HIT Review Quiz 5

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HIT Review Quiz 5

HIT Review Quiz 5


Questions and Answers
  • 1. 
    Before designing a new procedure to replace a current, inadequate one, the manager would NOT do which of the following?
    • A. 

      Make a detailed analysis of the current procedure

    • B. 

      Become thoroughly familiar with the current procedure

    • C. 

      Discard the current procedure and write an entirely new one

    • D. 

      Gather information about problems with the current procedure

  • 2. 
    One of the best sources for discovering problems with procedures is the
    • A. 

      Medical staff

    • B. 

      Department director

    • C. 

      Director's immediate supervisor

    • D. 

      Employees using the procedure

  • 3. 
    • A. 

      Stopwatch studies

    • B. 

      Work sampling

    • C. 

      Personal experience

    • D. 

      Time-log studies

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

      Productivity of employees

    • B. 

      Work flow

    • C. 

      The budget

    • D. 

      Lighting

  • 5. 
    A special tool that aids in the placement of equipment is the
    • A. 

      Configuration chart

    • B. 

      Office layout chart

    • C. 

      Movement diagram

    • D. 

      Flow process chart

  • 6. 
    Main aisles in an office should be at least
    • A. 

      3 feet wide

    • B. 

      5 feet wide

    • C. 

      7 feet wide

    • D. 

      8 feet wide

  • 7. 
    The concept indicating the limits placed on an individual's ability to decide on actions or to order actions from others is called
    • A. 

      Delegation

    • B. 

      Responsibility

    • C. 

      Authority

    • D. 

      Management

  • 8. 
    • A. 

      A sufficient amount of authority is not granted to the subordinate

    • B. 

      The subordinate is not held responsible for accomplishing the task

    • C. 

      The manager allows the subordinate to accept risk

    • D. 

      The manager does not define the results expected

  • 9. 
    The use of a good job decription would not be useful information for which of the following?
    • A. 

      Performance evaluation

    • B. 

      Personnel selection

    • C. 

      Preparing job orientation plans

    • D. 

      Placement of equipment

  • 10. 
    An organizaiton chart ensures good
    • A. 

      Organization within the department

    • B. 

      Management

    • C. 

      Visualization of the department's structure

    • D. 

      Line relationship

  • 11. 
    The first task in completing the work distribution chart is to
    • A. 

      Determine the job position of each employee

    • B. 

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

    • C. 

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

    • D. 

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

  • 12. 
    The major advangate of effective controlling is that
    • A. 

      Employees are disciplined appropriately

    • B. 

      Plans are revised

    • C. 

      Activites are streamlined

    • D. 

      Problems are identified more quickly

  • 13. 
    A production monitor that is most disturbing to the employee is the
    • A. 

      Work flow chart

    • B. 

      Movement diagram

    • C. 

      Employee-reported log

    • D. 

      Stopwatch study

  • 14. 
    The first step in preparing a departmental budget is
    • A. 

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

    • B. 

      Reviewing the department's objectives for the next fiscal year

    • C. 

      Reviewing the supplies and equipment already on hand

    • D. 

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

  • 15. 
    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%.
    • A. 

      78 units

    • B. 

      85 units

    • C. 

      77 units

    • D. 

      84 units

  • 16. 
    • A. 

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

    • B. 

      Prejoctions for growth in the facility's operations

    • C. 

      Changes in the patient turnover rate

    • D. 

      A review of the qualifications of present employees

  • 17. 
    One way to encourage more productivity in a transcription unit is to
    • A. 

      Shorten the work day by an hour

    • B. 

      Vary the work assigned to each transcriptionist

    • C. 

      Place all transcriptionists on a part-time basis

    • D. 

      Have the desks of transcriptionists face each other

  • 18. 
    • A. 

      Organization

    • B. 

      Feedback

    • C. 

      Planning

    • D. 

      Preformance review

  • 19. 
    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?
    • A. 

      0.45

    • B. 

      0.21

    • C. 

      1.23

    • D. 

      0.50

  • 20. 
    Depicting a chronological flow of work through graphic representation is done using a
    • A. 

