question

The standard claim form used by hospitals to request reimbursement for IP & OP procedures or services is called

answer

UB-04

question

What is the difference between morbidity and mortality?

answer

Morbidity refers to disease and mortality refers to death

question

What is MetaData?

answer

Data about data

question

What does parallel, phased, direct cutover have to do with IT?

answer

3 ways to convert from paper to EHR

question

Parallel

answer

To run the old and new EHR programs at the same time

question

Phased

answer

This is where two separate elements of a new information technology system are implemented over time

question

Direct Cut-over

answer

The abrupt immediate implementation of new system replace an existing system

question

True or False: The Ambulatory Payment Classification (APC) includes services for hospital outpatient services.

answer

True

question

What organization is responsible for the official coding guidelines of ICD-9-CM? A. AHA B. AMA C. CMS D. AHIMA E. NCHS

answer

A. American Hospital Association

question

True or False: A template is a term referring to the narrative nature of clinical documentation.

answer

False

question

What is an input device and what are some examples?

answer

An input device is a device of inputting data into an IT system. Such as keyboard or mouse

question

What are the three types of electronic signatures?

answer

Digitized, electronic and digital

question

What is the process called for searching for data in a data warehouse?

answer

Data mining

question

All of the following are considered hardware except:

answer

Database

question

What is the difference between data and information?

answer

Data are facts while information has meaning.

question

The data is useful.

answer

Relevancy

question

The data is up to date.

answer

Currency

question

The data is correct.

answer

Accuracy

question

The data is reliable.

answer

Consistency

question

Who accredits SDO's?

answer

American National Standards Institute

question

A style of computer interface in which typed commands are replaced by images (icons) that represent tasks.

answer

GUI - graphical user interface

question

What are the five rights of BC-MAR?

answer

Right drug, patient, dose, time, route

question

What is the difference between an encoder and a grouper?

answer

A grouper assigns MS-DRGs and an encoder assigns ICD and CPT codes.

question

Who developed ICD-9 and ICD-10?

answer

World Health Organization

question

What coding system do you use to code procedures of inpatients?

answer

ICD-10-PCS

question

In healthcare, who is the third party payer?

answer

Insurance First party - Patient Second party - provider

question

What code provides a means to classify environmental events, circumstances and conditions as the cause of injury, poisoning and other adverse effect?

answer

E Codes

question

Who maintains the CPT system?

answer

American Medical Association

question

In ICD-10-PCS, what letters are not in use?

answer

I's and O's

question

What is ICD-O-3?

answer

A classification system of oncology diseases.

question

What part of Medicare coverage pays for hospital care?

answer

Part A

question

What part of Medicare coverage pays for prescription drugs?

answer

Part D

question

What is Medicare Part C?

answer

Medicare Advantage

question

What is the name of the program that provides insurance to children up to age 19?

answer

CHIP or SCHIP

question

What is OASIS used for?

answer

Core data elements are collected to measure home healthcare patient outcomes

question

True or False: The chargemaster a coding system.

answer

False

question

Who publishes the Coding Clinic?

answer

American Hospital Association (AHA)

question

Who establishes the annual compliance plans for the healthcare industry?

answer

The OIG

question

True or False: AHIMA has developed Standards of Ethical Coding.

answer

True

question

Which of the following is a type of network security?

answer

Firewall

question

The 3 elements of a security program are ensuring data availability, protection and

answer

Integrity

question

The HIM department has received a research request from the CQI Committee that plans to review charts for all patients having a laparoscopic cholecystecomy for the months of March and April, 2010. What would be the best source for locating the needed records?

answer

Procedure Index

question

DSM-IV is used most frequently in what type of healthcare setting?

answer

Mental health

question

The principal diagnosis is

answer

condition established after study, to be chiefly responsible for admission of the patient to the hospital

question

Which of the following is a standard data set used to collect data in acute care facilities?

answer

Uniform Hospital Discharge Data Set (UHDDS)

question

In a cancer registry, the accession number is

answer

The number assigned to each patient as he/she is entered into a cancer registry

question

What does an audit trail check for?

answer

Unauthorized access to a system

question

A cancer program is surveyed by

answer

American College of Surgeons

question

What is a population-based registry?

answer

includes information from more than one facility in a particular geopolitical area, such as a state or region

question

Which of the following is used to report the durable medical equipment, healthcare supplies,products, and services provided to patients by healthcare professionals?

answer

HCPCS

question

When a service is not considered medically necessary based on the reason for encounter, the patient should be provided with a ______________________ indicating that Medicare might not pay and that the patient might be responsible for the entire charge.

