Health Info Management Finals
Which of the following may not be permanently maintained as a record to verify accurate details of communication?
Physician's spoken dictation into voice recognition software
When is the appropriate phase of the project management life cycle for determining potential return on investment?
Planning
You are an HIM director notified of an impromptu mandatory meeting in 5 minutes with the Chief Financial Officer regarding high unbilled accounts due to coding backlog. How would you prioritize this meeting?
Priority #1: Important and urgent
Which of the following is not considered to be a component of ergonomics?
Employee fitness level
When does the continuous project management life cycle model return to the initiation phase?
If monitoring identifies that quality may be improved through implementation of change
Which happens more frequently?
Revising procedures
Catherine is motivated by the fact that she can opt to either work at home or at the hospital. This represents which of Victor Vroom's primary variables?
Choice
Which of the following statements is true?
Procedures provide step-by-step instructions to complete one aspect of an objective
You have been assigned to a temporary group for the purpose of working on a defined project. This is an example of a _____
Task force
Which role is frequently served by HIM professionals with the introduction of information kiosks?
Training and education for health care consumers using the system
Which of the following tools might be used when setting standards?
Survey
When might project management be a temporary process?
When it's a small project that feeds into a larger project
Policies should be revised continually as information is received.
true
Project management may be temporary or continuous.
true
The AHIMA Code of Ethics supports mentoring students.
true
There may be risk involved with revitalization.
true
When steps in a procedure are followed, the goal is to achieve a uniform outcome every time a task is performed.
true
Who generally performs strategic planning
. Top-level executives
Your supervisor tells you that your performance evaluation will include self-evaluation, peer evaluation, and customer evaluation, along with evaluation by your supervisor. What kind of performance evaluation are you having?
360-degree evaluation
Which of the following is an example of an informal group?
A group of HIM employees that go to lunch together every day
A high case-mix index reflects _
A high level of acuity
Identify which of the following scenarios incorporates monitoring and evaluating effectiveness of decisions.
A hospital implements a continuous quality improvement program.
Which of the following would be an optimal site for a redundant system for an EHR?
A site that is not prone to natural disasters
Which of the following is not an intended use for a job description?
Applicant sharing previous job description during an interview to show previous skills the applicant has performed
All of the following have theories about TQM except ______
Abraham Maslow
Mergers between health care facilities have become more common as the result of ____
Accountable care organizations
Which of the following is an example of functional conflict?
Conflict between the coding and billing departments that results in discovery of a problem that has caused the unbilled accounts report to be inaccurate
Curriculum vitae is a Latin term, meaning
Course of life
You work for a health care provider, which is part of a regionally administered organization, to electronically exchange health information. This is an example of ___
Health information exchange
Identify the true statement.
Hips, knees, and elbows should be at 90-degree angle when working at desk
Which kind of feedback is likely to be provided when a patient calls to set up an appointment?
available times
A manual may be written by a consulting firm.
true
Is it possible to maintain a record of a verbal communication?
yes
_____ is not an example of a mathematical model used in planning.
Time study
Which type of manual should include information about HIPAA?
Compliance manual
A career objective is a required part of a resume.
false
What is the source of change for the introduction of speech recognition?
Technology
Which type of budget approach works effectively for an HMO?
Fixed
Which of the following is an example of servant leadership?
An HIM director in a health care facility who mentors students and is a member of the advisory board for a local college Health Information Technology program
Peter Drucker suggests self-assessment for review of the past with a comparison of goals and a vision for the future to occur ______
Annually
Purchase of an electronic health record system would be in the _________ budget.
Capital
Which of the following is an example of an internal change?
Changed employee behaviors due to interpersonal issues
Which of the following is an example of an institutional change driver in health care?
Changes in the medical staff bylaws
Which of the following is not one of the three major categories of organizational change?
Changing personal status
Which category of change is the introduction of the electronic health record?
Changing technology
You witness a coworker accessing a patient record of a family member, even though that coworker is not currently working on that record and has no need to know information. Who should you contact to report the incident?