      Flow chart

    • B. 

      Work sample

    • C. 

      Work distribution chart

    • D. 

      PERT network

  • 21. 
    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?
    • A. 

      Time

    • B. 

      Money

    • C. 

      Personalities

    • D. 

      Quality

  • 22. 
    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?
    • A. 

      Correspondence

    • B. 

      Abstracting

    • C. 

      Filing

    • D. 

      Assembly

  • 23. 
    The crisis manager demonstrates poor ability in which management funtions?
    • A. 

      Planning

    • B. 

      Organizing

    • C. 

      Controlling

    • D. 

      Actuating

  • 24. 
    A type of budget that is created as if all activites of the organization or depertment were new is called a
    • A. 

      Zero-based budget

    • B. 

      Standard budget

    • C. 

      Departmental budget

    • D. 

      Zero-start budget

  • 25. 
    • A. 

      Title of the procedure

    • B. 

      Effective date

    • C. 

      Qualifications of the person performing the procedure

    • D. 

      Statement giving the purpose of the task outlined inthe procedure

  • 26. 
    All of the following signals ould indicate a need to review a department's procedures EXCEPT:
    • A. 

      Bottlenecks

    • B. 

      Inadequate department forms

    • C. 

      New quipment

    • D. 

      Lowered costs

  • 27. 
    One type of plan expressed in numerical terms is called a
    • A. 

      Quantitive analysis

    • B. 

      Budget

    • C. 

      Quantitive procedure

    • D. 

      Number policy

  • 28. 
    Health information management departments are usually organized according to the
    • A. 

      Skills of the employees

    • B. 

      Space conficurationfunctions performed

    • C. 

      Accessiilty of the other drpartment

    • D. 

      Positions that have direct

  • 29. 
    Positions that have direct responsibility for accomplishing the objectives of the organizaiton are called
    • A. 

      Line-positions

    • B. 

      Hierarchical postition

    • C. 

      Direct-line positions

    • D. 

      Staff postitions

  • 30. 
    An organization chart may not be arranged according to
    • A. 

      Job

    • B. 

      Function

    • C. 

      Either job or pay grade

    • D. 

      Either job or function

  • 31. 
    The work distribution chart cannot show which of the following organizational problem?
    • A. 

      Uneven distribution of benefits

    • B. 

      Uneven distribution of work

    • C. 

      Inappropriate specialization

    • D. 

      Disproportionate use of time

  • 32. 
    The work distribution chart will show
    • A. 

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

    • B. 

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

    • C. 

      The best way to use equipment each day

    • D. 

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

  • 33. 
    Which of the following is not an example of a control tool?
    • A. 

      Work distribution charts

    • B. 

      Performance standards

    • C. 

      Variance analysis

    • D. 

      Monitors

  • 34. 
    Counting the number of typographical errors in transcription is an example of what type of monitor?
    • A. 

      Direct inspection

    • B. 

      Work simplification

    • C. 

      Work sampling

    • D. 

      Quality control

  • 35. 
    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?
    • A. 

      1.77 hours

    • B. 

      3.28%

    • C. 

      9.2%

    • D. 

      3.94%

  • 36. 
    Budgets usually planned for the 12-month period are kown as the
    • A. 

      Calendar year

    • B. 

      Functional year

    • C. 

      Fiscal year

    • D. 

      Accounting year

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

      The number of personnel that will be required

    • B. 

      Equipment needs

    • C. 

      The supplies that will be needed

    • D. 

      Increases in Social Security taxes

  • 38. 
    The controlling power of the budget is exercised when a comparison is made between
    • A. 

      This year's projections and last year's projections

    • B. 

      Next year's projections and last year's expenses

    • C. 

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

    • D. 

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

  • 39. 
    • A. 

      Making adjustments in procedures

    • B. 

      Redistributing workload

    • C. 

      Hiring more staff

    • D. 

      Providing more training

  • 40. 
    The sources of power in which the follower perceives that the leader has special knowledge or expertise is called
    • A. 

      Coercive power

    • B. 

      Reward power

    • C. 