answer

Advance Beneficiary Notice of Non-coverage

question

The categories of patients (type and volume) treated by a hospital which represents the complexity the hospital's patient population is called:

answer

Case-mix

question

Final review during EHR implementation to ensure that all tests have been performed and all issues have been resolved; when a maintenance contract becomes effective is called this type of testing:

answer

Acceptance testing

question

Which of the following is not performed in the EHR?

answer

Assembly

question

What is case finding?

answer

identify patients who have been seen or treated in a facility for a particular disease or condition for inclusion in a registry.

question

What is the prospective payment system used in long-term care?

answer

RUG's

question

Dr.Smith is entering a medication order in a CPOE. A window pops up with the following message:Patient is on beta-blocker, which is a contraindication for this medication. Do you want to order this medication? Yes or No.This is an example of a(n):

answer

Alert

question

Data that are collected from individual records and then combined are referred to as:

answer

Aggregate data

question

What data set is used to collect information on hospital trauma?

answer

DEEDS

question

True or False: Nosology is the branch of medical science that deals with classification systems.

answer

True

question

Which of the following provides the most comprehensive controlled vocabulary for coding the contents of a patient record?

answer

SNOMED

question

What is the CMS-1500?

answer

The universal insurance claim form developed and approved by the AMA and CMS; physicians use it to bill Medicare, Medicaid, and private insurers for services provided

question

Entitlement program that oversees medical assistance for individuals and families with low incomes and limited resources; jointly funded between state and federal governments.

answer

Medicaid

question

What is a remittance advice?

answer

a statement sent to the provider to explain payments made by third-party payers.

question

The term used to indicate that the service or procedure is reasonable and necessary for the diagnosis or treatment of illness or injury consistent with generally accepted standards of care is

answer

Medical necessity

question

An organization contracted by the government to eliminate fraud and abuse and recover Medicare overpayments.

answer

RAC

question

What is MDS 3.0?

answer

Federally maintained standard assessment form that Medicare- and/or Medicaid-certified nursing facilities must use to collect demographic and clinical data on nursing home residents.

question

What is an EOB (explanation of benefits)?

answer

A statement issued to insured and healthcare provider by an insurer to explain the services provided, amounts billed, and payments made by a health plan.

question

What is Tricare?

answer

This program is a health care program for active members of the military and other qualified family members.

question

A system that manages data for an entire healthcare business is referred to as:

answer

Enterprisewide system

question

HIPAA requires the retention of health insurance claims and accounting records for a minimum of _______ years.

answer

6 (six)

question

Changes in CMI may be attributed to:

answer

Changes in medical staff composition Changes in coding rules Changes in services provided Changes in coding staff Changes in documentation

question

The fiscal year runs from

answer

October 1 - September 30

question

What is TRICARE?

answer

Program formally called CHAMPUS; hc program for active members of the military & other qualified family members

question

What is Privacy?

answer

Right of individuals to limit access to information about their person.

question

True or False: Biometrics is a security measure that utilizes fingerprints or retina scans.

answer

True

question

The HIPAA security rule does not require specific technologies to be used but rather provides direction on the outcomes. The term used to describe this philosophy is

answer

Technology neutral

question

After receiving a request for an amendment, how long does the facility have in order to accept or deny the request?

answer

60 days - the response may be extended once by 30 days

question

You are looking for potential problems and violations of the privacy rule. What is this security management process called?

answer

Risk assessment

question

True or False: Securing equipment is an example of an Administrative Safeguard.

answer

False

question

Provide a timeline of HIPAA implementation.

answer

HIPAA of 1996 Privacy standards implemented April 2003 Security standards implemented 2005 HITECH 2013

question

What is the most important and definitive document for cancer staging? a. interdisciplinary care plan b. pathology report c. history and physical exam d. physician's progress note

answer

b. pathology report

question

With data exchange standards, the ability to transfer data from one system to another system is called?

answer

Interoperability

question

In a cancer registry, the accession number: a. identifies all the cases of cancer treated in a given year b. is the number assigned to each patient as he/she is entered into a cancer registry c. identifies the pathologic diagnosis of an individual cancer d. is the number assigned for the diagnosis of a cancer patient entered into the cancer registry

answer

d. is the number assigned to each patient as he/she is entered into a cancer registry

question

Periodically through the day, I pull up a report that shows me how many delinquent medical records there are. This report would be an example of what type of report? a. static c. automatic c. dynamic d. ad hoc

answer

c. dynamic

question

True or False: The patient is *not* the primary source of data.

