Health Information Management Mid-Term (Part 1)
The Bureau of Labor Statistics states that employment for the health information management profession is expected to grow _______ for all occupations through 2022.
Much faster than average
NCQA stands for:
National Committee for Quality Assurance
The private, not-for-profit organization established to assess and report on the quality of managed care plans is called the _________.
National Committee for Quality Assurance (NCQA)
american hospital association
National organization that represents and serves all types of hospitals, health care networks, and their patients and communities
Which is a benefit of joining a professional association?
Networking with professional members
voluntary
Not-for-profit hospitals operated by religious or other not-for-profit groups.
Which professional is required to pass a licensing examination in all states and the District of Columbia?
Nursing Home Administrators
Management of pregnancy, from prenatal to puerperium
Obstetrics
What is a function of the admitting department?
Obtain patient signature for surgical consents
health data analyst
Obtains employment in a variety of health care settings and is also employed by data warehousing companies to conduct research data management and clinical trials management.
department chairperson
Once the credentials committee reviews a medical staff application, the application then goes to this person.
logged into the tracking system, physician is notified
Once the record is analyzed for deficiencies, it is __________, and then __________.
consultant
One who practices a profession. A general term that can be applied to any number of individuals with a wide variety of educational backgrounds, knowledge, and skills.
need-to-know
Only employees who have been granted ________ status are allowed access to EHR.
A patient is seen in the emergency department with glass in her eye. The attending emergency department physician feels it is necessary for the patient to be seen by a specialist. The specialist that most likely would see the patient would be from:
Ophthalmology
Diagnosis and treatment of eye disorders
Ophthalmology
deemed status
Organization has met the conditions of participation which allows them to accept reimbursement for CMS
Diagnosis and treatment of musculoskeletal disease/injury
Orthopedics
False
Osteopathic physicians founded the American Medical Association in Philadelphia to elevate the standard of medical education in the United States.
privacy officer
Oversees all ongoing activities related to the development, implementation, maintenance of, and adherence to organization's policies and procedures covering privacy of, and access to, patient health information.
privacy officer
Oversees all ongoing activities related to the development, implementation, maintenance of, and adherence to the organization's policies and procedures covering the privacy of and access to, patient health information in compliance with federal and state laws and the health care organization's information privacy practices.
Established the theory of disease
Pasteur and Koch
He was the physician and chemist who introduced chemotherapy
Paul Ehrlich
Benjamin Franklin founded _______ , the first United States hospital.
Pennsylvania Hospital
medical assistants
Perform routine administration and clinical tasks to keep the offices and clinics running smoothly
medical assistant
Performs routine administrative and clinical tasks to keep the offices and clinics of physicians etc. running smoothly. Not the same as physician assistant.
chief resident
Physician in his or her final year of residency.
house officers
Physicians whose only job is to work at the facility treating patients.
health services manager
Plan, direct, coordinate, and supervise the delivery of health care; includes specialists who direct clinical departments or services and generalists who manage an entire facility or system.
Belief that angry gods or evil spirits caused disease and tribal priests drove evil spirits from the body.
Prehistoric Medicine
Services that include preventative and acute care and are provided by a general practitioner are known as __________ services.
Primary
National Committee for Quality Assurance
Private non-profit organization established to assess and report on the quality of managed care plands is called the _______.
for-profit
Privately owned hospitals; excess income is distributed to shareholders and owners.
The CPT coding book is published annually by the AMA to assign what type(s) of code?
Procedures and Services
survey
Process conducted both off-site and on-site to determine whether the facility complies with standards.
A hospital that is privately owned and whose excess income is distributed to shareholders and owners is a _______ hospital.
Proprietary
15
Proprietary hospitals make up _____ percent of all health care facilities.
Pasteur
Proved that microbes are living organisms and that killing microbes stops the spread of disease
cancer registry, coding, document conversion, medical transcription, release of information, trauma registry
Provide six examples of HIM contracted services.
True
Public health departments provide preventative services, which include immunizations and routine checkups.
Concerned with quality care provided to patients
Quality Management
French physicists Pierre and Marie Curie, in 1898, discovered that _____ provided a powerful weapon against cancer.
Radium
reciprocity
Recognition of credentials by other entities.
locked
Records that are in litigation or behavioral health records are usually _________.
Which of the following certifications is administered by CCHIIM?
Registered Health Information Technician
The abbreviation RMT means ___________________________________.
Registered Medical Transcriptionist
Center for Disease Control (CDC) is a:
Regulatory Agency
Centers for Medicare and Medicaid Services (CMS) is a:
Regulatory Agency
A physician who has completed an internship and is engaged in a program of training designed to increase his or her knowledge of the clinical disciplines to prepare for a practice of specialty is called a(n)
Resident
True
Respite care offers relief and rest to primary caregivers of patients.
utilization manager
Responsible for coordinating patient care to ensure appropriate utilization of resources, delivery of health care services, and timely discharge or transfer.
utilization manager
Responsible for coordinating patient care to ensure the appropriate utilization of resources, delivery of health care services, and timely discharge or transfer. Also called case manager.
case manager
Responsible for coordinating patient care to ensure the appropriate utilization of resources, delivery of health care services, and timely discharge or transfer. Also called utilization manager.
risk manager
Responsible for gathering information and recommending settlements concerning professional and general liability incidents, claim, and lawsuits.
medical staff coordinators
Responsible for managing medical staff office and complying with medical staff bylaws and accreditation and regulatory agencies.
medical staff coordinator
Responsible for managing the medical staff office functions and assisting with physician credentialing process.
health insurance specialists
Reviews health related claims to determine whether the costs are reasonable and medically necessary based on patient's diagnosis.
health insurance specialist
Reviews health-related claims to determine whether the costs are reasonable and medically necessary, based on the patients diagnosis. Also called claims examiner.
claims manager
Reviews health-related claims to determine whether the costs are reasonable and medically necessary, based on the patients diagnosis. Also called health insurance specialist.
A Persian-born physician documented the first accurate descriptions of measles and smallpox (864-930 AD).
Rhazes
A hospital committee that is responsible for analyzing trends of accidents and establishing priorities for dealing with high-risk areas is:
Risk Management
True
Sally Slip fell and broke her arm; her fracture would most likely be treated by an orthopedic specialist.
secondary care
Services provided by a medical specialist or hospital staff members to a patient whose primary care was provided first by a general practitioner.
tertiary care
Services provided by a specialized hospital equipped with diagnostic and treatment facilities not generally available at hospitals.
primary care
Services that include preventive and acute care; the point of first contact.
primary care
Services typically provided by a general practitioner or other health professional who has first contact with a patient seeking treatment.
