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HIMT 1250 Chapter 7-9 questions with complete solutions
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HIMT 1250 Chapter 7-9 questions with complete solutions
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HIMT 1250 Chapter 7-9 questions withcomplete solutions
The Medicaid Integrity Program is designed to: - correct answer ✔✔audit claims submitted to Medicaid
to identify overpayment
The ______________ is the uniquely identifying field within a database. - correct answer ✔✔Primary
key
Which of the following is a Joint Commission accreditation decision category? - correct answer
✔✔Denial of accreditation
Individuals can agree or object to having his or her protected health information (PHI) used or shared
with Children or Adult Services. - correct answer ✔✔
What does PHI stand for? - correct answer ✔✔Protected Health Information
The oldest anti-fraud law, which is to be addressed in a healthcare corporate compliance program, is the:
- correct answer ✔✔false claims act
An individuals protected health information (PHI) may be released without an authorization for
treatment, payment, and operations. - correct answer ✔✔true
Data becomes __________________ when something is done to that data to make it meaningful -
correct answer ✔✔information
What is a piece of legislation written and approved by a state or federal legislature and then signed into
law by the state's governor or the president? - correct answer ✔✔statue
, ____________ are federal regulations that establish standard of care. - correct answer ✔✔medicare
conditions of participation
Which of the following created a system for reporting medical errors? - correct answer ✔✔Patient Safety
and Quality Improvement Act
Which Joint Commission survey methodology involves an evaluation that follows the hospital
experiences of past or current patients? - correct answer ✔✔Tracer methodology
This purpose of this program is to reduce improper Medicare payments and prevent future improper
payments made of claims of healthcare services? - correct answer ✔✔Recovery audit contractors
As an HIM professional working on IG initiatives, it is important to find out how the data in the
organization is collected, stored and analyzed because: - correct answer ✔✔Because it needs to be able
to be trustworthy and have the highest integrity and quality
Which of the following is NOT a category of highly sensitive information? - correct answer ✔✔blood
cultures
___________ govern the organization and conduct of independent healthcare professionals who provide
patient-care services in acute-care facilities. - correct answer ✔✔medical staff bylaws
AHRQ's quality indicators (QI) are _________________________ - correct answer ✔✔measures of
healthcare quality that make use of readily available hospital inpatient administrative data
______________ provide detailed written instructions on how functions and processes are implemented
within an organization. - correct answer ✔✔procedure
Written instructions that describe how functions and processes must be carried out are: - correct answer
✔✔procedure
When is the timeframe for an unannounced survey after a full survey? - correct answer ✔✔18-36
months
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