answer

False

question

Which of the following can be used to discover current hot areas of compliance? a. TJC standards b. OIG work plan c. local medical review policy d. AHRQ standards

answer

b. OIG work plan

question

What is the term that is used to mean ensuring that data are not altered during transmission across a network or during storage? a. medical controls b. integrity c. mitigation d. audit controls

answer

b. integrity

question

The ________________________ is a statement sent to the provider to explain payments made by third-party payers. a. advance beneficiary notice b. acknowledgement notice c. attestation statement d. remittance advice

answer

d. remittance advice

question

Which of the following indexes and databases include patient-identifiable information? a. MEDLINE b. UMLS c. MPI d. NCI

answer

c. MPI

question

A statement signed by the patient when he or she is notified by the provider, prior to a service or procedure being done, that Medicare may not reimburse the provider for the service, wherein the patient indicates that he will be responsible for any charges. a. Consent form b. Local Coverage Determination (LCD) c. Advance Beneficiary Notice (ABN) d. Explanation of Benefits (EOB)

answer

c. Advance Beneficiary Notice (ABN)

question

A population-based registry: a. includes information from more than one facility in a particular geopolitical area, such as a state or region b. includes only cases for a particular facility such as a hospital or clinic c. represents a computerized system that was developed for a particular facility d. provides data for comparisons in survival rates and quality of life for patients with different treatments and at different stages of cancer

answer

a. includes information from more than one facility in a particular geopolitical area, such as a state or region

question

Which of the following is an example of aggregate data? a. John Smith's white blood count is elevated. b. Coder A's productivity is 25% below standard c. Dr. Jones admitted Sally Mills today d. Twenty-five percent of the patients admitted today were Medicare patients

answer

d. Twenty-five percent of the patients admitted today were Medicare patients

question

DSM-V is used most frequently in what type of health care setting? a. behavioral health centers c. ambulatory surgery centers c. home health agencies d. nursing homes

answer

a. behavioral health centers

question

ICD-10-PCS will be implemented in the U.S. to code: a. hospital inpatient procedures b. physician office procedures c. hospital inpatient diagnoses d. a and b e. a and c f. all of the above

answer

a. hospital inpatient procedures

question

Which organization originally published ICD-9 volumes one and two? a. AMA b. AHA c. NCHS d. WHO

answer

d. WHO

question

In long term care, the resident's care plan is based on data collected in the: a. OASIS b. HEDIS c. MDS Version 3.0 d. UHDDS

answer

c. MDS Version 3.0

question

What data cannot be retrieved from the MEDPAR? a. ICD-9-CM diagnosis and procedure codes b. charges broken down by specific types of services c. non-Medicare patient data d. data on the provider

answer

c. non-Medicare patient data

question

Two coders have found the same abbreviation on two records. One abbreviation of "O.D." was used on an eye health record to mean "right eye". The other abbreviation on the other patient's record was used to mean "overdose" on an abuse record. What data quality component is lacking here? a. timeliness b. completeness c. security d. consistency

answer

d. consistency

question

Which of the following data sets is designed to gather data on ambulatory care patients? HEDIS OASIS UACDS UHDDS

answer

UACDS

question

Is the following diagnosis code an ICD-9-CM code or an ICD-10-CM code? B67.513

answer

ICD-10-CM

question

A computer software program that partially automates the application of diagnostic and procedural classifications is called a(n)? encoder DRG creeper flounder grouper

answer

encoder

question

The universal insurance claim form developed and approved by the AMA and CMS; physicians use it to bill Medicare, Medicaid and private insurers for services provided a. CMS-1500 b. UB-04 c. Revenue code d. HCPCS

answer

a. CMS-1500

question

This program is a health care program for active members of the military and other qualified family members. CHAMPVA Medicaid Advantage worker's compensation TRICARE

answer

TRICARE

question

Which of the following is expected to enable hospitals to collect more specific information for use in patient care, benchmarking, quality assessment, research, public health reporting, strategic planning and reimbursement? LOINC ICD-10-CM NANDA NDC

answer

ICD-10-CM

question

Which of the following is a collection of secondary data related to patients with a specific diagnosis or condition? disease index master patient index disease registry procedure registry

answer

disease registry

question

The information collected for your registry includes patient demographics; prehospital interventions; vital signs on admission; procedures and treatment prior to hospitalization; transport modality; and injury severity score. The hospital uses this data for its: AIDS registry transplant registry implant registry trauma registry

answer

trauma registry

question

I am filling in missing data and correcting some data entry problems. I am doing: face validity data cleansing data manipulation annotation

answer

data cleansing

question

An organization contracted by the government to eliminate fraud and abuse and recover Medicare overpayments. Clinical Documentation Improvement (CDI) Quality Improvement Organizations (QIO) Medicare Code Editors (MCE) Recovery Audit Contractors (RAC)

answer

Recovery Audit Contractors (RAC)

question

A medical condition that co-exists with a primary cause for hospitalization and affects the patient's treatment and length of stay complication diagnosis comorbidity HAC

answer

comorbidity

question

The organization that provides education standards and certification for cancer registries.