JCAHO
Since 1951, the organization that has developed professionally-based standards to evaluate the compliance of health care organizations is the
He was a bacteriologist who discovered the germ-killing power of a mold called Penicillium
Sir Alexander Fleming
consultant
Specialize in coding, long-term care, information security, ambulatory care providing assistance, advice, and information to various organizations.
False
Specialty hospitals concentrate on many types of patients and have the highest level of medical specialists on staff.
Lister
Starting using disinfectant to sterilize surgical wounds and invented aseptic surgery
licensure
State laws require a health care facility to obtain this before providing services to patients.
False
Student professional practice experiences are usually paid and benefit both the student and the facility.
Tax Equity and Fiscal Responsibility Act
TEFRA stands for _______.
A hospital that is affiliated with a medical school is called a
Teaching Hospital
component state organizations
The AHIMA House of Delegates are composed of delegates from _____.
False
The American Academy of Professional Coders (AAPC) offers the RHIT and Registered Health Information Administrator (RHIA) certification examinations.
CMA, RMA
The American Association of Medical Assistants credentials medical assistants as _____ and The American Medical Technologists credentials medical assistants as _______.
1847
The American Medical Association was founded in this year.
much faster than average
The Bureau of Labor Statistics states that employment for the health information management profession is expected to grow ______ for all occupations.
procedures and services
The CPT coding book is published annually to assign what type of codes.
ACMCS
The CSP certification is offered by:
1946
The Centers for Disease Control was established in this year
Health Care Financing Administration
The Centers for Medicare & Medicaid Services used to be called the ___________.
False
The Food and Drug Administration provides a system of health surveillance to monitor and prevent the outbreak of diseases.
False
The Health Care Financing Administration was created to replace the Centers for Medicare and Medicaid Services.
CMS
The Joint Commission and _____ work together to standardize common measures which are called the National Hospital Quality Measures.
ACS
The _______ developed the minimum standard for hospitals.
False
The abbreviation ACMCS means the American College of Medical Coding Supervisors.
professional coding specialist
The abbreviation PCS means:
incomplete record processing
The assemby and analysis of discharged patient records.
Code of Federal Regulations
The codification of the general and permanent rules published in the Federal Register.
art, science, betterment, public health
The current purpose of the AMA is to promote the _____ and _____ of medicine and the ______ of ______.
True
The drug utilization review committee is responsible for maintaining the hospital formulary.
University of Pennsylvania
The first medical school was founded at ____________.
True
The focus of health care consumers is on primary and preventative care.
True
The goal of hospice is palliative rather than curative.
modern
The implementation of standards for sanitation, ventilation, hygiene, and nutrition occurred during ______ medicine.
Medical Association of Billers
The insurance claims organization that offers certification as a Certified Medical Billing Specialist is the _____.
governing board
The medical staff is approved by the ___________.
clinical departments, medical specialty, chairperson, medical staff committees, hospital committees
The medical staff is organized into ________ by _________, with a _________ appointed to each department, and members to serve on ____________ and ___________.
professionals from the community
The membership of the governing board is represented by _________.
standard, medical education
The original purpose of the AMA was to elevate the ______ of _______.
True
The preparation of a final meeting agenda is the joint responsibility of the committee chairperson and secretary.
voluntary accreditation
The primary purpose of the Joint Commission is to provide ________.
American College of Medical Coding Specialists.
The professional association that sponsors the Coding Specialist for Payors certification is called the
abstracting
The purpose of ______ is to generate statistical reports, and disease/procedure indexes which are used for administrative decision-making and quality-management purposes.
True
The purpose of contracting out health information services is to improve quality and contain costs.
bylaws
The rules and regulations of the health care organization as guided by federal and state regulations and accreditation standards.
True
The utilization review process was strengthened through formation of Professional Standards Review Organizations (PSROs) to monitor the appropriateness, quality, and outcome of services provided to beneficiaries of Medicare, Medicaid, and Maternal and Child Health programs.
accreditation
The voluntary process that a health care facility or organization undergoes to demonstrate it has met standards beyond those required by law.
bylaws
These are created and voted on by the medical staff; they delineate medical staff responsibilities.
cancer registrars
These individuals coordinate the national survey process through the ACS commission on cancer and arrange monthly or bi-monthly cancer committee meetings.
HIM administrators
These individuals develop, monitor, and improve HIM systems, ensure continuous quality operation, participate in committees, and establish department policies and procedures.
health service managers
These individuals plan, direct, coordinate, and supervise the delivery of health care.
cancer registrars
These individuals use computerized registry software to conduct lifetime follow-up on cancer patients, electronically transmit data to state and national agencies, and generate reports and information for requesting entities.
quality improvement organziations
These organizations, established in 2002, perform quality control and utilization review of health care furnished to Medicare beneficiaries.
Tax Equity and Fiscal Responsibility Act of 1982
This act established the first Medicare prospective payment system which was implemented in 1983. It allowed the implementation of Diagnosis Related Groups.
credentials
This committee consists of medical staff who review and verfy medical staff applications.
american college of surgeons
This group accredits cancer registry programs.
National Program of Cancer Registries
This group authorizes the CDC to provide funds to states and territories to improve existing cancer registries and develop new registries and regulations.
governing board
This group grants medical staff clinical privileges.
hospital administration
This group is responsible for developing a strategic plan for supporting the mission and goals of the organization.
governing board
This group is responsible for hospital organization, management, control and operations, and for appointing medical staff.
governing board
This group is responsible for the overall health of the organization.
medical staff credentials committee
This group reviews and verifies medical staff applications and submits recommendations to the executive committee.
executive committee
This group reviews medical staff applications and recommendations, votes, and makes recommendations to Medical Staff.
incomplete record processing
This included the assembly and analysis of discharged patient records for deficiencies.
Joint Commission on Accreditation of Hospitals
This independent, non-profit organization was created in 1951 to provide voluntary accreditation
American College of Surgeons
This organization was founded in 1913 to improve the quality of care for surgical patients by establishing standards for surgical education and practice.
medical office manager
This person coordinates communication, contract, data, financial, human resource, health information, insurance, marketing, and risk management operations of a provider's office.
CEO
This person oversees, the CFO, CIO, and COO.
CFO
This person reports to CEO and is responsible accounting, billing, and payroll
COO
This person reports to CEO and is responsible for ancillary services.
CIO
This person reports to the CEO and is responsible for information resource management.
Surgical management of diseases with the chest
Thoracic Surgery
AAPC, ACMCS, AHIMA
Three professional associations affiliated with coding and reimbursement.
Reviews preoperative and pathologic diagnose to determine the necessity of surgery
Tissue Review
AHA
To advance the health of individuals and communities, hospitals and health care networks are represented by the
medical transcriptionist
Transcribe prerecorded dictation, creating medical reports, correspondence, and other administrative material.
medical transcriptionist
Transcribes prerecorded dictation, creating medical reports, correspondence, and other administrative documents. uses a special headset to listen to dictation and a foot pedal to pause dictation while keying text into a personal computer.