Chief privacy officer
You are the coding supervisor and you notice a potential discrepancy in a productivity report from one of your coders. You remind all of the coders about the importance of accuracy with these reports. One of the coders thinks she may have accidentally combined 2 days into one of her daily productivity reports and she must decide if she should admit her potential mistake or just let it go because one day's productivity reporting really doesn't make a difference. This is an example of ______.
Cognitive dissonance
You are the facilitator for a conflict situation that has come up in the HIM department. A solution has been determined that results in a win-win situation for all involved. This is an example of
Collaboration
You are an HIM director for an acute care facility that just announced a merger with another facility. There will be changes that impact your department and you have several employees who have been expressing negative opinions about the upcoming changes. How should you respond?
Communicate information about how the changes will positively impact the department and provide choices for the employees to be able to participate in the decisions impacting the department.
Which term is used to describe all direct and indirect pay, including wages, mandatory benefits, and insurance?
Compensation
An employee at a health care facility reporting to a manager at a corporate office is an example of __
Concentration of authority
Which management approach recognizes that not all management decisions may be addressed by a "one size fits all" manner?
Contingency
Which method of communication should not be used to perform a physician query to obtain clarification about documentation?
verbal
An HIM professional working in a patient advocacy position, assisting health care consumers to obtain personal health information from a provider's online portal, is serving the role of a ______
Data navigator
What are the three critical elements of the D*A*T Model?
Data, attitudes, tools
What might happen if active revitalization does not occur in a business setting?
Decline in business
The goals of revenue cycle management include increasing cash flow and ______________ accounts receivable.
Decreasing
Which type of data is usually obtained when a patient is admitted to a health care facility?
Demographic data
What information is normally included in job postings?
Desired credentials or certifications
Which of the following is not part of the decision-making process?
Determining who should make the decision
A physician needs to validate verbal orders that have been entered into the EHR system. Which technology facilitates this process?
Digital signature management technology
Which of the following is not a component of attitude?
Emotional
Which of the following statements is true regarding the evolution of the HIM career field?
Evolution of the HIM career field has resulted in opportunities for HIM professionals to work outside of the physical HIM department.
Which employees are not covered by some of the provisions of the Fair Labor Standards Act?
Exempt employees are not covered by some of the provision of the FLSA.
A student pursues a career in HIM because of the potential for salary growth. This is an example of __
Extrinsic motivation
What department is responsible for the physical components of the facility?
Facilities management
Although the HIM career field has evolved significantly, HIM professionals are limited to working in health care facilities.
False
Daily decisions made in anticipation of problems will eliminate all needs for crisis decision making and related stress.
False
________ planning is done with goals and specific objectives documented and shared.
Formal
Which of the following actions can decrease negativity in team decision making?
Having a moderator on the team
You are a coding manager developing a continuing education session to introduce a newly developed policy and set of processes to be followed by all of the coders in a network of providers in your organization. Which area of JOHARI Window would this new process be for the employees receiving the information?
Hidden
Patients must receive a copy of the facility privacy policy upon registration in accordance with HIPAA" is an example of a _____
Rule
Which view of conflict reflects that conflict is necessary in order for decisions to be made?
Interactionist
You are employed as a coder with a federal government health care provider and found a posting for a different position that looks interesting. What would you look at to determine if this would be a promotion from your current position?
Job competencies
An HIM director decides to change the leadership in the department to empower employees through self-directed work teams in each area. Which leadership style is the director using?
Laissez-faire
if an employee is in a supervisory position, what kind of power does he or she have?
Legitimate
Which personality trait would be beneficial for an employee serving as a union representative
Machiavellianism
Which of the following is a demonstration of proper ergonomics?
Maintaining a 90-degree angle at the elbow
Communication of actions cascading down from the mission statement is _
Management by objectives
Which of the following statements best describes revenue cycle management?
Management of all contributing functions to capture, manage, and collect revenue or payment from provision of services to patients
Which of the following statements is true regarding the communication cycle?
Media for communication may include writing, speaking, nonverbal, and electronic methods.
A patient with end-stage renal disease is most likely to be covered by _
Medicare
Which of the following may be helpful in recovery following a scarring experience in revitalization?