answer

NCRA - National Cancer Registrars Association

question

The HIM department has received a research request from the CQI Committee that plans to review charts for all patients having a laparoscopic cholecystectomy for the months of March and April, 2013. What would be the best source for locating the needed records? MPI physicians' index disease index procedure index

answer

procedure index

question

Which of the following is NOT included as a part of the minimum data maintained in the MPI? principal diagnosis patient medical record number full name (last, first, and middle) date of birth

answer

principal diagnosis

question

The most common type of registry located in hospitals of all sizes and in every region of the country is the cancer registry. AIDS registry. trauma registry. birth defects registry.

answer

cancer registry.

question

The standard claim form used by hospitals to request reimbursement for inpatient and outpatient procedures performed or services provided is called the UB-04 CMS-1500 CMS-1600 CMS-1491

answer

UB-04

question

A list or collection of clinical words or phrases with their meaning is a data dictionary clinical vocabulary. language. medical nomenclature.

answer

clinical vocabulary.

question

The Central Office on ICD-9-CM, which publishes Coding Clinic, is maintained by the: NCHS AMA AHA AHIMA

answer

AHA

question

Which of the following classifications is used exclusively for classifying cases of malignant disease? CPT ICD-9-CM HCPCS ICD-O-3

answer

ICD-O-3

question

A report is being created on the number of patients over the past three months, but the last month of data has not been entered into the system yet. This is a problem with which of the data quality characteristics? Data timeliness Data relevancy Data comprehensiveness Data definition

answer

Data timeliness

question

Of the following resources, the best resource to use in defining the structure of the EHR is the: HIPAA privacy standards UHDDS HL7 Functional Model IEEE

answer

HL7 Functional Model

question

The lab test was ran three times and the same result was identified each time. This is an example of: Data collection Edit check Data reliability Hot spot

answer

Data reliability

question

Changes in case-mix index (CMI) may be attributed to all of the following factors EXCEPT a. changes in coder's quality. b. changes in coding productivity. c. changes in services offered. d. changes in medical staff composition.

answer

b. changes in coding productivity.

question

You have recently been hired as the Medical Staff Coordinator at your local hospital. Which database/registry will you utilize most often? MEDPAR Trauma Registry NPDB LOINC

answer

NPDB

question

The Level II (national) codes of the HCPCS coding system are maintained by the Centers for Medicare and Medicaid Services. CPT Editorial Panel. local fiscal intermediary. American Medical Association.

answer

Centers for Medicare and Medicaid Services.

question

Which of the following data sets is designed to gather data on Medicare beneficiaries who are receiving home health services? HEDIS OASIS MDS UHDDS

answer

OASIS

question

The coding supervisor notices that the coders are routinely failing to code all possible diagnoses and procedures for a patient encounter. This indicates to the supervisor that there is a problem with: granularity validity completeness timeliness

answer

completeness

question

Mary Smith, RHIT has been asked to work on the development of a hospital trauma data registry. Which of the following data sets would be most helpful in developing this registry. DEEDS UACDS MDS OASIS

answer

DEEDS

question

An RHIT is given the responsibility for designing a data collection form to collect data on patients in an acute-care hospital. The first resource that she should use is: UHDDS UACDS MDS HEDIS

answer

UHDDS

question

I reviewed the health record of Sally Williams and found the physician stated on her post-op note the documentation of "examined after surgery." This would be an example of: quantitative analysis qualitative analysis data mining data warehousing

answer

qualitative analysis

question

A computer software program that assigns appropriate MS-DRGs according to the information provided for each episode of care is called a(n) scrubber. case-mix analyzer. encoder. grouper.

answer

grouper.

question

Nosology is a branch of medical science that deals with: cosmetic surgery hospital-acquired infections classification systems nursing diagnoses

answer

classification systems

question

Accounts Receivable (A/R) refers to A. cases that have been paid. B. cases that have not yet been paid. C. the amount the hospital was paid. D. denials that have been returned to the hospital.