Skull fossils suggest ____________, which involved using a stone instrument to cut a hole in the patient's skull, was performed to release evil spirits.
Trephining
True or false: A cane or a walker is an example of durable medical equipment.
True
True or false: A health information manager has a wider range of skills than a certified coder.
True
True or false: Administrative simplification regulations that govern privacy, security, and electronic transactions standards for health care information were mandated by the Health Insurance Portability and Accountability Act.
True
True or false: Coding and reimbursement specialists can obtain employment in a variety of health care settings.
True
True or false: Demographic data is documented on the face sheet of a manual patient record.
True
True or false: Diagnosis-related groups required hospitals to be reimbursed a per diem amount.
True
True or false: Hippocrates was the first physician to consider medicine a science and art separate from the practice of religion.
True
True or false: Hospital-originated infections are also known as nosocomial infections.
True
True or false: In 1918, just 89 of 692 hospitals surveyed as part of the Hospital Standardization Program met requirements of the Minimum Standard for Hospitals.
True
True or false: Medical assistants examine, diagnose, and treat patients under the direct supervision of a physician.
True
True or false: Primary care services include patient immunizations and education.
True
True or false: Registered health information technician job titles include data quality manager, information security officer, educator, and consultant.
True
True or false: Sally Slip fell and broke her arm. Her fracture would most likely be treated by an orthopedic specialist.
True
True or false: Secondary care services include a patient being seen by a specialist because of angina.
True
True or false: Stabilization services are provided by a tertiary care facility to ensure that no material deterioration of a patient's medical condition occurs during the transfer to another facility.
True
True or false: Tertiary care centers include services such as neurosurgery, radiation oncology, and pediatric surgery.
True
True or false: The Centers for Medicare & Medicaid Services (CMS) was previously known as the Health Care Financing Administration.
True
True or false: The utilization review process was strengthened through formation of professional standards review organizations (PSROs) to monitor the appropriateness, quality, and outcome of services provided to beneficiaries of Medicare, Medicaid, and Maternal and Child Health programs.
True
AAPC, AHIMA
Two professional associations that offer certification in coding are:
government, voluntary
Two types of not-for-profit hospitals are _________.
CCS
Type of coding certification that is most useful for inpatient coding.
CCS-P, CPC
Types of coding certifications that are more useful for physician's offices.
True or false: Abstracted patient information is used to generate diagnosis and procedure indexes.
Unknown
ICD-9-CM
Used to collect information about diseases and injuries and to classify diagnosis and procedures.
Someone who is responsible for working with case managers of insurance companies to determine the appropriateness of admissions is employed in which hospital department?
Utilization management
60
Voluntary hospitals make up _____ percent of all health care facilities.
date, place, time of meeting; members present; members absent; guests present; items discussed; actions taken; adjournment time; date, place, time of next meeting; secretary's name and signature
What 9 things should be in the meeting minutes?
peer review organizations
What group replaced PSROs in 1982?
governing board; administration; medical staff; departments, services, and committees; contracted services
What is the top-down organizational structure for a health care facility?
National Cancer Registrars Association
What organization administers the CTR exam?
The Joint Commission
What organization was established in 1951 to develop professionally based standards to evaluate compliance of health care organizations?
unemployment insurance, old age assistance, dependent children, medical care
When it was originally established, social security included: _______, _______, aid to ______, and grants to states to provide ______.
Social security
When it was originally established, what act included unemployment insurance, old-age assistance, aid to dependent children, and grants to states to provide various forms of medical care?
executive committee
Which acts on reports and recommendations from medical staff committees?
imaging center
Which is a freestanding facility that provides radiographic services such as MRI and PET?
tissue review
Which medical staff committee is responsible for the review of preoperative and pathologic diagnosis to determine the necessity of surgery?
active
Which medical staff membership category includes physicians who deliver most of the hospital's inpatient medical services?
AHDI
Which organization offers the Certified Medical Transcriptionist credential?
ACHCA
Which organization offers the Certified Nursing Home Administrator credential?
American College of Surgeons
Which organization was founded to improve the quality of care for surgical patients by establishing standards for surgical education and practice?
hippocrates
Which physician was the first to consider medicine a science?
nursing home administrator
Which professional is required to pass a licensing exam in all states and DC?
CMA credentialing is obtained through the American Association of Medical Assistants (AAMA).
Which statement regarding the credentialing of a medical assistant is true?
AMA
Who publishes the CPT coding book?
He was the first to discover X-Rays
Wilhelm Roentgen
Imhotep
World's first known physician
Health care information can be released only with patient's ________ or by a _______.
Written Authorization, Court Order
1913
Year American College of Surgeons was founded.
1897
Year American Osteopathic Association was founded.
1935
Year Congress passed the Social Security Act.
1981
Year HIV and AIDS were identified
1965
Year Medicare and Medicaid was established
1951
Year the Joint Commission was established.
1955
Year the Salk polio vaccine was licensed
1765
Year the first medical school was founded
Voluntary compliance with standards is known as ____________________.
accreditation
Long and Morton discovered that ether gas could be used during surgery as a(n) ____________________ to put patients to sleep.
anesthetic
Medicare will reimburse subacute care facilities if the care provided is ____________________ and medically necessary.
appropriate
A student can be terminated from the professional practice site, receive a failing grade for the professional practice course, and even be suspended and/or receive expulsion from an academic program because of ___________________________________.
breach of patient confidentiality
Pam Paper reviews inpatient admissions to assess patients who may require posthospital services on discharge. She works for the:
case management
Paul Ehrlich destroyed microbes responsible for particular diseases by using ____________________.
chemotheraphy
A health insurance specialist reviews health-related claims to determine whether the costs are reasonable and medically necessary given the patient's diagnosis. This position is also called a ____________________.
claims manager
Each professional association has a(n)_________, which are judgments about what is right or wrong.
code of ethics
The assignment of numbers to diagnoses, services, and procedures based on patient record documentation is known as _______.
coding
A coding and reimbursement specialist (or ______ ) acquires a working knowledge of CPT (Current Procedural Terminology) and ICD-10-CM and PCS (International Classification of Diseases, Tenth Revision, Clinical Modification and Procedural Coding System) coding principles, governmental regulations, and third-party payer (e.g., insurance company) requirements to ensure that all diagnoses (conditions), services (e.g., office visit), and procedures (e.g., surgery, x-ray) documented in patient records are coded accurately for reimbursement, research, and statistical purposes.
coding specialist
Medical assistants routinely perform which task?
completing insurance claims
Inmates are provided with a secure housing environment that also offers vocational and educational advancement in federal, state, and local ____ .
