question

the system in which a healthcare record number is assigned at the first encounter and then used for all subsequent healthcare encounters is the

answer

Unit numbering system

question

the primary guide to locating a record in a numerical filing system in the

answer

master patient index

question

all forms should

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contain a unique identifier

question

the health record number is typically assigned by

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patient registration

question

which of the following is used to locate an electronic health record?

answer

health record number

question

john smith treated as a patient at amulti-hospeital system, has medical record numbers. the term used to describe multiple health record number is

answer

Duplicates

question

which of the following should be part of a comprehensive MPI maintenance program?

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advanced person search

question

which of the following is true about the social security number?

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both AHIMA and the social security administration oppose using the social security number as the health record identifier .

question

which of identification system is at a disadvantage when there are tow patient with the same name?

answer

Alphabetical

question

the master patient index is necessary to locate health within the paper based storage system except basic storage system except

answer

Alphabetical filing

question

consider the following sequence of number 12-34-55, 13--34-55, and 14-34-54 and14-34-54 what system is being used it these if number represent the health record number of three record filed together within the filling system

answer

Terminal -digit filling

question

the term used to describe a combination of paper-based and electronic health records is

answer

Hybrid

question

which of the following is an advantage of a centralized unit filing system?

answer

One location in which to look for records

question

which filling system is considered to be the most efficient?

answer

Terminal-digit

question

what type of paper-based storage system conserves floor space by eliminating all but one or two aisles?

answer

Mobile filing units

question

what feature of the filing folder helps locate misfiles within the paper base filling systems?

answer

color coding

question

in paper-based system, the HIM department routinely delivers health records to

answer

patient registration

question

which of the following paper wight would be the most durable for the medical record folder?

answer

20

question

what microfilm format is inefficient when patients have multiple admissions on microfilm?

answer

Roll

question

statements that define the performance expectations and / or structures or processes that must be in place are

answer

standards

question

in a paper-base system individual health records are organized in a per-established order. This process is called.

answer

Assembly

question

Reviewing a health record for missing signatures and missing medical reports is called

answer

Analysis

question

Reviewing the record for deficiencies after the patient is discharged from the hospital is and example of what type of review.

answer

Retrospective

question

incomplete records that are not completed by the physician within the time frame specified in the healthcare facility's policies are called.

answer

Delinquent record

question

In a paper- base record, errors should be completely obliterated.

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false

question

Addendums should documents the date the event actually happened not the date if was documented.

answer

false

question

The best practice for forms design is to use white paper with black ink.

answer

true

question

what should be done when HIM department's error of accuracy rate is deemed unaccepted?

answer

A corrective action should be taken.

question

The forms design committee

answer

provides oversight for the development, review, and control of forms and computer screens.

question

Under the false claims act, claims may be brought up to how how many years?

answer

Generally 7 years, but could go as high as 10

question

which of the following is the appropriate method for destroying microfilm?

answer

shredding

question

The tool used to track paper- based health records is

answer

outguide

question

which of the following chart-processing activities is eliminated with and EHR that uses scanned images.

answer

Assembly

question

One of the advantages of EDMS is that it can

answer

help manage work tasks

question

which term indicates that a document has been removed from standard view?

answer

Retraction

question

which term is the procces of checking individual data elements, reports, or files against each other to resolve discrepancies?

answer

Reconciliation

question

which of the following could be used to determine if someone has the right to view a health record?

answer

photo identification

question

version control of documents in the EHR requires

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policies and procedures to control which version displayed

question

which of the following is a risk of copying and pasting

answer

system not recording who entered the date

question

when records from other facilities are used in clinical decision making, how is this documented in the EHR?

answer

they are scanned and filed in the EHR.

question

which term verifies claim of identity?

answer

Authentication

question

How are amendments handled in the EHR?

answer

The amendment must have a separate signature, date, and time.

question

EHR data are captured by scanning and direct entry.

answer

True

question

Data validation includes and undo button.

answer

false

question

policies should address how the patient information will be removed from computers at the end of their useful life.

answer

true

question

Data quality begins at the point creation

answer

true

question

authorization is identifying a patient through the use of a use of a user name

answer

true

question

If one needed to know the number of C- section performed by specific obstetrician, which of the following indices would be used to identify the cases?

answer

Operation

question

The computer system that may serve as the MPI function is the.

answer

Patient registration system

question

A chronological listing of data is called a/

answer

Register

question

what department within the hospital uses the information abstracted and coded by the HIM department to send for payment from third-party payers?

answer

Billing department

question

the function with within the HIM department responsible for listening to dictated reports and typing them into a medical report format is called.

answer

medical transcription

question

Reviewing requests for health record copies and determining if they are valid is part of what function within the HIM department?

answer

Release of information function

question

where does the health record being?

answer

patient registration

question

one of the most sought after accreditation distinction by healthcare facilities is offered by the .

answer

joint commission

question

statements that describe general guidelines that direct behavior or direct or constrain decision making are called.

answer

policies

question

step-by- step instructions on how to complete a specific task are called.

answer

procedures

question

the departmental budget is both an evaluation tool and what type of tool?

answer

Planing

question

employee salaries are part of what type of budget?

answer

Expense

question

the purchase of an EHR system would be planned for in what type of budget?

answer

Capital

question

assigning ICD-9-CM and CPT codes to the diagnose and procedures documented in the medical record is called.

answer

Clinical coding

question

which of the following is an example of how the HIM professional interacts with the medical staff?

answer

serve on medical staff committees

question

removing health records from the storage area to allow space from more current records is called

answer

purging recorder

question

which type of microfilm does not allow for a unit record to be maintained?

answer

jacket microfilm

question

which of the following is true about endowment imaging

answer

is a paperless system

question

which system records the location of health record removed from the filing system and documents the return of the health records

answer

chart tracking system

question

loose report record forms that

answer

are not received by the HIM department and added to the health record after it has been processed

question

in a paper -based system, the completion of the chat is monitored in a special area of the HIM department called the

answer

incomplete record file

question

which of the following is the key to the identification and location of a patients health record

answer

MPI

question

Which of the

answer

...

question

How do patient care managers and support staff use the data documented in the health record?

answer

...

question

Which of the following is a secondary purpose of the health record?

answer

...

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