HIM Final

Which of the following allows employees to control their work schedule within parameters established by management?

Flextime

Which of the following is a data collection tool that records current processes in logical steps?

Flow chart

The director of the HIM Department is developing a plan to convert their existing filing system to a terminal digit filing system. The tool that is most useful to the director in displaying the steps and completion schedule for each phase of the conversion in which of the following?

Gantt Chart

Internal promotion is best used to:

Motivate current employees to do a good job and learn new skills

The finance officer will calculate the _____ for the proposed imaging system to determine that cash flows for the project.

Net present value

Hospital-acquired conditions that are considered to be preventable, high cost and/or high volume, and resulting in additional costs.

Never Events

Which of the following is not a basic purpose of the employment interview?

None of the above: A. Giving information to applicants about the organization's mission and goals. B. Giving applicants the chance to evaluate the organization as a potential employer. C. Obtaining information about the applicants' personalities and attitudes.

The concept of ____ dictates that the historical value of a thing (when it was first purchased) is a better measure of value than its current value.

Objectivity

A fiscal year is a yearly accounting period. It is the 12-month period on which a budget is planned. The federal fiscal year is which of the following?

October 1 through September 30

The expense budget is also known as?

Operating Budget

______ services are a proactive approach to ensuring patient satisfaction with the process and outcomes of care episodes.

Patient Advocacy

______ is actions undertaken by individuals and organizations to protect health care recipients from being harmed by the effects of health care services.

Patient Safety Improvement

A _______ system financially rewards providers who achieve specific quality or patient safety goals.

Pay for Performance (P4P)

Modern management theory is based on which of the following ideas?

People accomplish more working collectively than they do working individually.

_____ ratios evaluate the effectiveness of resource use to deliver services and products.

Performance

______ involves a formal periodic review of performance measurement results.

Performance Assessment

______ is a generic term used to describe a particular value or characteristic designated to quantify input, output, outcome, efficiency, or effectiveness.

Performance Measure

The employee evaluation for coders specifies that coders are expected to code at least 28 inpatient charts per day. This is an example of a:

Performance Standard

Which of these functions is typically not a responsibility of human resource management?

Physician credentialing

The ______ cycle was developed in the 1920's and is a model of performance improvement that is applied through recurring improvement cycles.

Plan-Do-Check-Act (PDCA)

The ______ cycle is a revised version of the PDCA model.

Plan-Do-Study-Act (PDSA)

Which of the following is a written description establishing parameters for decision making and actions of an organization's formal position?

Policy

A ____ is a safety improvement project initiated in order to avoid an undesirable event.

Proactive Risk Assessment

Megan is the new director of HIM at Blue Ridge Rehabilitation Associates, a large multispecialty clinic. Her initial assessment of the department's functioning is that there is considerable duplication of effort. To collect information on the systems used in the current functions and to analyze and improve the process, she should use which of the following?

Process flow chart

The acronym PERT stands for which of the following?

Program Evaluation Review Technique

Which of the following is an example of a fixed cost?

Property Insurance

Which of the following reimbursement methods pays providers according to charges that are calculated before inpatient healthcare services are rendered?

Prospective Payment

The ______ is a reimbursement program in which the amount of payment is determined before care is given.

Prospective Payment System

Effective diversity management:

Provides a culture in which employees and clients accept and value individual differences.

______ is based on the PDCA model but is an accelerated method.

Rapid Cycle Improvement (RCI)

The concept of the revenue cycle originated out of the healthcare facility's need to structure services to meet the challenging and changing demands for:

Reimbursement from third-party payers, compliance, and demands for greater efficiencies to enhance revenue.

Which of the following is not an objective to simplifying a work process?

Restore

Even if one does not get paid immediately, providing services will generate _______.

Revenue

For a health care organization, a ____ is any event or situation that could result in an injury to an individual or in financial loss to the organization.

Risk

____ ____ encompasses all policies, procedures, and practices directed at reducing risk and subsequent liability for injuries that occur in the organization's immediate environment.

Risk Management

Disciplinary action:

Should be documented at each step

Which type of budget predicts volume based on assessing data from historical trends?

Statistical

The formalized road map that describes how your institution executes the chosen strategy defines?

Strategic Plan

Conducting an environmental assessment if part of:

Strategic planning

Which of the following activities is not considered a traditional function of management?

Systems thinking

Ultimate responsibility for the operation of healthcare organizations lies with:

The board of directors

In preparing a capital budget request, the first priority will be to document which of the following?

The need for the new equipment

The task of strategic planning in an organization would most likely be completed by?

Top Management

Which of the following is a common registration error that will affect the revenue cycle?

Transposed digits in the social security number, DOB, or policy #

Delegation of authority is important because it expands the manager's ability and provides decision-making opportunities for employees.

True

Project management is a skill set that emphasizes planning and implementing a specific objective.

True

The goal of a project plan is to direct and guide the project manager and team members through the project.

True

The monthly fee for leasing the van in the health information imaging service is considered a fixed cost.