correctional facilities
Numbers, letters, images, and symbols that are not interpreted or processed are classified as ____________________.
data
An intensive treatment program, known as a ____ , is provided to patients who live in the community but come to the facility up to five days per week.
day treatment program
A universal chart is created when inpatient and ____________________ patient records are organized in the same order.
discharged
Optical disk imaging is also known as ____________________.
document imaging
AHIMA recommends that anyone who documents inpatient records be trained and follow the organization's standards and policies for ____________________.
documentation
Health care is provided in ______________________________ to economically disadvantaged patients; treatment is family centered
duplicate
The term ____________________ is used currently by the Institute of Medicine (IOM) and HL7 to describe the development of standards that relate to the exchange of clinical health information.
electronic health record
The term ____________________ was used in the late 1990s to describe systems that were based on imaging and merging data from stand-alone systems.
electronic medical record (EMR)
Each professional association has a(n)_________, which are judgments about what is right or wrong.
ethnics
The abbreviation q.h. means:
every hour
True or false: A coding and reimbursement specialist collects cancer data from a variety of sources and reports cancer statistics to government and health care agencies.
false
True or false: A medical office manager usually earns a bachelor's degree from a technical college.
false
True or false: AHIMA's coding credentials include the CPC-P.
false
True or false: Diagnosis-related groups required hospitals to be reimbursed a per diem amount.
false
True or false: Student professional practice experiences are usually paid and benefit both the student and the facility.
false
True or false: The American Association of Professional Coders offers the Certified Professional Coder Certification and the Certified Coding Associate Certification.
false
True or false: The American Health Information Management Association (AHIMA) and the Centers for Disease Control and Prevention (CDC) offer certification in coding.
false
True or false: The responsibility for gathering information concerning general liability incidents belongs to the utilization manager.
false
The federal Bureau of Prisons (BOP) provides necessary medical, dental, and mental health services to inmates by a professional staff and consistent with acceptable community standards. BOP institutions provide inmate ambulatory care, and ____ provide major medical care.
federal medical centers
A ____________________ is a collection of related records.
file
A hospital that is privately owned and distributes excess income to shareholders and owners is______.
for-profit
Louis Pasteur and Robert Koch established the microbial, or ____________________, theory of disease.
germ
Public hospitals represent about 25 percent of all health care facilities in the United States and are also known as_____.
government-supported hospitals (or public hospitals)
According to the AHIMA, ___________ are considered experts in managing patient health information and medical records, administering computer information systems, and coding diagnoses and procedures for health care services provided to patients.
health information managers
A ________ (or claims examiner) reviews health-related claims to determine whether the costs are reasonable and medically necessary, based on the patient's diagnosis.
health insurance specialist
Suzy Supervisor is working to transition the HIM department from a paper patient record system to an electronic record system. Currently each patient's record has a paper history and physical, operative report, and discharge summary, while the progress notes and medication administration records are maintained in an electronic system. This is known as a(n):
hybrid record
The assembly and analysis of discharged patient records is called:
incomplete record processing
The primary function of hospitals is to provide _________________________, nursing, and other health-related services to patients for surgical and _________________________ conditions.
inpatient care, non-surgical
Medical transcriptionists have unique skills that enable them to:
key board prerecorded medical dictation
A ________________ patient record contains records from different episodes of care, providers, and facilities that are linked to form a view, over time, of a patient's health care encounters.
longitudinal
A insurance claims organization that offers certification as a Certified Medical Billing Specialist is the _________.
medical association of billers
A medical office manager (or _________ ) coordinates the communication, contract, data, financial, human resource, health information, insurance, marketing, and risk management operations of a provider's office.
medical office administrator
Which joint state and federal program(s) assist(s) with medical costs for those with low incomes and limited resources?
medicare
Health care for active members of the uniformed services (and their dependents) as provided by military treatment facilities and networks of civilian health care professionals is administered by the ____ .
military health systems (MHS)
The Bureau of Labor Statistics states that employment for the health information management profession is expected to grow _______ for all occupations through 2022
much faster
Hospitals are categorized as single or _____ systems.
multi
Health care is provided in ______________________________ to economically disadvantaged patients; treatment is family centered.
neighborhood health centers
Which professional is required to pass a licensing examination in all states and the District of Columbia?
nursing home administrators
During the professional practice experience, students receive ____________________ experience prior to graduation.
on-the-job
All states and the District of Columbia require nursing home administrators to have a bachelor's degree, complete a state-approved training program, pursue continuing education, and ___________________________________.
pass a licensing exam
The Joint Commission's approach to accreditation is ______________ and data driven.
patient-centered
The Peer Review Improvement Act of 1982 replaced professional standard review organizations with ____________________, which review statewide utilization of services and quality of care provided to Medicare and Medicaid patients.
peer review organizations
Medical assistants perform routine administrative and clinical tasks to keep the offices and clinics of ____________________, podiatrists, chiropractors, and optometrists running smoothly.
physicians
The content of a legal medical record must be defined in facility ____________________ and standards for maintaining the security and integrity of the information.
policy
ICD-10-PCS is the abbreviation for International Classification of Diseases, Tenth Revision, ____________________.
procedural coding system
The ________ (also called an externship or internship) benefits both the student and the facility that accepts the student for placement.
professional practice experience (PPE)
A digital signature uses ______________________________ to attach an alphanumeric code to a document to represent the person signing the document.
public key cryptography
A nursing home administrator places the following advertisement in a local newspaper: "Seeking a health care professional who has the ability to coordinate a program to ensure superior patient care, monitor and improve patient outcomes, monitor facility compliance with accreditation and regulatory standards, and coordinate preparation for surveys." The job title for this professional would be:
quality manager
Transcriptionists working in specialized areas are more likely to encounter speech recognition technology in the areas of:
radiology and pathology
A ____________________ is an electronic network of patient medical information gathered from multiple health care organizations in a geographical region.
regional health information organization (RHIO)
An interpretation of a law as written by an administrative agency is called a(n) ____________________.
regulation
A referred outpatient receives diagnostic or therapeutic services in an outpatient department. The follow-up care for these services is done at the ______________________________.
rehabilitation facility
A physician who has completed an internship and is engaged in a program of training designed to increase his or her knowledge of the clinical disciplines to prepare for a practice of specialty is called a(n)____.
resident
RCF stands for:
residential care facility
The physicians at Sunny Valley Hospital have requested that all progress notes be organized with the most current progress note filed first, a type of filing order known as:
reverse chronological date order
The ____________________ department is the recipient of all incident reports.
risk management
A physician practice in which the physician does not have a partner or employment affiliations with other practice organizations is a ______________________________.
solo physician practice
Which medical staff committee is responsible for the review of preoperative and pathologic diagnosis to determine the necessity of surgery?
