierarchy of needs

Flow process chart

Managerial grid

Two-factor diagram

97. Who assigns the correct DRG under the Prospective Payment System?

Insurance carrier

Acute care facility

Health information coder

Fascal intermediary

98. Positions that have direct responsibility for accomplishing the objectives of the organizaiton are called

Line-positions

Hierarchical postition

Direct-line positions

Staff postitions

Submit

HIT Review Quiz 5

1. One way to encourage more productivity in a transcription unit is to

2.

What first name or nickname would you like us to use?

2. Depicting a chronological flow of work through graphic representation is done using a

4. The key consideration in planning the physical layout of a health information management department is

5. Before designing a new procedure to replace a current, inadequate one, the manager would NOT do which of the following?

6. The complexity of patients treated in a facility, categorized by type and volume, is the

7. Which of the following would not be considered a scientific method of establishing standards?

8. One type of plan expressed in numerical terms is called a

9. The hospital'l revenue budget is usually prepared by the accounting department. The health information management department's contribution to revenue is usually limited to which of the following departmental functions?

10. In problem analysis and decision making, asking an employee to note how often he or she answers the telephone each day is an example of which task?

11. Budgets usually planned for the 12-month period are kown as the

13. The outpatient classification system developed by CMS to replace the ASC list is knows as

14. A type of budget that is created as if all activites of the organization or depertment were new is called a

15. All of the following are considered long-term care facilities EXCEPT

16. Given the following members of a health information management department, who would find color coding of health record folders most helpful?

17. A department's organization chart cannot show employees which of the following?

18. The first step in preparing a departmental budget is

19. One way to initiate or manage change in the workplace is (are) through

20. One of the best sources for discovering problems with procedures is the

21. Which of the following is false about procedures?

22. Departmental objuectives should complement and supplement the

23. Which of the following is not included in a procedure document?

24. The use of a good job decription would not be useful information for which of the following?

25. The crisis manager demonstrates poor ability in which management funtions?

26. An organizaiton chart ensures good

27. CARF accredits

28. Main aisles in an office should be at least

29. Certain records are better filed in an area where health information management department personnel other than the director cannot have access to them. Which of the following would not be included?

30. Which provide an explantion regarding the need for a special report?

31. A disadvantage ofinformal organization include which of the following?

32. In a terminal digital filing system with 100,000 records, the goal is to have a file guide for every 50 records. How many guides should be purchased?

33. ICD-9-CM, Volume 1, contains

34. Procedure provide for

35. An organization chart may not be arranged according to

36. The hospital administrator requests a report on the number of cholecystectomies performed by a particular physician in April of the previous year. Of the following, the place to look for this information might be the

37. A health information management department director would NOT be expected to predict which of the following when preparing a budget?

38. File cabinets, desks, computer hardware, and typewriters are examples of

39. During work sampling of a file clerk's activity, it is noted that out of 300 observations the employee is speaking on the telephone during 76 observations. How much of the employee's time is spent on the phone if the employee works 7 hours a day?

40. The concept indicating the limits placed on an individual's ability to decide on actions or to order actions from others is called

41. Given the following information, compute the number of open shelving units needed. Each unit is 8 shelves high and 36 inches wide. The current file area houses 22,075 linear filing inches of records. The goal is to expand this by 10%.

42. One reason for collecting procedures into a procedure manual might be

43. Employees' desk should be

44. Which of the following is not included in the MBO cyclic process?

45. Which type of microfilm has the greatest storage density?

46. A department's operational plan is comprised of apecific, veriable

47. The first task in completing the work distribution chart is to

48. The work distribution chart cannot show which of the following organizational problem?

49. Which solution given should be the last one used to solve a problem that becomes apparent from variance analysis?

50. Budgeting for depreciable equipment is part of

51. In the policy, "If possible, no more than two employees of the health information management department should be on vacation at one time," which phrase encourgaes the use of the manager's judgement?

52. The work distribution chart will show

54. A strategic plan would be used for

55. In designing a microfilm system, which of the following should be consedered last?

56. Which of the following would not be considered a constraint that may impede planning of the part of the health information management department director?

57. The major advangate of effective controlling is that

58. Counting the number of typographical errors in transcription is an example of what type of monitor?

59. Authority developed be an employee that is NOT delegated is called

60. Leadership can be characterized as

61. A transcriptionist's line count per day has dropped significantly over the past 2 weeks, causing a back log in histories and physicals and several angry phone calls from physicians and the operating room supervisor. The transcript supervisor should

62. Which of the following would not be normally factored in when preparing a budget?

63. Which of the following is not an example of a control tool?

64. The sources of power in which the follower perceives that the leader has special knowledge or expertise is called

65. Control methods that are combined with the planning process does not include which of the following?

66. Which of the following is not a step in goal setting as an operational planning technique?

67. How would the last name, St. John, be filed in an alphabetical file?

68. A special tool that aids in the placement of equipment is the

69. The controlling power of the budget is exercised when a comparison is made between

70. When planning an office, which of the following should not be considered?

71. An effective policy requires which of the following by the manager?

72. All of the following are physicians EXCEPT

73. The director of nursing services decides that the file clerks in the health information management department must share weekend coverage in order to relieve the weekend supervisory nurses of the task of finding records. This decision is

74. Which of the following would not cause delgation to fail?

75. Of the following, which is the step taken last in the problem analysis and decision-making process?

76. A planning technique in which the flow of planning moves from the bottom of the organizational hierarchy up is called

78. Medicare Part B covers all of the following EXCEPT

79. Which of the following tasks could NOT be delegated by a coding supervisor to an expecienced coder?

80. Which statistic would be used to test the validity of data?

81. A production monitor that is most disturbing to the employee is the