True

To analyze what has actually been expended compared with that which was budgeted can be determined from the ____ report:

Variance

Which of the following is an idealistic portrayal of what the organization would like to be in the future?

Vision statement

Which of the following are potential outcomes of a job analysis?

All of the above: A. Eliminating obsolete or irrelevant job requirements. B. Providing data useful for fair compensation management. C. Identifying key employee selection criteria.

The primary advantage of using a decision matrix in the decision process is:

All relevant information can be displayed and viewed at the same time.

Accounts receivable (AR) refers to charges for patient services that are:

Already billed to insurance companies and are awaiting payment.

The health information management director of Lakeview Hospital is gathering data to help in the preparation of departmental productivity standards. She finds that there are three hospitals of approximately the same size and service model that have achieved a 3- to 4 - day turnaround from patient discharge to billing the payer. She has contacted these facilities to learn more about how the organization's are achieving this standard. The activity described is called?

Benchmarking

_______ is the act of comparing one's performance to that of high-quality performers.

Benchmarking

Which is the most important part of an operational plan?

Budget

Which is a formal written document that evolves from the input of others, listing objectives that support the organizational goals and provides a programmatic outline that may span a fiscal year or a longer time frame?

Business Plan

Which of the following would a health record technician use to perform the billing functions for a physician's office?

CMS 1500

The codes used in a charge description master aligned to services are:

CPT-4

One does not earn _____ until the payer actually pays for any services provided.

Cash

Certain health care providers are required to obtain approval from the state before providing some types of new or expanded services. This process involves a _______.

Certificate of Need

Managing the adoption and implementation of a new process is called?

Change Management

Which of the following is the amount a facility actually bills for services it provides?

Charges

In a typical acute-care setting, charge capture is located in which step of the revenue cycle?

Claims Processing

In a typical acute-care setting, which revenue cycle area uses an internal auditing system to ensure that error-free claims are submitted to third-party payers?

Claims Processing

____ are statements of the right thing to do for patients with a particular diagnosis or medical condition.

Clinical Practice Guidelines

All the following fall under provisions of the Fair Labor Standards Act except:

Collective bargaining

Going to school to earn a certification will eventually offer certain benefits. The benefits you would have received by taking a full-time job instead would be classified as ______.

Costs

In project management, the series of specific tasks that determine the overall project duration is referred to as which of the following?

Critical Path

A tool used to identify alternative courses of action for problem solving is called?

Decision tree

When the third party payer refuses to grant payment to the provider or facility, this is called which of the following?

Denied claim

Cases that are expected to require similar amounts of hospital resources are grouped into ______.

Diagnosis-related Group

Which of the following statements is true about the chain of command in a bureaucratic organization?

Every employee is accountable to only one boss

_____ involves the use of current best research in making decisions about the care of individual patients.

Evidence-based Medicine (EBM)

______ is used to close the gap between an organization's performance and that of other organizations.

External Benchmarking

An organization's current liabilities can be located on its income statement.

False

Codes of ethics, if well-written and comprehensive, should be able to resolve all ethical issues and conflicts faced by the health information manager?

False

The Equal Pay Act requires that every person in a position be paid the same wages.

False

The principle of "employment at will" protects the employee from termination without just cause.

False

To ensure success of the improvement made when simplifying a process, new procedures should be reviewed will all employees involved and not documented.

False

Space costs, rent, and salaries of management team are considered which of the following?

Fixed costs

What are some activities that are conducive to developing and maintaining an effective health information management team?

-Hiring credentialed employees -Competency-based questions -Telling them the organization's mission and values and asking what their goals are, will help to see if they align. -Having a team that gets along and communicates well together is important. -Team meetings and team-building exercises

______ is a credential given to an organization that meets defined standards, some of which relate to performance management.

Accreditation

Items such as buildings, equipment, furniture, and computers are generally?

Included in the capital budget

Which of the following is not a characteristic of a project?

Includes team members with the same skills

Which financial statement provides the expected or earned revenue?

Income Statement

An _____ is a quantitative measure of an aspect of patient care.

Indicator

______ compares performance between functional areas or departments within an organization.

International Benchmarking

The work flow process chart is being used by the health information manager to gather data about the release-of-information (ROI) process. Which of the following represents data about a delay in the ROI process that would be found by using a work flow process chart?

It takes 15 days to get a record copied

Sue and John are arguing over whose responsibility it is to code emergency room records. What could be done to minimize conflicts?

Make sure that their job responsibilities are spelled out in the job description.

Planning and preparing budgets in an organization is part of the following:

Managerial Accounting

After a short hospital stay, you notice that your bill lists every little thing that was used for your care. The costs of those items can be found on the fee schedule, which is also called the ________.

Master Change List

________ includes providing and billing for medically unnecessary services.

Medicare Abuse

One is guilty of _____ when Medicare claims are made for services that were never provided.

Medicare Fraud

Developing, implementing, and revising the organization's policies is the role of:

Middle managers