RC - Pre Process Assessment
Assessment will take 45 mins.
Please read each question carefully
Questions and Answers
- 1.
Record Retrieval is the Process of collecting medical records from
- A.
Insurance companies and supplying it to the doctors
- B.
Patients and supplying it to doctors
- C.
Providers and supplying it to our clients (Ins.Cos)
- D.
None of the Above
Correct Answer
C. Providers and supplying it to our clients (Ins.Cos)Explanation
The correct answer is "Providers and supplying it to our clients (Ins.Cos)". In the context of the given options, record retrieval refers to the process of collecting medical records from healthcare providers and supplying them to insurance companies (Ins.Cos) who are the clients in this scenario. This ensures that the insurance companies have the necessary medical records to process claims and make informed decisions.Rate this question:
-
- 2.
Which of the following review is done in order to allocate the funds to disease
- A.
HEDIS
- B.
HCC
- C.
RADV
Correct Answer
B. HCCExplanation
HCC stands for Hierarchical Condition Category, which is a risk adjustment model used to allocate funds to disease management programs. It involves reviewing and categorizing patients based on their health conditions and severity levels. By identifying high-risk patients, healthcare organizations can allocate funds and resources more effectively to provide appropriate care and support for individuals with specific diseases.Rate this question:
-
- 3.
What is the purpose of the HEDIS review
- A.
To ensure that insurance companies are contracted with providers
- B.
To check the Quality of healthcare services
- C.
To check the funds allocation based on diagnosis
- D.
To help patients get the insurance at lower cost
Correct Answer
B. To check the Quality of healthcare servicesExplanation
The purpose of the HEDIS review is to check the quality of healthcare services. This review is conducted to assess the performance of healthcare providers and ensure that they are delivering high-quality care to patients. It involves evaluating various aspects of healthcare, such as preventive care, management of chronic conditions, and patient satisfaction. The HEDIS review helps in identifying areas for improvement and promoting better healthcare outcomes for patients.Rate this question:
-
- 4.
Similarities between Medicaid and Medicaid (Multiple Choice)
- A.
Inpatient Hospital Care
- B.
Prescription Drug coverage
- C.
Benefits people with Disabilities
- D.
Outpatient hospital care
- E.
None of the above
Correct Answer(s)
A. Inpatient Hospital Care
B. Prescription Drug coverage
C. Benefits people with Disabilities
D. Outpatient hospital careExplanation
Medicaid and Medicaid are both government programs that provide healthcare coverage to certain groups of people. Both programs cover inpatient hospital care, prescription drug coverage, benefits for people with disabilities, and outpatient hospital care. Therefore, the correct answer is that all of the options listed are similarities between Medicaid and Medicaid.Rate this question:
-
- 5.
Chart Abstraction is the process of collecting
- A.
Medical records from insurance co.
- B.
Medical Alphanumeric codes
- C.
Important information from patient's medical record
- D.
Doctor's contact information
Correct Answer
C. Important information from patient's medical recordExplanation
Chart abstraction is the process of collecting important information from a patient's medical record. This involves extracting relevant data such as diagnoses, treatments, medications, and laboratory results. This information is then organized and analyzed for various purposes such as research, quality improvement, and billing. It helps healthcare providers and organizations to understand the patient's health history, track their progress, and make informed decisions about their care.Rate this question:
-
- 6.
HCC coding is translating the diseases mentioned on the medical records to a globally approved codes according to ICD 9 or 10. True or False
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
HCC coding involves the process of assigning globally approved codes to diseases mentioned in medical records based on the ICD 9 or 10 coding systems. This coding system helps in standardizing the documentation of diseases and facilitates accurate billing and reimbursement processes. Therefore, the statement that HCC coding is translating diseases to globally approved codes is true.Rate this question:
-
- 7.
MRT stands for Medical Records Technician and they _____________
- A.
Check the quality of medical records
- B.
Makes call to verify provider's information
- C.
Sends Manual Fax request
- D.
Go to provider's location to get the records
Correct Answer
D. Go to provider's location to get the recordsExplanation
MRT stands for Medical Records Technician and they go to provider's location to get the records. This means that MRTs physically visit the healthcare provider's office or facility in order to retrieve the medical records.Rate this question:
-
- 8.
List down the dept. objectives of RR Support
- A.
Fax For Verification
- B.
Bulk fax the medical record request
- C.
Handles Client responses
- D.
Handles review Pend and review No Records
- E.
None of the above
Correct Answer(s)
A. Fax For Verification
B. Bulk fax the medical record request
C. Handles Client responses
D. Handles review Pend and review No RecordsExplanation
The correct answer includes the objectives of RR Support which are: Fax For Verification, Bulk fax the medical record request, Handles Client responses, and Handles review Pend and review No Records. These objectives indicate the tasks and responsibilities of RR Support, such as verifying faxes, sending bulk medical record requests via fax, managing client responses, and handling review pend and review no records cases.Rate this question:
-
- 9.
Centralized location is where
- A.
Medical records of different locations, under one facility are stored
- B.
Doctors have their conferences
- C.
Patients meet the insurers to enroll with health plan
- D.
