HIM 266 Chapter 7 – Flashcards
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The information system that assigns an ICD-10-CM code is called a(n):
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encoder
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Which of the functionalities below is more likely to be found in a birth certificate system designed by a vendor than the state?
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productivity
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Which product would identify that Dr. Smith needs to sign a discharge summary?
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chart deficiency
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Which of the following systems would be used primarily by physicians, rather than HIM Department staff?
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dictation system
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A request for an accounting of disclosure has been received. I should access which of the following to fulfill this request?
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disclosure management system
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Which of the letters listed below would be part of the release of information system?
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letter notifying individual that the authorization was invalid
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Which of the following systems would track follow-up rates?
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trauma registry
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Which of the following systems could have voice recognition as a feature?
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dictation system
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Collaborative staging and TNM staging may be a part of which of the following systems?
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tumor registry
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The user is entering the number of units of blood given to a patient during surgery, the presence or absence of a nosocomial infection and other information from the patient's chart. The user must be abstracting into which system:
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quality indicator
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The user is entering the newborn's APGARs, the weight of the baby, request for social security number, name of parents, and other information. What system is being used?
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birth certificate
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The data element principal diagnosis is found in:
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encoder/grouper
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Based on functionality, which of the following systems would you expect to become obsolete in the short term with an EHR?
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chart locator
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Where would you find a field entitled document type?
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transcription system
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As a general rule, which of the following systems would be utilized by departments other than HIM?
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master patient index
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Which of the following statements is true?
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The release of information system's letters communicates with the requester.
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Which of the following statements is true about the encoder?
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Encoders assign the code for both diagnoses and procedures.
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Which of the following is a term used to describe a type of encoder?
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rules-based
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A user needs to enter Macon General Hospital as one of the requesters of health information into the disclosure management system. Which table would be used to enter the name of the facility, address and other information?
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requester table
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Which of the following is a function of the release of information software?
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track status of request
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Reports designed specifically for one time use is called what type of report?
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ad hoc
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Which of the following is an example of a function of the cancer registry software?
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checking social security death index
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The chart location system would help the healthcare facility with which of the following?
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accessibility
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Patient follow-up is a key part of which HIM system?
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cancer registry software
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Which of the following is a management use of the chart locator?
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productivity reporting
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True/False A registry tracks multiple diseases and conditions rather than specialize.
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False
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True/False The dictation system has implications for physicians and HIM staff
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True
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True/False The transcription system should collect the date of transcription.
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True
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True/False The grouper should only be able to utilize the current Medicare grouper.
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False
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True/False Quality indicator systems collect voice from the dictation system to capture data.
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False