Mentoring
You are writing a procedure for suspending a physician due to delinquent records. What source would you use to determine the definition of delinquent records?
Organization bylaws
__ is a helpful planning tool for a project with many interdependent activities.
PERT network analysis
Problem _____________ are found to have a higher level of commitment to strategic planning.
Seekers
Which of the following examples demonstrates the concept of a productivity bonus?
Record analysis staff members are told that they will receive a monetary reward for meeting a chart completion goal within the week
Which of the following is a disadvantage of remodeling an existing department?
Resistance to change by staff members may be met
An organization has implemented a new process for face-to-face communication between coding staff members and physicians. What kind of training should be done to provide the coders a chance to practice the new process?
Role playing
Development of the Gantt chart is which type of management?
Scientific
Which level of an organization is responsible for operational planning?
Section and team managers
You have been employed for a year at a health care facility and your supervisor informs you that mandatory annual HIPAA training must be completed using a computer program installed on the facility internal network that has modules that may be completed at your own pace. What kind of training is this?
Self-directed learning
You are the director of an HIM department and your organization is looking at ways to reduce spending. You want to make sure that your department is operating in the most efficient and cost-effective manner, so you complete a ___
Staffing analysis
Which of the following statements is false?
Supporting walls can be removed if they are replaced with large sturdy equipment.
You are employed as the lead release of information specialist. What kind of leadership skills will you anticipate using the most?
Technical
Which of the following should be considered when planning the physical layout of the department?
The Americans with Disabilities Act
The coding manager has always been able to monitor productivity by running reports about the accounts completed by each employee. The coding manager states something about this in a meeting with the coders, but no changes are implemented in the coding area. The coding manager notices that coders become more productive during the following week and recognizes that this is an example of
The Hawthorne effect
Who is best equipped to write a procedure?
The employee who performs the task
How might negative reinforcement shape the behavior of an employee who brings new ideas to the supervisor with no action taken?
The employee will stop bringing new ideas to the supervisor.
Where are quality outcomes considered in the project management life cycle?
Through all steps in the cycle
An organic structure is an adhocracy where complexity is low, formalized design is low, and there is decentralized authority.
True
If every person in the organization cannot tell you what the strategy of the organization is, you have not effectively communicated and embraced a strategy.
True
Inaccurate health care data could result in an unfavorable outcome, including death of a patient.
True
The mission statement may be subject to revision during strategic planning.
True
You have been offered a position in a hospital as a data quality reviewer, but you are hesitant to accept the position as it requires reporting to both the Director of Health Information Management and the Director of Clinical Services, which you recognize to go against the ____ principle of management.
Unity of command
Which is not a way for managers to become aware of capabilities and enhancements to management information systems?
Use other products
"Memorial Hospital serves all members of the community, regardless of race, religion, or socioeconomic status" is an example of a __
Values statement
Which of the following statements is true?
When purchasing furniture for workstations, it is best to select pieces that can be adjusted to accommodate employees of different sizes.
You have been employed as a new HIM director as your first management position for about a year and have been feeling very stressed about new projects and having to make adjustments as a result of some minor poor decisions you have made. Which of the following should you avoid doing?
Work harder to demonstrate that you are a good employee and try to cover up the poor decisions you made.
Which of the following may be added to enhance verbal communication
nonverbal cues
You are the practice manager for a physician group that has implemented an electronic health record system that collects dates in the mm/dd/yy format and it is discovered that the systems with which your practice must communicate electronically require the date to be in the mm/dd/yyyy format. Which type of communication problem was caused by the development of the format used by your system?
encoding
You have worked as a coder for 20 years and have experience in coding inpatient, outpatient, long-term care, and several specialties. You frequently give presentations about coding topics at HIM educational meetings. A publisher contacts you to write a weekly column about coding topics for a biweekly HIM professional magazine. What kind of power does this reflect?
expert
you have worked as a coder for several years and established the trust and respect of your peers in the coding group. What kind of power have you established?
expert---
All conflict in the workplace is negative.
false
All members of an informal group have similar needs.