      Referent power

    • D. 

      Expert power

  • 41. 
    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?
    • A. 

      200

    • B. 

      5,000

    • C. 

      500

    • D. 

      2,000

  • 42. 
    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
    • A. 

      Patient register

    • B. 

      Diagnostic index

    • C. 

      Operating room register

    • D. 

      Operation index

  • 43. 
    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
    • A. 

      The cost of the new shelves

    • B. 

      The need for the new shelves

    • C. 

      The shelving

    • D. 

      Where the shelving will be placed

  • 44. 
    Leadership can be characterized as
    • A. 

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

    • B. 

      A formal relationship of administrative control

    • C. 

      Dominance given (essentially voluntarily) to the leader by followers

    • D. 

      Manipulation of followers

  • 45. 
    Control methods that are combined with the planning process does not include which of the following?
    • A. 

      PERT network

    • B. 

      Work distribution chart

    • C. 

      Budgets

    • D. 

      MBO

  • 46. 
    File cabinets, desks, computer hardware, and typewriters are examples of
    • A. 

      Operational budget items

    • B. 

      Incremental budget items

    • C. 

      Capital budget items

    • D. 

      Supplies and expenses budget items

  • 47. 
    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?
    • A. 

      Name of attending physician

    • B. 

      Date of admission

    • C. 

      Length of stay

    • D. 

      Age of the patient

  • 48. 
    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
    • A. 

      Contact the Chief of Staff

    • B. 

      Consult with the hospital administrator

    • C. 

      Talk to the director of pathology

    • D. 

      Do nothing

  • 49. 
    Of the following, which is the step taken last in the problem analysis and decision-making process?
    • A. 

      Controlling the alternative solution chosen

    • B. 

      Gathering further information

    • C. 

      Defining how and when the alternative will be accomplished

    • D. 

      Chossing the solution to the problem

  • 50. 
    A department's operational plan is comprised of apecific, veriable
    • A. 

      Standards

    • B. 

      Procedures

    • C. 

      Objectives

    • D. 

      Rules

  • 51. 
    Departmental objuectives should complement and supplement the
    • A. 

      Department director's professional goals

    • B. 

      Personal goals of the director's immediate supervisor

    • C. 

      Hospital's goals

    • D. 

      Goals of other departments inthe hospital

  • 52. 
    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?
    • A. 

      Health information management department

    • B. 

      Vacation

    • C. 

      Employees

    • D. 

      If possible

  • 53. 
    In procedure writing, the steps in the procedure should be
    • A. 

      As detailed as possible

    • B. 

      Sequenced with the easiest steps to perform at the beginning

    • C. 

      Kept to a minimum

    • D. 

      Arranged with those steps taking the most time sequenced first

  • 54. 
    • A. 

      Reviewed against actual performance periodically

    • B. 

      Assigned to only one employee at a time

    • C. 

      Designed to ensure uniformity of practice

    • D. 

      They should be specific to a task

  • 55. 
    A planning technique in which the flow of planning moves from the bottom of the organizational hierarchy up is called
    • A. 

      Goal-oriented management

    • B. 

      Objective-oriented managment

    • C. 

      Management by objectives

    • D. 

      Democratic management

  • 56. 
    Effective work flow means that
    • A. 

      Employees are provided an appropriate amount of work

    • B. 

      Paperwork moves in as straight a line as possible

    • C. 

      Productivity is measured in units of work accomplished per hour

    • D. 

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

  • 57. 
    • A. 

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

    • B. 

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

    • C. 

      The file area should not be placed near the department entrance

    • D. 

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

  • 58. 
    A disadvantage ofinformal organization include which of the following?
    • A. 

      Communication may be enhanced

    • B. 

      A safety valve for employee frustrations is developed

    • C. 

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

    • D. 

      Employees' personal satisfaction may be increased

  • 59. 
    Possible errors in organization that an organization chart cannot point out are which of the following?
    • A. 

      Spans of control that are too large

    • B. 

      Duplication of functions

    • C. 

      Lines of authority that overlap

    • D. 