tissue review
The abbreviation TPN is defined as:
total parenteral nutrition
True or false: A case manager is responsible for coordinating patient care to ensure timely discharge or transfer of patients.
true
True or false: A claims examiner reviews health-related claims to determine whether the costs are reasonable and medically necessary.
true
True or false: A coding and reimbursement specialists must have working knowledge of CPT and ICD-9-CM/ICD-10-CM coding systems.
true
True or false: A health insurance specialist reviews health-related claims to determine whether the costs for health care services are reasonable, and to determine medical necessity.
true
True or false: A listserv is an Internet-based or email discussion that covers a variety of topics and issues
true
True or false: A privacy officer oversees activities that relate to the development, implementation, maintenance of, and adherence to the organization's policies and procedures covering privacy of and access to patient health information.
true
True or false: Breach of patient confidentiality can result in termination from a professional practice site.
true
True or false: Inpatient coders usually obtain CCS certification, while physician office coders choose CCS-P and/or CPC certification
true
True or false: Many medical transcriptionists work at home using the Internet.
true
True or false: Medical assistants perform routine administrative and clinical tasks such as answering telephones and scheduling appointments.
true
True or false: Privacy officers assure that an organization's policies and procedures covering covering privacy of and access of patient health information are in compliance with federal and state laws.
true
True or false: Registered health information technician job titles include data quality manager, information security officer, educator, and consultant.
true
True or false: Sam is a health information management student who wishes to learn more about AHIMA . To best accomplish this, he can join AHIMA at a reduced student rate.
true
True or false: When taking minutes, the committee secretary should record only the final decisions made by the committee.
true
Cancer registrars (or _____ ) collect cancer data from a variety of sources and report cancer statistics to government and health care agencies (e.g., state cancer registries).
tumor registrars
Many facilities have ____________________ quality reviews of scanned documents.
two
AHIMA requires RHITs and RHIAs to submit proof of continuing education every:
two years
Which filing order saves time in processing discharged records?
universal chart order
Suzy Staff's job responsibilities include coordinating patient care to ensure that patients receive timely discharge or transfer. Her job title is:
utilization manager
American Osteopathic Association
AOA stands for _________.
AAAHC stands for:
Accreditation Association for Ambulatory Health Care
Accreditation Association for Ambulatory Health Care (AAAHC) is a:
Accrediting Agency
American Osteopathic Association (AOA) is a:
Accrediting Agency
Commission on Accreditation of Rehabilitation Facilities (CARF) is a:
Accrediting Agency
coding specialist
Acquires a working knowledge of CPT and ICD-9-CM coding principles, governmental regulations, and third-party payer requirements to ensure that all diagnoses, services, and procedures documented in patient records are coded accurately for reimbursement, research, and statistical purposes. Also called coding and reimbursement specialist.
coding and reimbursement specialist
Acquires a working knowledge of CPT and ICD-9-CM coding principles, governmental regulations, and third-party payer requirements to ensure that all diagnoses, services, and procedures documented in patient records are coded accurately for reimbursement, research, and statistical purposes. Also called coding specialist.
Hippocratic Oath
Adopted as an expression of early medical ethics
quaternary care
Advanced services provided by tertiary care centers that are highly specialized and not widely used.
universal chart order
All records are organized in the same order as when the patient was on the nursing floor.
Emergency Medical Treatment and Labor Act
Also known as the antidumping statute
True
Ambulatory patient is another name for outpatient.
Two professional associations that offer certification in coding are:
American Academy of Professional Coders (AAPC) and American Health Information Management Association (AHIMA)
government supported
A VA hospital is an example of a __________ facility.
True
A coding and reimbursement specialists needs to have a working knowledge of CPT and ICD-9-CM coding systems.
continuum of care
A complete range of programs and services
privacy officer.
A health care professional who oversees the development, implementation, maintenance of, and adherence to the organization's policies that cover the safeguarding of patient health information is called a
True
A health insurance specialist reviews health-related claims to determine whether the costs for health care services are reasonable, and to determine medical necessity.
risk management
A hospital committee that is responsible for analyzing trends of accidents and establishing priorities for dealing with high-risk areas is ___.
general
A hospital that provides emergency care, performs surgery, and admits patients for a range of problems is a ____ hospital.
acute care
A hospital that provides health care services to patients who have serious, sudden, or acute illnesses or injuries or need surgeries is a(n) ____ facility.
medicaid
A joint federal and state program that helps with medical costs for people with low incomes and limited resources.
agenda
A listing of all items of business to be discussed
utilization management
A person from this department works with case managers of insurance companies to determine the appropriateness of admissions.
resident
A physician who has completed an internship and is engaged in a program of training designed to increase his or her knowledge of the clinical discipline.
True
A privacy officer oversees activities that relate to the development, implementation, maintenance of, and adherence to the organization's policies and procedures covering the privacy and access to patient health information.
False
A short-term hospital has an average length of stay of 10 to 15 days.
case manager
A utilization manager is also known as a:
American Association of Medical Assistants
AAMA
The three professional associations that offer coding credentials are AHIMA, ____________________, and ACMCS.
AAPC
Two professional associations that offer certification in coding are
AAPC and AHIMA
american academy of professional coders
AAPC stands for ________.
American College of Health Care Administrators
ACHCA
The CSP certification is offered by:
ACMCS
american college of medical coding specialists
ACMCS stands for _______.
American College of Surgeons
ACS stands for _________.
American hospital association
AHA
To advance the health of individuals and communities, hospitals and health care networks are represented by the____.
AHA
Association for Healthcare Documentation Integrity
AHDI
two years.
AHIMA requires RHITs and RHIAs to submit proof of continuing education every:
american health information management association
AHIMA stands for _________.
False
AHIMA's coding credentials includes the CPC-P.
American Medical Association
AMA stands for __________.
American Medical Billing Association
AMBA
American Medical Technologists
AMT
The professional association that sponsors the Coding Specialist for Payors certification is the:
American College of Medical Coding Specialists
The hospital standardization movement was inaugurated by the:
American College of Surgeons (ACS)
AOA stands for:
American Osteopathic Association
Intern
An individual in their first year of graduate medical education.
regulation
An interpretation of a law that is written by the responsible regulatory agency.
True
Ancillary services are diagnostic and therapeutic services provided to inpatients and outpatients.
First to use a microscope to examine microbes
Anton van Leeuwenhoek
electronic health record
Automated, accessible record containing multimedia data.
An Arab physician produced the "Canon of Medicine", which summarized medical knowledge of the time and accurately described meningitis, tetanus, and many other diseases.
Avicenna
Pennsylvania Hospital
Benjamin Franklin founded this first United States hospital in 1751
Health care consumers are _____ educated and demand higher _____ health care.