Medical records are shredded
Correct Answer
A. Medical records of different locations, under one facility are storedExplanation
A centralized location refers to a place where medical records from various locations are stored together in one facility. This allows for easy access and management of patient information, as all the records are consolidated in one place. It ensures that doctors and healthcare professionals can quickly retrieve and review medical histories, test results, and other relevant information. This centralized approach also facilitates efficient coordination and collaboration between healthcare providers, ensuring seamless patient care across different locations.Rate this question:
-
- 10.
Electronic Health Records (EHR) can be shared within a provider office only
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
EHR can be shared not only within a provider office but also across different healthcare settings and organizations. This allows for seamless communication and continuity of care between healthcare providers, improving patient outcomes and reducing medical errors. Sharing EHRs electronically enables healthcare professionals to access and update patient information in real-time, enhancing collaboration and coordination of care. It also allows patients to have better control over their health information and enables them to share it with other healthcare providers as needed.Rate this question:
-
- 11.
Medicare Advantage Part C covers part A, B, D. True or False
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Medicare Advantage Part C is a type of Medicare plan offered by private insurance companies. It combines the coverage of Medicare Part A (hospital insurance), Part B (medical insurance), and often includes Part D (prescription drug coverage) as well. Therefore, it is accurate to say that Medicare Advantage Part C covers part A, B, and D.Rate this question:
-
- 12.
HIPAA stands for
- A.
Health Information Portability and Accountability Act
- B.
Health Insurance Portability and Accountability Act
- C.
Health Insurance Policy and Accountability Act
- D.
None of the above
Correct Answer
B. Health Insurance Portability and Accountability ActExplanation
HIPAA stands for Health Insurance Portability and Accountability Act. This act was enacted in 1996 to protect the privacy and security of individuals' health information. It provides guidelines and regulations for healthcare providers, health plans, and other entities that handle protected health information. The act ensures that individuals have control over their health information, sets standards for electronic healthcare transactions, and establishes penalties for non-compliance with the regulations.Rate this question:
-
- 13.
Which department does the quality check on the records?
- A.
Call Center
- B.
Data Operations
- C.
RR Support
- D.
Imaging
Correct Answer
D. ImagingExplanation
The department responsible for conducting quality checks on the records is the Imaging department. They are likely in charge of ensuring that the scanned or digitized copies of the records are accurate and of high quality. This could involve checking for any missing or illegible information, verifying the proper organization and categorization of the records, and ensuring that the images are clear and easily readable.Rate this question:
-
- 14.
Which department find's provider's correct contact details from web search engine
- A.
Imaging - Data research
- B.
RR Support
- C.
Mailroom
- D.
Clinical
Correct Answer
A. Imaging - Data researchExplanation
The Imaging - Data research department is responsible for finding the correct contact details of providers from a web search engine. They are likely to use their expertise in data research to gather accurate information about the providers' contact information.Rate this question:
-
- 15.
PHI stands for
- A.
Patient Health Information
- B.
Provider Health Information
- C.
Protected Health Information
- D.
Patient Health Insurance
Correct Answer
C. Protected Health InformationExplanation
PHI stands for Protected Health Information. This term refers to any sensitive health information that is created, received, or maintained by a healthcare provider, health plan, employer, or healthcare clearinghouse. It includes any information that can be used to identify an individual and is related to their physical or mental health, healthcare services received, or payment for healthcare services. The protection of PHI is crucial to ensure the privacy and confidentiality of individuals' health information.Rate this question:
-
- 16.
RADV is for
- A.
Validation on funds provided by the government on the basis of HCC
- B.
Health plan rating
- C.
Allocating funds according to the disease
- D.
All of the above
Correct Answer
A. Validation on funds provided by the government on the basis of HCCExplanation
RADV stands for Risk Adjustment Data Validation, which is a process used by the government to validate the accuracy of the data submitted by health plans for risk adjustment purposes. Risk adjustment is a method used to allocate funds to health plans based on the health status and demographic characteristics of their enrollees. The funds provided by the government are allocated to health plans based on the Hierarchical Condition Category (HCC) coding, which is used to determine the severity of a patient's illness. Therefore, the correct answer is "Validation on funds provided by the government on the basis of HCC."Rate this question:
-
- Abdomen Quizzes
- Addiction Quizzes
- Aging Quizzes
- Arthritis Quizzes
- Beauty Quizzes
- Blood Quizzes
- Body Quizzes
- Bone Quizzes
- Brain Quizzes
- Child Health Quizzes
- Dermatology Quizzes
- Digestive System Quizzes
- Disease Quizzes
- Fertility Quizzes
- First Aid Quizzes
- Hair care Quizzes
- Health And Nutrition Quizzes
- Health And Wellness Quizzes
- Health Policy Quizzes
- Health Psychology Quizzes
- Health Strategy Quizzes
- Health Worldwide Quizzes
- Hearing Quizzes
- Heart Quizzes
- Illness Quizzes
- Injury Quizzes
- Kidney Quizzes
- Liver Quizzes
- Lung Quizzes
- Mental Health Quizzes
- Nose Quizzes
- Nutrition Quizzes
- Obesity Quizzes
- Ophthalmology Quizzes
- Patient Quizzes
- Patient care Quizzes
- Pharmacy Quizzes
- Pregnancy Quizzes
- Puberty Quizzes
- Public Health Quizzes
- Respiratory System Quizzes
- Sleep Quizzes
- Stress Quizzes
- Surgery Quizzes
- Surgical Instruments Quizzes
- Throat Quizzes
- Weight Quizzes
- Wellness Quizzes
Back to top