      Spans of control that contain unequal numbers of employees

  • 60. 
    Meeting objectives throught the cooperation of employees is the major objective of which function of management?
    • A. 

      Planning

    • B. 

      Organizing

    • C. 

      Controlling

    • D. 

      Directing

  • 61. 
    An approach to determining leadership style the plots concern for people against concern for production is the
    • A. 

      Hierarchy of needs

    • B. 

      Flow process chart

    • C. 

      Managerial grid

    • D. 

      Two-factor diagram

  • 62. 
    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 
    • A. 

      The size of the file area

    • B. 

      The number of charts being requested

    • C. 

      The person requesting the charts

    • D. 

      Scheduling of file room personnel

  • 63. 
    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?
    • A. 

      Psychiatric records

    • B. 

      Records of health information management department personnel

    • C. 

      Records of famous persons

    • D. 

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

  • 64. 
    • A. 

      His or her superior's attitude toward change

    • B. 

      Provision in the next budget for an additional employee

    • C. 

      Interdepartmental relationships

    • D. 

      Medical staff

  • 65. 
    In designing a microfilm system, which of the following should be consedered last?
    • A. 

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

    • B. 

      The nature of the information being microfilmed

    • C. 

      How large the documents to be filmed are

    • D. 

      How to microfilm can best be organized

  • 66. 
    Budgeting for depreciable equipment is part of
    • A. 

      Operational budgeting

    • B. 

      Capital budgeting

    • C. 

      Zero-based budgeting

    • D. 

      Incremental budgeting

  • 67. 
    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
    • A. 

      Another full-time transcriptionist

    • B. 

      An assistant supervisor

    • C. 

      A transcriptionist who specializes in discharge summaries

    • D. 

      A clerk-typist

  • 68. 
    • A. 

      Preparing a weekly productivity report for the department director

    • B. 

      Ordering supplies

    • C. 

      Performance appraisal

    • D. 

      Serving on a departmental quality improvement team

  • 69. 
    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?
    • A. 

      Proposing alternative solutions to the problem

    • B. 

      Gathering relevant data

    • C. 

      Choosing the best alternative

    • D. 

      Making the decision

  • 70. 
    A strategic plan would be used for
    • A. 

      Develop and/or revising the mission statement

    • B. 

      Developing next year's budget

    • C. 

      Developing a new smoking policy

    • D. 

      Developing a new release of information policy

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

      Judgment

    • B. 

      Strict adherence

    • C. 

      Diversification

    • D. 

      Manipulation

  • 72. 
    Procedure provide for
    • A. 

      Flexibility in performing a task

    • B. 

      Guidelines for designing a policy

    • C. 

      Standardization in performing a task

    • D. 

      Interpretation while performing a task

  • 73. 
    One reason for collecting procedures into a procedure manual might be
    • A. 

      To satisfy state law

    • B. 

      To aid in cross-training of employees

    • C. 

      To keep procedures from getting lost

    • D. 

      To allow easy review by the medical staff

  • 74. 
    One way to initiate or manage change in the workplace is (are) through
    • A. 

      Job redesign

    • B. 

      Job enlargement

    • C. 

      Job enrichment

    • D. 

      Job descriptions

  • 75. 
    • A. 

      The setting of objectives by subordinates

    • B. 

      Setting the goals

    • C. 

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

    • D. 

      Obtaining commitment to the goals

  • 76. 
    Employees' desk should be
    • A. 

      5 to 6 feet apart

    • B. 

      1 to 2 feet apart

    • C. 

      0 to 2 feet apart

    • D. 

      2.5 to 3 feet apart

  • 77. 
    Positions of responsibility that involve assisting and advising others are called
    • A. 

      Line positions

    • B. 

      Advisory positions

    • C. 

      Consultant positions

    • D. 

      Staff positions

  • 78. 
    Authority developed be an employee that is NOT delegated is called
    • A. 

      Assumed authority

    • B. 

      Informal authority

    • C. 

      Attained authority

    • D. 

      Token authority

  • 79. 
    A department's organization chart cannot show employees which of the following?
    • A. 

      The quality of management in the department

    • B. 