answer

B. cases that have not yet been paid.

question

Which of the following is used to code outpatient medical procedures and services? CPT ICD-9-CM HCPCS SNOMED CT

answer

CPT

question

A coder may query a physician when documentation in the medical record is not: a. legible b. consistent c. complete d. clear e. all of the above

answer

e. all of the above

question

A cancer program is surveyed for approval by the: American Cancer Society TJC (JCAHO) American College of Surgeons State department of health

answer

American College of Surgeons

question

Case finding is a method used to: a. identify patients who have been seen or treated in a facility for a particular disease or condition for inclusion in a registry b. define which cases are to be included in a registry c. identify trends and changes in the incidence of disease d. identify facility-based trends

answer

a. identify patients who have been seen or treated in a facility for a particular disease or condition for inclusion in a registry

question

True or False: The recommended life of a computer is three years

answer

True

question

The term "de-identified" indicates a. the patient's name has been removed. b. the patient's name and medical record number have been removed. c. the patient's name, medical record and social security number have been removed. d. all of the HIPAA-specified patient identifiers have been removed.

answer

d. all of the HIPAA-specified patient identifiers have been removed.

question

A statement issued to insured and healthcare provider by an insurer to explain the services provided, amounts billed, and payments made by a health plan. Claim Remittance Advice (RA) UB-04 Explanation of Benefits (EOB)

answer

Explanation of Benefits (EOB)

question

Which of the following ICD-9-CM codes classify environmental events and circumstances as the cause of an injury, poisoning, or other adverse effect? Category codes E codes Subcategory codes V codes

answer

E codes

question

I just looked up a patient's diagnosis in the cancer registry. What kind of data is this? primary data secondary data aggregate data administrative data

answer

primary data

question

Ms. Jones is being seen at an ambulatory surgery facility. She has been diagnosed with colonic polyps and undergoes a colonoscopy with biopsy. In your position as a coder for the facility you would use the following codes: ICD-9-CM codes only ICD-9-CM codes and CPT codes CPT codes only ICD-O codes and CPT codes

answer

ICD-9-CM codes and CPT codes

question

Why has the five year survival rate for cancer diagnoses increased over the past twenty years? a. new technology and treatment b. new technology and a new payment system c. an increase in the number of cancer registrars d. an increase in the use of Electronic Health Records

answer

a. new technology and treatment

question

Which of the following terms refers to the incidence of disease? Classification Morbidity Mortality Vocabulary

answer

Morbidity

question

The inpatient data set that has been incorporated into federal law and is required for Medicare reporting is the: Ambulatory Care Data Set Uniform Hospital Discharge Data Set Health Plan Employer Data and Information Set Minimum Data Set for Long-Term Care

answer

Uniform Hospital Discharge Data Set

question

I reviewed the patient's record of Mr. Brown and found there was no H&P on the record at 7 hours past this patient's admission time. This would be an example of: quantitative analysis qualitative analysis data mining data warehousing

answer

quantitative analysis

question

A consumer interested in comparing the performance of health plans should review data from: UHDDS ORYX HEDIS OASIS

answer

HEDIS

question

Staging a. is a system for documenting the extent or spread of cancer. b. designates the degree of differentiation of cells. c. is continued medical surveillance of a case. d. refers to the monitoring of incidence and trends associated with a disease.

answer

a. is a system for documenting the extent or spread of cancer.

question

In healthcare, data sets serve two purposes. The first purpose is to identify data elements to be collected about each patient. The second is to: Provide a research database Provide uniform data definitions Guide efforts toward computerization Determine statistical formulas

answer

Provide uniform data definitions

question

What are the 5 specific activities performed by an IS (information system)?

answer

Input Processing Output Storage Controlling

question

What are the seven steps in the systems development life cycle?

answer

1. Conducting objective evaluations of the system (part of maintenance and evaluation, continues through the life cycle of the system) 5. Identifying users' needs for the system 2. Creating a use-case diagram 6. Identifying and assigning priorities to the various upgrades and system changes within the organization. 4. Performing system backups (also ongoing as part of maintenance cycle) 3. Purchasing a turnkey system 7. Training the end-users 1. Conducting objective evaluations of the system

question

The most common approaches to converting from an old information system to a new one are the parallel approach, the phased approach, and ____ approach. Train-the-trainer Direct cutover Backup Upgrade

answer

Direct cutover

question

An information system consists of: Data People Process All of the above

answer

All of the above

question

Which of the following can be described as an organized collection of data saved in a file on a computer? Client Database Network Server

answer

Database

question

A milestone is a step in the path to the implementation of a system such as the EHR. a module of an information system such as the EHR. a project plan. the distance between the users and the data center.