Better, Quality
The organization that accredits HIM education programs is:
CAHIIM
certified coding associate
CCA
certified coding specialist
CCS
AHIMA
CCS, CCA, CCS-P are offered by ______.
certified coding specialist - physician based
CCS-P
Centers for Disease Control
CDC stands for __________.
The American Association of Medical Assistants credentials medical assistants as ________, and the American Medical Technologists credentials medical assistants as _______.
CMA, RMA
Centers for Medicare & Medicaid Services
CMS stands for _______.
Certified Medical Transcriptionist
CMT
Consolidated Omnibus Budget Reconciliation Act
COBRA stands for ________.
Certified Professional Coder
CPC
AAPC
CPC certifications are offered by ______.
certified professional coder - apprentice
CPC-A
certified professional coder - hospital
CPC-H
certified professional coder - hospital - apprentice
CPC-H-A
certified professional coder - payer
CPC-P
AMA
CPT is put out by the _________.
current procedural terminology
CPT stands for _________.
annual continuing education, continuing education hours, two
CTRs, RHITs, RHIAs must pay an __________ fee, and submit proof of _________ every ____ years.
A health care professional who has the primary responsibility of ensuring the timely, accurate, and complete collection and maintenance of cancer data is known as a(n)
Cancer Registrars
certified tumor registrar
Cancer registrar credential.
data, sources, cancer statistics, government, health care
Cancer registrars collect _______ from a variety of ______ and report _________ to ________ and ______ agencies.
cancer program development support, compliance, reporting standards, resource
Cancer registrars work closely with health care agencies to provide ______, ensure ________ with ________, and serve as a valuable _______ for cancer information.
Our college has applied to become accredited by CAHIIM. Which of the following is the name of the interim stage of accreditation?
Candidacy
CMS stands for:
Centers for Medicare & Medicaid Services
The Medicare, Medicaid, and Children's Health Insurance Program (CHIP) programs are administered by the ____ .
Centers for Medicare & Medicaid Services
The Health Care Financing Administration, now known as ____________________, was created to manage the Medicare and Medicaid programs.
Centers for medicare and medicaid services
Shared Visions - New Pathways Initiative
Changed the scoring and accreditation process, focusing on whether organizations are making improvements system-wide.
The HIM profession is changing due to:
Changes in technology
A ______ is responsible for the overall technological direction of an organization and is increasingly becoming part of the executive team.
Chief Information Officer (CIO)
In health care, a _________ leads the development, management, and sharing of knowledge within a health care organization for the purpose of improving patient care and its day-to-day operations.
Chief Knowledge Officer (CKO)
departments
Clinical laboratory, HIM, radiology, medical staff are examples of hospital ____________.
HCPCS Level II
Codes developed by CMS and used to classify report procedures and services.
The assignment of numbers to diagnoses, services, and procedures based on patient record documentation is known as _______.
Coding
Health information management services include which of the following?
Coding and abstracting
RHIA, RHIT, CCS
Coding is performed by _______, __________, or _______.
True
Coding is the assignment of numbers to diagnosis, services, and procedures, based on patient record documentation.
CPT
Coding method used only for ambulatory/outpatient procedures and services.
tumor registrar
Collects cancer data from a variety of sources and reports cancer statistics to government and health care agencies. Also called a cancer registrar.
cancer registrar
Collects cancer data from a variety of sources and reports cancer statistics to government and health care agencies. Also called a tumor registrar.
utilization management
Committee concerned with appropriate use of resources for providing patient care.
quality management
Committee concerned with the quality of care provided to patient.
risk management
Committee responsible for coordinating and monitoring activities, analyzing trends of incidents, and establishing priorities for dealing with potentially dangerous areas.
disaster control
Committee responsible for establishing a disaster plan.
health information
Committee responsible for ongoing review of patient records for timely completion and quality of documentation.
executive
Committee that acts on reports and recommendations from medical staff committees.
ethics
Committee that meets as needed in order to discuss ethical problems.
joint conference
Committee that serves as a liaison betwee governing body and administration.
CHAP stands for:
Community Health Accreditation Program
medicare
Comprehensive health care available to people 65 years of age or older, certain younger people with disabilities, and people with end-stage renal disease.
minutes
Concise, accurate records of actions taken and decisions made during the meeting.
health data analyst
Conducts research on data management and clinical trials management.
health information
Department responsible for allowing appropriate access to patient information in support of clinical practice, health services, and medical research while maintaining confidentiality of patient and provider data.
Diagnosis and treatment of skin disorders
Dermatology
National Patient Safety Goals
Developed by the JC, these help organizations focus on providing high quality patient care.
Periodic performance review
Developed by the joint commission, this is a continuous survey process that helps organizations meet the continuous demand for accountability and is used for self-evaluation.
False
Diagnosis related groups classify outpatient cases into groups that consume similar resources.
predetermined rate, discharge diagnosis
Diagnosis related groups required acute care hospitals to be reimbursed at a ______ according to ________.
chronological order
Discharged patient reports are filed in _____ within each section of the record.
Fleming
Discovered Penicillium
Curie
Discovered radium and provided a weapon for cancer
Domagk
Discovered the ability of sulfa drugs to cure infections
Roentgen
Discovered x-rays
advanced directives
Do Not Resusciate Order, Durable Power of Attorney for Health Care, Health Care Proxy, Living Will, and Organ/Tissue Donation are examples of _________.
primary
Dr. Jones examines Sally Sick in the office and completes a history and physical exam for the treatment of an upper respiratory infection. Dr. Jones writes a prescription for antibiotics and instructs her to return to his office in 10 to 14 days. This is classified as a(n) ____ care service.
Emergency Medical Treatment and Labor Act
EMTALA stands for ________.
electronic signature
Encompasses all technology options available used to authenticate a document.
Which of the following is the virtual network used by AHIMA members?
Engage
cancer registrars
Ensure the timely, accurate, and complete collection and maintenance of cancer data.
Coding and reimbursement specialist
Ensures that all diagnoses, services, and procedures documented in patient records are coded accurately for reimbursement, research, and statistical purposes.
professional standards review organziations
Established in 1972 by the Social Security Amendments, these peer review organizations monitor appropriateness, quality, and outcome of services provided to beneificiaries of Medicare, Medicaid, and Maternal and Child Health Programs.
Emergency Medical Treatment and Labor Act
Established in 1985, this act addressed the problem of hospitals' failure to screen, treat, or appropriately transfer patients by establishing criteria for the discharge and transfer of Medicare & Medicaid patients.
COBRA
Established in 1985, this allowed former employees, retirees, spouses, domestic partners, and eligible dependent children who lose coverage the right to temporary continuation of health coverage at group rates.
Patient Self-Determination Act
Established in 1990, this act required consumers to be provided with informed consent, information about their right to make advanced health care decisions (advanced directives), and information about state laws that impact their legal choices in health care decisions.
