HIM Questions and answers verified to pass 2024/2025
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Course
HIM
Institution
HIM
HIM Questions and answers verified to pass 2024/2025 HIM Questions
What is not a core competency of HIM Professionals (Biomedical science, technology, management, access and privacy, health information analysis) - correct answer Technology
Are non HIM members part of CHIMA board? - correct ...
HIM Questions
What is not a core competency of HIM Professionals (Biomedical science,
technology, management, access and privacy, health information analysis) -
correct answer ✔Technology
Are non HIM members part of CHIMA board? - correct answer ✔Yes
CCHIM is responsible for (select all that apply: A. establishes the learning
outcomes for HIM programs, B identifies the standards of practice for entry
level HIMs C. Creates and manages the national certification exam) - correct
answer ✔A, B and C
T or F: All entries in a health record whether paper or electronic need to be
authenticated? - correct answer ✔True
A newborn's record is filed with its mothers? - correct answer ✔No
T or F: Abbreviations are never allowed in a health record - correct answer
✔False
T or F: Specificity means that data needs to meet needs for clinical care only -
correct answer ✔False
T or F: Prior to elective surgery a patient will sign a Consent for Release of
Information - correct answer ✔False
,What are some typical elements of qualitative record analysis - correct
answer ✔Diagnosis inconsistencies, inconsistencies in identification (name of
patient, DOB), time or location gaps, use of non approved abbreviations
What occurs after qualitative and quantitative record analysis is complete? -
correct answer ✔Coding and abstracting
What is the primary purpose of a health record? - correct answer ✔To
support the continuity of care
Secondary uses of the health record? - correct answer ✔Facilitate clinical
decision making, funding, education, research, operational management,
legislation, support quality of care
Qualitative analysis is an important tool to ensure data quality. It evaluates:
potential risk events, adverse drug reactions, quality of documentation, quality
of care through use of established criteria. - correct answer ✔Quality of
documentation
T or F: While doing a final check on a paper record an HIM notices a lab
report is missing, once printed and added to the record, it can then be filed. -
correct answer ✔False- further analysis may be needed as well as coding
and abstracting
Discharge summary documentation must include: A. Detailed history of
patient, B discharge order, C. significant findings during hospitalization. D. A
and C, E. All of the above - correct answer ✔C. Significant findings during
hospitalization
T or F: Redacting an entry in a record means deleting an error. - correct
answer ✔False
,T or F: If a patient presents their provincial health card at registration, there is
no need to search the MPI - correct answer ✔False
Where would you expect to find this entry in a record: The patient was
admitted to the medical unit. He was started on Levaquin 500mg and then
later reduced to 250mg daily. The patient was hydrated with IV fluids. Cardiac
enzymes were done 2 days. The chest pain resolved; ECG was unchanged.
Patient will be followed as an outpatient. - correct answer ✔Discharge
summary
T or F: The chart order in a paper record is determined by a Health Record
Committee - correct answer ✔True
T or F: A delinquent record is the same as a deficient record. - correct answer
✔False
What is the key principle of the ADT? - correct answer ✔Collect once, use
many
T or F: Verifying that a key document of a record is included and
authenticated is a key step in qualitative analysis? - correct answer ✔False.
Quantitative analysis
T or F: The unintentional mis-identification of an individual is identity theft? -
correct answer ✔False
Someone registers at a desk and the clerk finds 2 entries in the MPI this is an
example of a: - correct answer ✔Duplicate
, Accurate client identification requires: A Clearly defined data elements B.
Organizational policies and procedures that are audited and enforced C.
Rigorous staff training D. Standards for data recording E. All of the above -
correct answer ✔E. All of the above.
Advantages of concurrent coding include. A. Identifications of conditions that
might have been overlooked. B. More timely coding C. Faster qualitative and
quantitative analysis. D. All of the above - correct answer ✔D. All of the
above.
What is the framework that facilitates communication between providers? -
correct answer ✔Nomenclature and terminologies
Who manages SNOMED-CT - correct answer ✔IHTSDO (International
Health Terminology Standards Development Organization)
Who manages ICD in Canada? - correct answer ✔CIHI
T or F: DSM-IV and CCI share codes - correct answer ✔False
T or F: DSM-IV and ICD share codes - correct answer ✔True
What is the terminology of the EHR? - correct answer ✔SNOMED-CT
Coding is based on whose documentation? - correct answer ✔Physician's
Does the coder assign CMG or level of complexity? - correct answer ✔No
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