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