      Possible lines of promotion

    • C. 

      Their organizational relationship to other employees

    • D. 

      The limits of their authority and responsibility

  • 80. 
    • A. 

      The readmission rate

    • B. 

      Costs involved in microfilming, inactive storage, and destruction

    • C. 

      The colume of research done in the facility

    • D. 

      The number of phsicians on the medical staff

  • 81. 
    Given the following members of a health information management department, who would find color coding of health record folders most helpful?
    • A. 

      Director

    • B. 

      Filing room supervisor

    • C. 

      Quality assurance coordinator

    • D. 

      Coding supervisor

  • 82. 
    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
    • A. 

      Dropped altogether

    • B. 

      Referred to the Quality Management Committee

    • C. 

      Referred to the Chief of Staff

    • D. 

      Referred to the Health Record/HIM Committee

  • 83. 
    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
    • A. 

      Fire the transcriptionist

    • B. 

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

    • C. 

      Speak to the transcriptionist privately

    • D. 

      Suspend the transcriptionist for a few days

  • 84. 
    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
    • A. 

      Delegation of special assignments

    • B. 

      Consulting the employee on various problems

    • C. 

      Constructive criticism

    • D. 

      Asking the employee to teach others

  • 85. 
    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
    • A. 

      Reasonable, given the director's authority

    • B. 

      Inappropriate

    • C. 

      Responsibile, given the supervisory demands of the weekend nurses

    • D. 

      Fair if the file clerks want extra work

  • 86. 
    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
    • A. 

      Do nothing

    • B. 

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

    • C. 

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

    • D. 

      Discuss the problem with the coder's supervisor

  • 87. 
    The complexity of patients treated in a facility, categorized by type and volume, is the
    • A. 

      Census

    • B. 

      Case-mix

    • C. 

      Blended rate

    • D. 

      Severity of illness

  • 88. 
    Which statistic would be used to test the validity of data?
    • A. 

      Range

    • B. 

      Standard deviation

    • C. 

      T-test

    • D. 

      Variance

  • 89. 
    Who assigns the correct DRG under the Prospective Payment System?
    • A. 

      Insurance carrier

    • B. 

      Acute care facility

    • C. 

      Health information coder

    • D. 

      Fascal intermediary

  • 90. 
    Medicare Part B covers all of the following EXCEPT
    • A. 

      Outpatient medical and surgical services and supplies

    • B. 

      Clinical laboratory tests

    • C. 

      Home health care

    • D. 

      Inpatient medical and surgical services and suppliesIden

  • 91. 
    Which provide an explantion regarding the need for a special report?
    • A. 

      Notes

    • B. 

      Headings

    • C. 

      Guidelines

    • D. 

      Symbols

  • 92. 
    The outpatient classification system developed by CMS to replace the ASC list is knows as
    • A. 

      APCs

    • B. 

      DRGs

    • C. 

      RUGs

    • D. 

      RVUs

  • 93. 
    ICD-9-CM, Volume 1, contains
    • A. 

      Tabular list of V codes

    • B. 

      Alphabetical index of V codes

    • C. 

      Procedure codes

    • D. 

      Table of drugs and chemicals

  • 94. 
    All of the following are physicians EXCEPT
    • A. 

      Ophthalmologists

    • B. 

      Osteopaths

    • C. 

      Anesthesiologists

    • D. 

      Optometrists

  • 95. 
    CARF accredits
    • A. 

      Home health care

    • B. 

      Respite care programs

    • C. 

      Neighborhood health centers

    • D. 

      Rehabilitation facilities

  • 96. 
    All of the following are considered long-term care facilities EXCEPT
    • A. 

      Assisted living facility

    • B. 

      Substance abuse facility

    • C. 

      Independent living facility

    • D. 

      Domiciliary facility

  • 97. 
    • A. 

      St. John

    • B. 

      Stjohn

    • C. 

      John, St.

    • D. 

      Saint John

  • 98. 
    • A. 

      Aperture cards

    • B. 

      Roll film

    • C. 

      Microfiche

    • D. 

      Microfilm jackets