answer

a step in the path to the implementation of a system such as the EHR.

question

You need to identify some patterns in our database. What technology should you use? clinical guidelines reminders alerts data mining

answer

data mining

question

The phase of the systems development life cycle that defines how the system will work is: Implementation Design Vendor selection Testing

answer

Design

question

Which of the following provides organizations with the ability to access data from multiple databases and to combine the results into a single questions-and-reporting interface? Client-server computer Data warehouse Local-area network Internet

answer

Data warehouse

question

In which phase of the SDLC are trial runs of the new system conducted, backup and disaster recover procedures developed, and training of end users conducted? Implementation Maintenance & Evaluation Analysis Design

answer

Implementation

question

An information system that alerts a physician when a laboratory value is outside of the normal range is called a(n): Decision support system Enterprisewide system Management information system Transaction processing system

answer

Decision support system

question

Use case and sequence diagrams are an example of a: High-level computer language Low-level computer language Modeling language Network protocol

answer

Modeling language

question

In which phase of the systems development life cycle is the primary focus on examining the current system and problems in order to identify opportunities for improvement or enhancement of the system? Design Implementation Maintenance and evaluation Analysis

answer

Analysis

question

A system that manages data for an entire healthcare business is referred to as: Decision support system Enterprisewide system Executive information system Management information system

answer

Enterprisewide system

question

Which of the following elements is *not *considered a basic component of every information system? Software Communication technology Users None of the above

answer

None of the above

question

What is the Blue Button?

answer

Blue Button is an information system implemented by the Veteran's Administration that allows information to be easily shared between healthcare providers, patients and approved third-parties.

question

The facility Hospital Information System team has been researching network topologies and has decided on one that combines the attributes of bus, ring, and star topologies. What topology has the team chosen? TCP/IP mesh physical topology network

answer

mesh

question

Which of the following should a systems analyst use to collect information about the requirements of an IS project? Review existing forms and documents Make site visits Observe end users performing their jobs All of the above

answer

All of the above

question

The information systems manager is testing what the system can handle with regard to passing large amount of data. This is called volume testing. acceptance testing. rigorous testing. final testing.

answer

volume testing.

question

The facility needs a database model that allows the storage of images, video as well as data. The best choice is: object-oriented database relational database network database hierarchical database

answer

object-oriented database

question

The facility is scheduled to implement a new financial information system in six months. Which of the following implementation model is the safest for the organization? parallel phased pilot big bang

answer

parallel

question

A _____ uniquely identifies each row in a table and ensures that it is unique. Key Primary key Foreign key None of the above

answer

Primary key

question

In order to determine what the users need in an information system, which tool should be used? questionnaire trouble ticket source code weighted system

answer

questionnaire

question

True or False: The project manager's role includes keeping the project on target, change management and performing the software programming.

answer

True

question

True or False: The new system is implemented as of last night. All that is left to do is the conversion testing.

answer

False

question

The facility wants to implement the new lab system quickly. Which go live strategy is the quickest, but the riskiest? parallel cutover pilot phased

answer

cutover

question

The facility started out developing a simple database to collect patient satisfaction data. It became more and more complex. This is an example of: scope creep middleware reengineering milestone

answer

scope creep

question

Three members of the project team are conducting a site visit for an EHR under consideration. This is an example of a(n): evaluation system analysis request for proposal functional requirements

answer

evaluation

question

A zip code would be which type of field? numeric alphabetic alphanumeric auto-numbering

answer

alphanumeric (Numeric fields accept only numbers that can be calculated. For example, charges.)

question

Which of the following provides organizations with the ability to access data from multiple databases and to combine the results into a single questions-and-reporting interface? Data warehouse Internet Local-area network Client-server computer

answer

Data warehouse

question

Which of the following can be used to create the data model? entity relationship diagram CASE software data dictionary semantic object model

answer

CASE software

question

What technology allows data to be stored in one place and be retrieved by many systems? database data modeling data mart data definition

answer

database

question

True or False: All hospital employees should receive training on the EHR being implemented.

answer

False

question

True or False: The data warehouse only stores clinical data.

answer

False

question

The project team is collecting data from system users regarding their needs. They must be in which stage of the system life cycle? implementation design analysis initiation

answer

analysis

question

Critique this statement: The HIM Director should make the decision on which EHR is purchased.

answer

The HIM Director should be involved in the decision, but so should other stakeholders.