Health Insurance Portability and Accountability Act
Established in 1996, this act mandates administrative simplification regulations that govern privacy, security, and electronic transactions standards for health care information.
Medicare Prescription Drug Improvement and Modernization Act
Established in 2003, this act restructured medicare in order to provide recipients with prescription drug savings and additional health care plan choices.
Pasteur and Koch
Established the theory of disease
Meets to discuss ethical issues and problems
Ethics Committee
Acts on reports and recommendations from medical staff committees
Executive Committee
health information manager
Expert in managing patient health information and medical records, administering computer information system, and coding diagnoses and procedures for health care services provided to patients.
health information managers
Experts in managing patient health information and medical records, administering computer information systems, and coding diagnoses and procedures.
professional practice experience
Externship or internship.
True or false: Anton van Leeuwenhoek established the germ theory of disease.
False
True or false: Medicare, also known as Title 19, was established to provide comprehensive health care for people 65 years of age or older, certain younger people with disabilities, and people with End-Stage Renal Disease.
False
True or false: Once certified, a tumor registrar pays an annual fee to the NCRA and, therefore, does not have to participate in continuing education.
False
True or false: Osteopathic physicians founded the American Medical Association (AMA) in Philadelphia to elevate the standard of medical education in the United States.
False
True or false: Tertiary care services include a patient's annual history and physical.
False
True or false: The AMA developed the Minimum Standard for Hospitals to outline the protocol for on-site inspections of hospitals.
False
True or false: The American Academy of Professional Coders (AAPC) offers the RHIT and Registered Health Information Administrator (RHIA) certification examinations.
False
True or false: The American Medical Association was established in 1901 as a national organization of state and local associations.
False
True or false: The abbreviation FCS means family care specialist.
False
True or false: The continuum of care contains two levels.
False
True or false: The primary purpose of The Joint Commission is to provide voluntary accreditation.
False
True or false: Critical access hospitals provide emergency services and maintain no more than 30 inpatient beds.
False - Only 15 beds
True or false: The continuum of care contains two levels.
False - Three
Hippocrates
Father of medicine
hippocrates
First to consider medicine both a science and art, separate from practice of religion.
Leeuwenhoek
First to use a microscope to examine microbes
The American Hospital Association recommends that patient records be retained for:
Five years
A hospital that is privately owned and distributes excess income to shareholders and owners is
For profit
honorary
Former medical staff held in high regard and honored with emerti status
The primary focus of AHIMA is to:
Foster professional development of its members
Roman physician _________ excised tumors and infected bone, and resectioned ribs and sternums. Appointed physician to the gladiators of his hometown of Pergamum early in his career, he gained anatomical insight treating fractures and brutal wounds (129-200 AD).
Galen
risk manager
Gathers information and recommends settlements concerning professional and general liability incidents, claims, and lawsuits.
25
Government supported hospitals make up _______ percent of all health care facilities.
Public hospitals represent about 25 percent of all health care facilities in the United States and are also known as
Government-Supported Hospitals
True
Greek physician Hippocrates became the first to consider medicine a science.
hospital administration
Group that serves as a liaison between the medical staff and the governing board.
governing board
Group that serves without pay and is represented by professionals from the business community.
Health Care Financing Administration
HCFA stands for _______.
health care procedure coding system
HCPCS stands for __________
image processing
HIM department responsible for converting paper to electronic health records via digital media, scanned images, and voice recognition.
privacy, security, electronic transactions standards
HIPAA sets regulations for the _______, _______, and __________ for health care information.
Health Insurance Portability and Accountability Act
HIPAA stands for __________.
2001
Health Care Financing Administration changed their name to the Centers for Medicare & Medicaid services in what year?
The organization that provides health resources for medically underserved populations, works to build the health care workforce, maintains the National Health Service Corps, oversees the nation's organ transplantation system, works to decrease infant mortality and improve child health, and provides services to people with AIDS through the Ryan White CARE Act programs.
Health Resources and Services Administration (HRSA)
better, higher quality
Health care consumers are _____ educated and demand _______ health care.
written authorization, court order
Health care information can be released only with patient's _____ or by a ______.
RHIA, RHIT
Health information administrative functions are directed by __________ and _________.
patient health information, medical records, computer information systems, diagnoses, procedures
Health information managers are experts in managing _______ and _______, administering ________, coding _______ and _______ for health care services.
quality health care
Health information managers organize, analyze, and maintain patient data to ensure delivery of ________.
clinical departments, services, generalists, entire facility, system
Health service managers include specialists who direct _____ or _____ and _____ who manages an ______ or ______.
bachelor's degree, licensing exams, state-approved, continuing education
Health service managers who become nursing home administrators are required by all states and DC to have a _________, pass ________, complete a _______ program, and pursue _________.
Plan, direct, coordinate, and supervise the delivery of health care.
Health services managers
consulting
Highly qualified medical staff that provide expertise in an specific area
Greek physician ____________ (known as "The Father of Medicine") was the first physician to consider medicine a science and art separate from the practice of religion. (460-379 BC)
Hippocrates
An oath that was adopted as an expression of early medical ethics is known as the _____ .
Hippocratic Oath
committees
Hospital ______________ are multidisciplinary and comprised of representatives from various departments.
True
Hospital-originated infections are also known as nosocomial infections.
teaching
Hospitals affiliated with a medical school.
proprietary
Hospitals owned by corporations or private foundations.
government supported
Hospitals that are supported by local, regional, or federal taxes.
tertiary care
Hospitals that provide burn center treatment, neonatology, neurosurgery, and pediatric surgery provide ___________.
not-for-profit
Hospitals that reinvested extra income back into the facility.
Which of the following functions governs the HIM profession?
House of Delegates
He and his group of scientists isolated penicillium from the mold.
Howard Florey
International Claim Association
ICA
Health information managers are considered experts in managing patient information, administering computer information systems, and assigning ____________________ to patient diagnoses and procedures.
ICD-9-CM & CPT Codes
United States health care delivery has been impacted by which of the following?
Lack of quality and effective treatments
review minutes, old business, member reports, new business, other business, next meeting, adjournments
List the seven items on a standard agenda.
Proved that microbes are living organisms and that killing microbes stops the spread of disease
Louis Pasteur
Medical Association of Biller
MAB
Medicare Prescription Drug Improvement and Modernization Act
MMA stands for _________.
vendor salesperson
Manages a company's sales for a given territory, provides information about available consulting services, and demonstrates products to potential customers.
Discovered radium and provided a weapon for cancer
Marie Curie
What is a characteristic of a governing board?
Its membership is represented by professionals from the community
Serves as liaison between the governing body and administration
Joint Conference Committee
Started using disinfected to sterilize surgical wounds and invented aseptic surgery
Joseph Lister
ethics
Judgments about what is right and wrong.
