HIM FINAL REVIEW (QUESTIONS &
ANSWERS) 2024/25 RATED 100% CORRECT!!
A health record technician has been asked to review the discharge patient
abstracting module of a proposed new EHR. Which of the following data sets
would the technician consult to ensure the systems collects all federally
required discharge data elements for Medicare and Medicaid inpatients in an
acute care hospital?
A. DEEDS
B. CARF
C. UACDS
D. UHDDS Answer - D. UHDDS
Standardizing medical terminology to avoid differences in naming various
health conditions and procedures (such as the synonyms bunionectomy,
McBride procedure, and repair of hallux valgus) is one purpose of:
A. transaction standards
B. content and structure standards
C. vocabulary standards
D. security standards Answer - C. vocabulary standards
Patient care managers use the data and information documented in the health
record to:
A. evaluate patterns and trends of patient care
B. provide direct patient care
C. generate patient bills and third-party payer claims for reimbursement
,D. determine the extent and effects of occupational hazards Answer - A.
evaluate patterns and trends of patient care
As part of the initiative to improve data integrity, the Data Quality Committee
conducted an inventory of all the hospital's databases. The review showed that
more than 70% of the identified databases did not have data dictionaries.
Given this data, what should be the committee's first action?
A. disregard the data
B. establish a data dictionary policy with associated standards
C. develop an in-service training program on data dictionary use
D. database a memorandum to all department heads on the value of a data
dictionary Answer - B. establish a data dictionary policy with associated
standards
HSI Hospital has more than 100 clinical databases. The Data Quality Committee
is studying the comparability among the databases. The data elements and
data definitions are cataloged for each database. What would be the next
logical step to determine the degree of data comparability among the
databases?
A. identify the operating system for each database to determine if they are
similar to each other
B. select a representative set of data elements and track these across the
databases to identify consistencies and differences.
C. identify the network capability of each of the databases so that data can be
exchanged
D. determine the volume and type of data stored within each database so that
a repository of similar data can be developed Answer - B. select a
representative set of data elements and track these across the databases to
identify consistencies and differences.
,A new HIM director has been asked by the hospital CIO to ensure data content
standards are identified, understood, implemented, and managed for the
hospital's planned EHR system. Which of the following should be the HIM
director's first step in carrying out this responsibility?
A. call the EHR vendor and ask to review the system's data dictionary B. identify
data content requirements for all areas of the organization C. call a meeting of
all department directors to get their input
D. contact CMS to determine what data sets are required to be collected
Answer - B. identify data content requirements for all areas of the organization
At admission, Mrs. Smith's date of birth is recorded as 3/25/1948. An audit of
the EHR discovers that the numbers in the date of birth are transposed in
reports. This situation reflects a problem in:
A. data comprehensiveness
B. data consistency
C. data currency
D. data granularity Answer - B. data consistency
Data elements collected on large populations of individuals and stored in
databases are referred to as:
A. statistics
B. information
C. aggregated data
D. standard Answer - C. aggregated data
Given the numbers 47, 20, 11, 33, 30, 35, and 50 what is the median?
A.20
B.32.28
C.33
, D.50 Answer - C.33
HSI Hospital had 250 patients in the hospital at midnight on May 1. The
hospital admitted 30 patients on May 2nd. The hospital discharged 40 patients,
including deaths, on May 2nd. Two patients were both admitted and
discharged on May 2. What was the total number of inpatient service days for
May 2nd?
A. 240
B. 242
C. 280
D. 320 Answer - B. 242
The HIM department is developing a system to track coding productivity. The
director wants the system to track the productivity of each coder by productive
hours worked per day, health record ID, type of records coded, and other data
and to provide weekly productivity reports and analyses. Which of the
following tools would be best to used for this purpose?
A. database management system
B. paper log book
C. spreadsheet
D. word-processing documents Answer - A. database management system
All of the following are functions of the outpatient code editor, except:
A. evaluate the relationship between CPT codes on the bill
B. control improper coding
C. identify unbundling of codes
D. identify cases that don't meet medical necessity Answer - D. identify cases
that don't meet medical necessity
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