false
An employee who reports equally to managers in different departments is consistent with the unity of command principle as long as the two managers are in agreement.
false
Computer-assisted coding and medical encoders are the same thing.
false
Electronic communication is less likely to experience disruptions
false
SWOT analysis is only valuable for use in strategic planning.
false
Salary history should be included in a resume.
false
Speech recognition has completely eliminated the need for medical transcriptionists.
false
There are no safety concerns when an employee works remote from home.
false
A low number for the priority multiplier in a decision matrix means that the aspect of the decision is ______ priority.
low
knowledge of coding guidelines by two coders is represented by which section of JOHARI Window?
open
A mock interview with a mentor is a good way to prepare yourself for an actual interview
true
A pleasant working environment is a motivating factor for employees
true
An employee may have power without formal authority.
true
Change may offer an opportunity for career advancement.
true
Controlling can be positive.
true
HIM professionals are qualified to work in positions in the "C suite."
true
HIM professionals must have input into MIS purchase decisions to ensure data capture will meet customer needs.
true
Patients can communicate electronically with providers.
true
Time management impacts change management.
true
Which of the following demonstrates medical necessity?
A primary care physician orders a chest x-ray for a patient with a cough.
A researcher receives health care data that are unable to be tracked to specific patients. This is an example of _______.
Aggregate data
Which of the following is an example of customers served by health information management professionals?
All of the above
How often should a chargemaster be updated?
Annually
When is a curriculum vitae (CV) used rather than a resume?
Application for a a research position
Which industry introduced ISO 9000 quality management systems?
Automotive
Which of the following statements is true about MBO?
Because employees know what to expect and have helped develop the plan, they are committed to striving for quality results.
Which position is at the top of most organizational charts?
Board of directors
A plan that is created when repetitive or routine decisions are made is a _____
Both a and b
Communication and feedback for management by objectives flows __
Both top-down and bottom-up
After working in the HIM career field for a number of years, you make the decision to start a health care compliance consulting company. You recognize that this type of venture requires you to be which kind of leader?
Bureaucratic
Which is the first step in setting standards?
Capture data
Groups within a department being clustered according to specialized tasks is an example of ____
Concentration of authority-wrong
Which of the following is not a step in setting standards?
Data monitoring
Which of the following is an example of a nonprogrammed decision?
Decision to cross-train an employee in response to an employee with unexpected medical leave
Records not completed within a required time frame determined by the medical staff of a facility are referred to as __________
Delinquent
Which of the following questions might you include in a survey?
Did you receive a timely response from technical support?
Managers and leaders typically have _________ personalities .
Different
An autocratic leader ________ welcome input from followers.
Does not
Which of the following situations might result in making nonprogrammed decisions?
EHR malfunction
An audit of release of information activities reflected that 100% of records released in the month of June were released with no errors and were processed in the required time frames. This is an example of _____
Efficiency
You have been monitoring a new employee during her first month on the job. She appears to have developed as sense of security, a sense of belonging among her peers in the department, and mutual respect with her coworkers. You are a manager who feels that self-actualization according to Maslow's hierarchy of needs is important and recognize that the new employee has achieved the level of meeting needs at which level?
Esteem
According to Victor Vroom's expectancy theory, an employee volunteering to learn new skills with the expectation that he would eventually be promoted demonstrates which variable?
Expectancy
What Myers-Briggs personality traits would be a good fit for a release of information position?
Extroversion, intuition, thinking, judging
What Myers-Briggs type would be best suited for a volunteer to provide community education about consumer engagement in health information management
Extroversion, intuition, thinking, perceiving
Which of the following statements is true regarding testing a redundant EHR system?
Fictional patients should be used in a training environment to protect the integrity of real ePHI.
Which type of organizational chart might exist in a small organization?
Flat
Best practices, resulting from the information gathered about the effective practices through the HITECH Act, are provided by ___
Health Information Technology Research Centers (HITRC)
you are the practice manager for a physician office. The physicians use tablet computers to document in the EHR while treating patients. Basic laboratory tests are performed and processed on-site. The lab reports are printed and scanned into the EHR. What type of record is being maintained?