Medical transcriptionists have unique skills that enable them to
Keyboard prerecorded medical dictation
What year was The Association of Hospital Superintendents founded in?
1898
The American College of Surgeons (ACS) was founded in this year
1913
HIM has been recognized as a profession since:
1928
The Medicare and Medicaid programs were enacted as part of the Social Security Amendments in
1965
The Consolidated Omnibus Budget Reconciliation Act (COBRA) allowed former employees, retirees, spouses, domestic partners, and eligible dependent children who lose coverage at group rates in what year?
1985
The Health Insurance Portability and Accountability Act (HIPAA) was passed in this year.
1996
The State Children's Health Insurance Program (SCHIP) (or Title XXI of the Balanced Budget Act) was established in
1997
What year was The American Medical Association (AMA) founded in?
1847
Voluntary hospitals are not-for-profit and represent about ______ percent of all health care facilities in the United States.
60
The Centers for Medicare & Medicaid Services (CMS0 was created in
2001
The employer identification number (EIN), assigned by the Internal Revenue Service (IRS), is adopted by DHHS as the National Employer Identification Standard for use in health care transactions in
2002
In this year, the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) was implemented. Also, the Medicare Contracting Reform (MCR) initiative was established to integrate the administration of Medicare Parts A and B fee-for-service benefits with new entities called Medicare Administrative Contractors (MACs).
2003
The Deficit Reduction Act created the Medicaid Integrity Program (MIP), which is a fraud and abuse detection program was created in this year. Also, the Patient Safety and Quality Improvement amended Title IX of the Public Health Service Act to provide for improved patient safety and reduced incidence of events adversely affecting patient safety.
2005
The Tax Relief and Health Care Act (TRHCA) authorized implementation of Physician Quality Reporting Initiative (PQRI), which established a financial incentive for eligible professionals who participate in voluntary quality reporting program in
2006
The American Recovery and Reinvestment Act authorized an expenditure of $1.5 billion for grants for construction, renovation and equipment, and the acquisition of health information technology systems in
2009
In this year, the Investing in Innovations (i2) Initiative is designed to spur innovations in health information technology (health IT) by promoting research and development to enhance competitiveness in the United States.
2011
The traditional model of HIM practice was:
Department based
medical staff
Consists of licensed physicians and other licensed providers as permitted by law who are granted clinical privileges.
A general term that can be applied to any number of individuals with a wide variety of educational backgrounds, knowledge, and skills. Health information management consultants specialize in coding, long-term care, information security, ambulatory care, and so on.
Consultant
quality manager
Coordinates a health care facility's quality immprovement program to ensure quality patient care, improve patient outcomes, confirm accreditation/regulatory compliance, and prepare for surveys.
quality manager
Coordinates health care facility's quality improvement program to ensure quality patient care, improve patient outcomes, confirm compliance, and prepare for surveys.
medical office manager
Coordinates the communication, contract, data, financial, human resource, heath information, insurance, marketing, and risk management operations of a provider's office. Also called medical office admistrator.
medical office administrator
Coordinates the communication, contract, data, financial, human resource, heath information, insurance, marketing, and risk management operations of a provider's office. Also called medical office manager.
The medical staff committee that reviews and verifies medical staff application data is the:
Credentials Committee
35
Critical access hospitals (CAHs) are located at a distance of ____ miles from any hospital or another CAH.
The Medicaid Integrity Program, a fraud and abuse detection program, was established by the:
Deficit Reduction Act of 2005
World's first known physician __________ lived about 2650 BC. Was also the world's first acknowledge architect. He may have authored the ancient manuscript containing more than 90 anatomical terms and 48 injuries, copied onto papyrus.
Imhotep
peer review organizations
Implemented in 1982, these organizations monitored utilization and quality control.
Which of the following is an advantage of an automated system?
Improves access to patient information Multiple users can access patient information simultaneously and remotely Eliminates paper record storage Improves readability of patient information Timely capture of data Views of patient record can be customized by users Updates of information can easily occur Retrieval of customized information
True
In 1918, just 89 hospitals of 692 surveyed as part of the Hospital Standardization Program met requirements of the Minimum Standard for Hospitals.
quality improvement organizations
In 2002, PROs were replaced with _____?
American Recovery and Reinvestment Act
In 2009, this act authorized an expenditure of $1.5 billion for grants for the acquisition of health information technology systems.
True
In a direct contract model HMO, individual physicians in the community deliver contracted health care services to subscribers.
monks and nuns
In the Middle Ages, the care of patients was based on charity and was often managed by _______.
record circulation
Includes the retrieval of patient records for the purpose of inpatient readmission, outpatient clinic visits, authorized quality management studies, and education and research.
The assembly and analysis of discharged patient records is called:
Incomplete Record Processing
professional practice experience supervisor
Individual to whom the student reports while completiing the professional practice experience at a health care facility.
The new model of HIM practice is:
Information focused
True
Inpatient coders usually obtain CCS certification while physician office coders choose CCS-P and/or CPC certification.
reverse chronological order
Inpatient reports are filed in _______ within each section of the record.
96
Inpatients admitted to critical access hospitals are restricted to stays of ____ hours.
ORYX initiative
Integrates outcomes and other performance measurement data into the accreditation process for quality improvement purposes.
False
Internal medicine physicians provide care for the entire family and focus on general medicine, obstetrics, pediatrics, and geriatrics.
listserv
Internet-based or email discussion forum that covers a variety of topics and issues.
Ehrlich
Introduced chemotherapy
coding
Involves assigning numeric and alphanumeric codes to diagnoses, procedures, and services.
medical transcription
Involves the accurate and timely transcription of dictated reports
Florey
Isolated penicillin from the mold.
standards
Measurements of a health care organization's level of performance in specific areas - more rigorous than regulations
19
Medicaid is title ____ of the Social Security Amendments of 1965.
The insurance claims organization that offers certification as a Certified Medical Billing Specialist is the _________.
Medical Association of Billers
Perform routine administrative and clinical tasks to keep the offices and clinics of physicians, podiatrists, chiropractors, and optometrists running smoothly.
Medical assistants
CMA, RMA
Medical assistants can be certified as ______ and/or _______.
active
Medical staff involved in the delivery of medical services and administrative functions.
associate
Medical staff under consideration for active status
courtesy
Medical staff who occasionally admits a patient to the hospital
Transcribe prerecorded dictation, creating medical reports (e.g., history, physical, discharge summary), correspondence, and other administrative material (e.g., committee minutes).
Medical transcriptionists
18
Medicare is title _____ of the Social Security Amendments of 1965.
The implementation of standards for sanitation, ventilation, hygiene, and nutrition occurred during ______ medicine.
Modern
In the Middle Ages, the care of patients was based on charity and was often managed by ______.
Monks and Nuns