The number-one reason for maintaining patient records is:
a. Legal documentation
b. Communication
c. Patient Care
d. Billing and reimbursement - ANSWER-Patient Care
Which is generally not considered part of a patient's medical record:
a. Problem list
b. Medication Record
c. Progress Notes
d. Digital images or films - ANSWER-Digital Images or films
Medical records that are created and organized around the patient's problems are
known as:
a. Chronological organized medical records
b. "Source - oriented" medical records
c. Content Based Medical Records
d. Patient Oriented Medical Records - ANSWER-Patient Oriented Medical Records
A method for measuring performance that allows for the design of measurement
systems that align with the organization's strategy goals and examines multiple
measures along several dimensions is known as:
,a. Benchmarking
b. Outcome measures
c. Balanced scorecard
d. Clinical Value Compass - ANSWER-Balanced Scorecard
The category of statistics that are routinely gathered for health care executives
are:
a. Census statistics
b. Discharge statistics
c. Mortality Statistics
d. Both a and b - ANSWER-Census Statistics and Discharge statistics
Which standard billing form is submitted for health care provider services such
as those provided by a physician's office to third party payers:
a. UB-04
b. CMS-1450
c. CMS-1500
d. UB-82 - ANSWER-CMS-1500
What is a federally mandated standard assessment tool used to collect
demographic and clinical information specifically about long-term care facility
residents:
a. MDS
b. ACDS
c. UHDDS
d. HEDIS - ANSWER-MDS
The main source(s) of data that go into hundreds of aggregate reports or queries
that are often developed and used by providers and executives in health care
organizations are:
a. Patient records
b. Uniform billing information
c. Discharge data sets
d. All of the above - ANSWER-All of the above
, HEDIS measures are specifically used to measure and compare the performance
of:
a. Hospitals
b. Skilled nursing facilities
c. Physician practices
d. Health plans - ANSWER-Heath Plans
Which organization is responsible for investigating fraud involving government
health insurance programs?
a. OIG
b. CMS
c. AMA
d. WHO - ANSWER-OIG
As part of the patient's medical record, the identification form or face sheet is
considered both a clinical and administrative document - ANSWER-True
CPT codes are published by the American Hospital Association (AHA) and
updated each year - ANSWER-False
DRGs are used as the basis for determining appropriate inpatient reimbursement
for Medicare, Medicaid, and other health care insurance beneficiaries - ANSWER-
True
Medicare cost reports are filed annually by all hospitals, physician offices, home
health agencies, skilled nursing facilities, and hospices that accept Medicare or
Medicaid. - ANSWER-False
Health care information systems and health care processes are unrelated and
should be considered independently - ANSWER-False
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