Hybrid health record
Absence of body odors, brushed teeth, and neatly trimmed nails are the examples of which aspect of professionalism?
Hygiene
You are working on an EHR implementation project and during the execution phase, additional functional components are added to the scope of the project. What is the most likely outcome?
If the project is completed within the planned time frame, some areas of the original and added areas of the project scope may not be completed within the quality goals of the project.
Which of the following is an action of a problem avoider?
Ignoring signals of possible problem eruption
Which of the following is an example of a strategic goal?
Increasing community impact through provision of educational programs
When is the appropriate phase of the project management life cycle for drafting a statement of work?
Initiation
You are working on a project team and have been assigned the task of surveying the community stakeholders to determine if there is a true need. This is performed as part of which phase of the project management cycle?
Initiation
What should be maintained as the driving force behind the strategic planning activities?
Institutional mission statement
Planning that covers 1-5 years is considered _
Intermediate
A merger is an example of an _________ change.
Internal
Which country introduced many popularly used TQM practices?
Japan
Which is the most important communication skill?
Listening
Which of the following is a sign of effective revenue cycle management?
Low amount on the DNFB report
you have a significant amount of technical skills after working for many years as a coder, have an average amount of interpersonal skills, but do not have well-developed conceptual skills. You have reached a point in your career where you are ready to pursue your first managerial position. Which of the following best suits your skillset?
Lower management
You are an HIM director who has heard complaints within the department about not having up-to-date procedures documented, so you remedy the situation by updating the procedure manual. This is an example of Herzberg's _
Maintenance factors
Which organizational structure is the most appropriate for assigning various professionals to work teams to care for patients or customers in a product-oriented manner with functional specialization?
Matrix
Which of the following is not a format for writing procedures?
Matrix format
Requirements that must be met by providers in order to receive funding for EHR implementation are outlined in _
Meaningful Use
Which of the following is not involved in controlling?
Motivating employees
Having coders work overtime for the purpose of reducing accounts receivable by $1 million is an example of ________ planning.
Operational
A patient had diagnostic testing done and is able to check the results by accessing ____
Patient portal
Which tool is generally used as a basis of performance evaluation?
Performance standards
Which of the following allows for efficiency in analyzing and integrating subsequent results?
Planning data capture at the time a task is done
Physicians must complete incomplete records within 7 days of discharge" is an example of a __
Policy
Which of the following is not a reason for resisting change?
Potential for advancement
Which of the following is not specified as a requirement on an MSDS?
Prevention
You are an HIM director who is focused on reduction of unbilled accounts and requires mandatory overtime even though it will be a hardship for some employees who don't have after-hours day care. What leadership style is this?
Produce or perish leadership
Which component of an EHR implementation project may require submission of a certificate of need to the state?
Purchase of high-priced technology equipment
What is the order of activities involved in contractual agreements?
RFI, RFP, due diligence, contract negotiation
A patient has been in a skilled nursing facility for the past 30 days. What will be the basis of reimbursement for the visit?
RUG-III
Which of the following examples demonstrates why a manager deviates from the path of total rationality?
Recalling similar previous experience results
Which of the following is an example of a measurable activity for a procedure?
Respond to patient requests for information within 24 hours.
You have just accepted a position as an HIM manager of a department that requires some significant changes, which will likely not be well accepted by the employees in the department. Which leadership trait would be most beneficial for you as you pursue these changes?
Self-esteem
SWOT analysis evaluates __
Strengths, weaknesses, opportunities, and threats
Which of the following statements is true related to steps following implementation of the project plan?
The continuous model of project management involves identification of quality issues that may result in continuation to a new initiation phase for performance improvement.
An HIM professional goes to school and gets an advanced graduate degree. Her peers ask her what she plans to do with her career now that she has this degree, but her response is that she plans on staying with her current job to use her degree to enhance the work she does. She says that she loves and values her current position more than an opportunity for increased earning potential in a different position. What theory best explains this?
Theory Y
Budget requests must be justified each budget period in a _________ budget approach.
Zero-based
Which unique feature of the matrix structure increases the complexity of this type of organizational chart?
cross-training of team members