question

What should be reviewed to learn about the vendor's financial status, the number of installs of the information system, sample resumes, and more? request for proposal request for information functional requirements contract

answer

request for proposal

question

_____ allows a user to insert, update, delete, and query data from a database. SQL C++ HTML Java

answer

SQL

question

Which of the following tests determines how well new systems being implemented work with existing systems? integration test unit test volume test system test

answer

integration test

question

What is the purpose of databases? To store and retrieve data To make the Internet accessible To connect computers together in a relatively small area To help computers communicate among themselves

answer

To store and retrieve data

question

The facility is using an iterative process to develop the system. It is which of the following: alpha site beta site prototyping feasibility study

answer

prototyping

question

Is this an open or closed question: "Tell me about how you use data from the MPI?"

answer

Open

question

A database that is flexible and easy to use was recently installed. The data is stored in rows and columns much like a spreadsheet. What type of database must have been installed? hierarchical database relational database object-oriented database network database

answer

relational database

question

Responding to an RFP is very expensive and time consuming for the vendor. The number of RFP's submitted is typically limited to three to five vendors. How does the project team go about making a decision on which vendor's system best meets the needs of the facility?

answer

Price, vendor financial history, system integration with current system

question

In the human resource system, the degree and major are entered into separate fields. This is an example of what? redundancy applet normalization JAVA

answer

normalization

question

The social security number will be displayed in the XXX-XX-XXXX format but keyed as XXXXXXXXX. This is an example of the use of a: wildcard mask data definition truncation

answer

mask

question

What is the acronym used for writing goals?

answer

SMART Specificity Measurement Attainability Reality Timeliness

question

The following question was typed into the system: How many patients were discharged on November 12, 2013? This is an example of what type of query? natural language query query by example data manipulation language structured query language

answer

natural language query

question

What position is typically responsible for overseeing the development, implementation, and enforcement of the healthcare organization's policies and processes for complying with all federal, state, and accreditation rules and regulations related to the confidentiality and privacy of health-related information? Chief Information Officer Chief Privacy Officer Chief Nursing Officer Chief Financial Officer

answer

Chief Privacy Officer

question

I have been asked to justify my request for an electronic document management system. Which of the following would I use? Electronic health record Space savings Search capabilities Embedded guidelines

answer

Space savings

question

What is the main barrier to IT implementation according to the 2010 HIMSS survey?

answer

Cost is usually the main barrier for any IT systems implementation, followed by lack of qualified staffing.

question

I am entering free text in the EHR. This is called: Unstructured data Structured data Templates Clinical practice guidelines

answer

Unstructured data

question

Laboratory Services a. Clinical information systems b. Administrative information systems c. Management support systems

answer

a. Clinical information systems

question

Human Resource Management a. Clinical information systems b. Administrative information systems c. Management support systems

answer

b. Administrative information systems

question

Clinical decision support a. Clinical information systems b. Administrative information systems c. Management support systems

answer

a. Clinical information systems

question

Patient Registration a. Clinical information systems b. Administrative information systems c. Management support systems

answer

b. Administrative information systems

question

Planning and marketing a. Clinical information systems b. Administrative information systems c. Management support system

answer

c. Management support system

question

Materials management a. Clinical information systems b. Administrative information systems c. Management support system

answer

c. Management support system

question

A number of healthcare organizations share information. These organizations have disparate systems. This describes a(n): Electronic health record Health information exchange Decision support Clinical information system

answer

Health information exchange

question

I am looking to purchase a system that will be used by the physicians to order medications, tests, and other treatment. This system must use alerts and reminders. I must be looking to purchase what type of system? Clinical knowledge and treatment support system Patient registration system Clinical order entry results reporting Clinical provider order entry

answer

Clinical provider order entry

question

I will be conducting some analysis of data, but I only need a limited amount of data that are contained in the data warehouse. What system should I utilize? Data mart Data mining Online analytical process Management Information System

answer

Data mart

question

As a nurse, there are clinical practice guidelines that I should follow in caring for my patients. Where can I find these? In the administrative systems In my professional literature Embedded in the EHR Hospital policy and procedure manual

answer

Embedded in the EHR

question

Which of the following is a snap shot in time and consolidates data from multiple sources to enhance decision making? Data warehouse DSS KMS MIS

answer

Data warehouse

question

As an HIM professional, I am involved in screen design and system functionality. What role do I have? Data quality Electronic system design and development Data collection and analysis Data management

