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HIM
Health Information Management-Test on Chapters 5,6,7,8
Question | Answer |
---|---|
Which of the following is NOT an advantage of the PHR? | Patients enter the information themselves. |
The goal of a filing method is: | Easy expansion Quick Retrieval Easy detection of misfiled or missing charts. Quick filing of charts. Correct Answer: All of the answers |
________ are subsets of standardized nomenclature. | Lists |
Selecting systems based on a department's need, not the vendor of the software, is the: | best-of-breed approach. |
A set of related images interpreted by a radiologist is called a: | study |
Which of the following statements is NOT true of a standard nomenclature? | It cannot be used for point-of-care data entry. |
The concept of the electronic medical record was originally introduced in 1991 by the: | Institute of Medicine of the National Academies. |
A document that serves as an index to a problem-oriented medical record is a(n): | problem list. |
HIPAA regulations require the ________ authorization to release health information. | patient's |
All of the following are advantages of the integrated chart method EXCEPT: | you must know the date of a particular item or look through the entire medical record. |
Which of the following duties is NOT included in "prepping" the chart? | Information to be scanned is sent to primary physician for signature. |
Systems that use both paper and electronic records are called: | hybrid health records |
All of the following statements about E-visits are true EXCEPT: | The E-visit is kept separate from the patient chart. |
Health information professionals use which of the following to ensure quality patient records? | HIM policies Data elements HIM procedures Data sets Correct! All of the answers |
Which of the following data sets are used in acute care hospitals and required by CMS? | Uniform Hospital Discharge Data Set |
All of the following documentation guidelines have been developed by AHIMA EXCEPT: | all entries in the health record should not be permanent. |
In 2004, the National Coordinator for Health Information Technology position was established by: | George Bush, Jr. |
The paper patient demographic form is called a(n): | Face Sheet |
An inpatient admission requires a history and physical within ________ days prior to admission or 24 hours after admission. | 30 days |
The word data refers to: | Records of Facts |
The HITECH Act: | authorizes Medicare incentive payments to doctors and hospitals using a certified EHR. |
An important component of health maintenance is: | Both immunization and preventative care. |
________ are designed to codify the patient-clinician encounter. | Nomenclatures |
Quality control is most important during: | scanning and cataloging. |
Paper medical records are usually destroyed by: | Both, shredding and incinerating |
The AHIMA Code of Ethics does all of the following EXCEPT: | specify the values, principles, and guidelines that are the most important. |
Surgeon ________ specify equipment and supplies used by surgeons for different types of surgeries. | Preference Cards |
n the emergency department, ________ quickly prioritize patient needs, determining how long treatment can be delayed without deterioration of the condition of the patient. | Triage Nurses |
How many pages does AHIMA estimate one inpatient stay contains on average? | 100 |
An electronic signature must meet all of the following criteria, EXCEPT: | Correct:All of the answers. 1.The signer must not be able to deny signing the document, The recipient must be able to confirm the document has not been altered since it was signed,The recipient must be able to confirm that it was signed by the real person |