Hospital: Documentation, Billing And Charting! Trivia Knowledge Quiz

13 Questions | Total Attempts: 632

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Hospital: Documentation, Billing And Charting! Trivia Knowledge Quiz

When you are planning to become a hospital clerk or secretary, you will need to know documentation, billing, and charting. There are some standard ways that you are expected to achieve your duties in your job. The quiz below is designed to help see just how much you understood. A score of 100% is needed to pass the quiz. You have 4 minutes for 13 questions.


Questions and Answers
  • 1. 
    For a level 4 chart, what is the minimum number of elements of the HPI that need to be documented?
    • A. 

      3

    • B. 

      4

    • C. 

      5

    • D. 

      6

    • E. 

      7

  • 2. 
    For a level 5 chart, what is the minimum number of elements of the HPI that need to be documented?
    • A. 

      3

    • B. 

      4

    • C. 

      5

    • D. 

      6

    • E. 

      7

  • 3. 
    For a level 4 chart, what is the minimum number of elements of the ROS that need to be documented?
    • A. 

      1

    • B. 

      2

    • C. 

      3

    • D. 

      4

    • E. 

      5

  • 4. 
    For a level 5 chart, what is the minimum number of elements of the ROS that need to be documented?
    • A. 

      6

    • B. 

      7

    • C. 

      8

    • D. 

      9

    • E. 

      10

  • 5. 
    Whatis the minimum number of elements of the PFSH that needs to be documented on every chart?
    • A. 

      1

    • B. 

      2

    • C. 

      3

    • D. 

      4

  • 6. 
    For a level 4 chart, what is the minimum number of elements of the PE that need to be documented?
    • A. 

      5

    • B. 

      6

    • C. 

      7

    • D. 

      8

    • E. 

      9

  • 7. 
    For a level 5 chart, what is the minimum number of elements of the PE that need to be documented?
    • A. 

      5

    • B. 

      6

    • C. 

      7

    • D. 

      8

    • E. 

      9

  • 8. 
    For our documentation purposes, which is the best description of "supportive care":
    • A. 

      IV FLUIDS

    • B. 

      In reference to splints - implies we have restored function after an injury, however the patient will need follow up care with an orthopedist for additional manipulation and care.

    • C. 

      In reference to splints - implies we have temporarily supported the injury, however the patient will need follow up care with an orthopedist for restorative care.

    • D. 

      Calling Pastoral Services to console grieving family members

  • 9. 
    For our documentation purposes, which is the best description "restorative care":
    • A. 

      In reference to splints - implies we have temporarily supported the injury, however, the patient will need to follow up care with an orthopedist.

    • B. 

      Patient has stopped vomiting with zofran and IV fluids, they are restored to their normal condition.

    • C. 

      In reference to splints - implies we have repaired the injury and have provided definitive care, the patient does not need follow up with an orthopedist.

  • 10. 
    Which of the following are indicators for critical care time (check all that apply):
    • A. 

      Administering medications and IV fluids

    • B. 

      Sepsis and Septic Shock

    • C. 

      A 6 month old with a fever

    • D. 

      Traumatic Brain Injury

  • 11. 
    Which of the following are indicators for critical care time (check all that apply):
    • A. 

      Hemodynamic Insufficiency

    • B. 

      Administering Cardizem for AFIB

    • C. 

      Cardio Pulmonary Arrest with successful resuscitation

    • D. 

      Acute Severe Pediatric Asthma

  • 12. 
    MD Doc Status numbers 1,2,3 are best described as:
    • A. 

      Patient Seen; HPI complete; Labs Back

    • B. 

      Patient Seen; HPI and ROS complete; MD has communicated plans for admission or disposition home

    • C. 

      Patient Seen; HPI, ROS, PFSH and PE are complete; MD has communicated plans for admission or disposition home

    • D. 

      Patient Seen; HPI, ROS, PFSH and PE are complete; All orders including labs, x-rays, CT's and sonograms are returned

  • 13. 
    In terms of MD Doc Status, which best explains numbers 4 and 5?
    • A. 

      MD has communicated disposition plans, the scribe is finishing chart; Chart is complete.

    • B. 

      Chart is complete; Exit Care is printed

    • C. 

      Chart is complete; Patient has been discharged

    • D. 

      MD has reassessed the patient at least once; MD has communicated plans for disposition and the chart is complete.