answer

Electronic system design and development

question

What system would you expect to perform drug compatibility checks, have information on contraindications and control inventory? Medication administration system Order entry/results reporting system Pharmacy information system Electronic health record

answer

Pharmacy information system

question

I just received a new job. I have the responsibility of leading physicians in the adoption of clinical information systems. My title must be: Chief privacy officer Chief information officer Chief medical informatics officer Chief executive officer

answer

Chief medical informatics officer

question

Which of the following is an example of data collected by a patient monitoring system? Demographic information Vital signs Lab results Radiology report

answer

Vital signs

question

I am looking to purchase an information system that identifies patterns in data. What system should I purchase? Data mart Data warehouse Data mining Executive information system

answer

Data mining

question

CCHIT's role in the EHR is: Certification Standard development Health information exchange Stark Law

answer

Certification

question

I have been asked to explain what source systems do. Which of the following would be my response? Source systems keep up with where the data is collected. Source systems are systems that populate the EHR. Source systems provide a snapshot of the patient's diagnosis, allergies and other critical information. Source systems are under the control of the patient.

answer

Source systems are systems that populate the EHR.

question

Chart conversion includes: Changing narrative data into discrete data Exchanging charts with other providers Deciding what paper-based content should be automated Translating data from an old system for a new system

answer

Deciding what paper-based content should be automated

question

The primary user of computerized provider order entry is a: Nurse Patient Pharmacist Physician

answer

Physician

question

Patients have control over which of the following: PHR CCR EHR ANSI

answer

PHR

question

Which function is seen in the ambulatory EHR, but not the inpatient one? Practice management Capture of patient information Linking to medical devices Manipulation of data

answer

Practice management

question

Which of the following is a reason to justify the EHR? The EHR improves communications between healthcare providers. There is a lack of standards. EHRs are an expensive proposition. There is a fairly steep learning curve when implementing the EHR.

answer

The EHR improves communications between healthcare providers.

question

What stage of meaningful use are we currently in?

answer

Stage 2

question

Which of the following is a transition strategy to achieve an EHR? Ancillary system support Clinical data repository Electronic document management system Results retrieval

answer

Electronic document management system

question

Why is an ideal EHR system one that requires point of care charting? Eases duplicate data entry burden Eliminates intermediary paper forms Reduces memory loss Supports clinical decision-making

answer

Supports clinical decision-making

question

A system that is designed to ensure the medication five rights is: Bar-code medication administration record Computerized provider order entry Nursing documentation Pharmacy information system

answer

Bar-code medication administration record

question

Which of the following describes the content of information that should be exchanged among referring providers? Continuity of care record Electronic health record Personal health record Nationwide health information network

answer

Continuity of care record

question

Natural language processing: Converts narrative information to structured data Standardizes data content for database management Supports evidence-based clinical decision support Translates information in lay language to standard medical vocabulary

answer

Converts narrative information to structured data

question

One of the advantages of unstructured data is: use of templates data can be more specific use of drop down lists and radio buttons conversion to structured data

answer

data can be more specific

question

Our team is testing our new EHR. Currently we are testing whether or not all of the components will work together. This type of testing is called: System testing Conversion testing Unit testing Integration testing

answer

System testing

question

To ensure that a computerized provider order entry (CPOE) system supports patient safety, what other system must also be in place? Digital dictation Electronic medication administration forms Pharmacy information system Point-of-care charting

answer

Pharmacy information system

question

Which of the following is not a database? CDR CDW Disease registry Interface

answer

Interface

question

Data that describes the data to be entered into an EHR is called: Audit trails Data dictionary Definitional modeling Metadata

answer

Metadata

question

Electronic prescribing is a special case of: CPOE EHR PDA Pharmacy information system

answer

CPOE

question

Structured data may be entered into an EHR via: Macro Point-and-click Voice command All of the above

answer

All of the above

question

The situation used to describe a combination of paper and electronic health record content is: A personal health record A hybrid record A clinical data warehouse An electronic medical record

answer

A hybrid record

question

I am entering orders on a patient in my office. The computer tells me that I should order a mammogram. This is an example of a(n): alert reminder structured data unstructured data

answer

reminder

question

Which of the following standards is the messaging standard used in most clinical information systems? NCPDP HL7 DICOM ICD-9-CM

answer

HL7

question

What is the difference between an EMR and EHR?

answer

EMR is a patient record for one physician or practice, while the EHR is a patient record that can be shared between multiple providers.

question

There are three levels of signatures found in the EHR, which one is a scanned image of an individual's actual signature? digitized signature digital signature electronic signature John Hancock

answer

digitized signature

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