The services provided by HIM departments in acute care hospitals usually include all the following except?
medical transcription
Medical billing
Clinical coding
Release of information
The first point of data collection and the area where the health record number is most commonly assigned in an acute care hospital is the:
Patient registration department
Patient care unit
Billing department
HIM department
As an HIM professional, you would be directly responsible for tracking the compliance with the Joint Commission's standard for the:
Physical plan safety report
Average quarterly medical record deliquently rate
Allowable outstanding account receivables
Medication errors
Which of the following tasks would the HIM department not perform in an electronic health record system?
Document imaging
Analysis
Assembly
Indexing
The master patient index:
Is the most important index maintained by the HIM department
Contains basic demographic information about the patient
Is commonly part of the admission, discharge, and transfer computer system
All of the above
What filing system is being used if these numbers represent the health record numbers of three records filed together within the filing system? 36-45-99 37-45-99 38-45-99
Straight numerical
Terminal digit
Middle digit
Unit
The annual volume ststistics for New Town Hospital are noted below. How many shelving units will be required to store this year's inpatient discharge records? Average inpatient discharge= 12,000 Avg inpatient record thickness= 3/4 inch Shelving units shelf width= 36 inches # of shelves per unit= 6
41
41.67
42
74
Reviewing the health reocor for missing signatures, missing medical reports and ensuring that all documents belong in the health record is an example of ____ review.
Quantitative
Qualitative
Statistical
Outcomes
The coding of clinical diagnoses and healthcare procedures and sevices after the patient is discharge is ___ review.
Proactive
Prospective
Concurrent
Retrospective
The release of information function requires the HIM professional to have knowledge of:
Clinical coding principals
Database development
Federal and state confidentiality laws
Human resourcce management
In which of the following systems does an individual recieve a unique numerical identifier for each encounter with a healthcare facility?
Alphabetic filing system
Serial numbering system
Terminal digit filing system
Unit numbering system
In which of the following systems does an individual recieve a unique numerical identifier at the time of first encounter with a healthcare facility and maintain that indentifier for all subsequent encounters?
None of the above
A record not completed withing the time frame specified in the medical staff rules and regulations is called a:
Suspended record
Completed record
Deliquent record
Purged record
Which of the following should be taken into consideration when designing a health record form?
Assigning a unique identifying number to the form
Using a concise title that identifies the form's purpose
Including original and revised dates for tracking purposes
File the record alphabetically by first name, followed by the middle initial, and then the last name.
File the record alphabetically by the last name, followed by the first name, and then the middle initial.
File the record alphabetically by the last name, followed by the middle initial, and then the first name.
File the record alphabetically by the last name only.
Which of the following is a micrographic method of storing health records in which each document page is placed sequentially on a long roll?
Document scanning system
Microfilm roll
Microfilm jacket
Microfiche
Which of the following tools is usually used to track paper-based health records that have been removed from their permanent storage locations?
Deficiency slips
Master patient index
Outguides
Requisition slips
Which of the following filing methods is considered the most efficient?
Alphabetic filing
Alphanumeric filing
Straight numeric filing
Terminal digit filing
Which of the following indexes is considered to be the authoritative key to locating a health record?
Disease index
Operation index
Physician index
Healthcare organizations are considered to be in compliance with the Medicare Conditions of Participants. This is called:
Joint accreditation
Deemed status
Condition of accreditation
Compliance status
A statement or guideline that directs decision making or behavior is called a:
Directive
Procedure
Policy
Process
If the vice president of marketing requested information regarding the number of cardiac catherizations performed in 2010, what index would you consult?
Operations/procedures index
What commitee oversees the development and approval of new forms for the health record?
Quality review committee
Medical staff committee
Executive committee
Forms committee
What entity(ies) have established documentation standards?
Medicare
Joint Commission
American Osteopathic Association
What is the term used to describe the process of checking individual data elements, reports, or files against each other to resolve discrepancies in accuracy of data and information?
Repudiation
Reconcilation
Legal health record
Critique this statement. Version control is not an issue in the EHR?
This is a true statement
There are issues related to versions of documents such as there must be a flag indicating a previous version
There are issues related to versions of documents such as each version should be visible to all users
There are issues related to versions of documents which includes the need to delete the old version when a new one is added.
Dr. Smith wants to use a lot of free text in his EHR. What should be your response?
Good idea Dr. Smith. This allows you to customize the documentation for each patient.
Dr. Smith, we recommend that you do not use any free text in the EHR
Dr. Smith, we recommend that you should use only a little free text in the EHR
Dr. Smith, we recommend that you use little, if any, free text in the EHR.
I am arguing against the use of the copy/paste function in the EHR. Which of the following would be my argrument?
I am unable to identify the author
I am unable to print the data out
I am considered about the time that it takes to copy/paste the documentation
I am considered that the users will not know how to perform the copy/paste function
An HIM student has asked you, the HIM director, why the hybrid record is so challenging. What is your response?
It is because we are focusing on the EHR.
It is because we have to maintain all of the traditional HIM functions.
It is because HIM professions do not have the skills to manage the EHR.
It is because we have to manage both the electronic media as well as the paper
