Healthcare Data Management Exam Solutions
Course Introduction
Healthcare Data Management focuses on the systematic collection, storage, retrieval, and analysis of health-related data to improve patient care, operational efficiency, and data-driven decision-making in healthcare organizations. This course covers key topics such as electronic health records (EHRs), health information exchange, data standards and interoperability, privacy and security of patient information, regulatory requirements, and emerging technologies in health informatics. Students will learn best practices for managing large datasets, ensuring data quality, and complying with legal and ethical guidelines, preparing them for roles at the intersection of healthcare and information technology.
Recommended Textbook Health Information Technology 3rd Edition by Nadinia
A. Davis
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14 Chapters
874 Verified Questions
874 Flashcards
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Chapter 1: Health Care Delivery Systems
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69 Verified Questions
69 Flashcards
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Sample Questions
Q1) Voluntary compliance with a set of standards developed by an independent agency is part of the _________ process.
Answer: accreditation
Q2) A specialty inpatient facility that focuses on the treatment of individuals who are not adults is a _________.
Answer: children's hospital
Q3) Allied Health Professional Organizations exist to provide all of the following EXCEPT:
A) Standards of professional practice and safety
B) Professional knowledge and support
C) Acute patient care facilities
D) Continuing professional education
Answer: C
Q4) A synonym for "vocational nurse" is:
A) Registered nurse
B) Licensed practical nurse
C) Nurse practitioner
D) Advanced practice nurse
Answer: B
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Chapter 2: Collecting Health Care Data
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Sample Questions
Q1) All of the following are examples of demographic data EXCEPT:
A) Birth date
B) Home telephone number
C) Occupation
D) Social Security number
Answer: C
Q2) The quality of data being correct is called ________.
Answer: accuracy
Q3) The individual or organization that is ultimately responsible for paying a hospital bill is called the:
A) Employer
B) Guarantor
C) Patient
D) Spouse
Answer: B
Q4) What is the difference between mortality and morbidity?
Answer: Mortality is the frequency of death, whereas morbidity is a possible fatal disease that can complicate a condition for which a patient is seeking health care services.
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Page 4
Chapter 3: Electronic Health Records
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67 Verified Questions
67 Flashcards
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Sample Questions
Q1) An open database that stores data from various independent sources that can be integrated to enable viewers to see documents from several sources is a
Answer: data repository
Q2) The laboratory department and radiology department of Hospital B have their own computer software programs that generate their departmental reports that automatically move to the HIM electronic record. These software systems communicate with the HIM software system through a(n):
A) Algorithm
B) Longitudinal
C) Interface
D) Integrity
Answer: C
Q3) List the four major goals of the ONC.
Answer: Inform clinical practice.
Interconnect physicians.
Personalize care.
Improve population health.
Q4) What are the three private groups involved in establishing standards for EHR?
Answer: HL7, CCHIT, and the Markle Foundation
Page 5
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Chapter 4: Acute Care Records
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Sample Questions
Q1) The first page, also known as the face sheet, in a paper record is usually the
Q2) What is one distinguishing factor between emergent and urgent care?
A) Patient presents with life-threatening condition
B) Social status
C) Health insurance coverage
D) Patient has appointment
Q3) What is the documentation standard for History and Physicals (H&Ps) established by the Joint Commission?
Q4) Which of the following data elements is NOT likely to appear on an acute care admission record?
A) Patient's religion
B) Patient's date of birth
C) Name of the patient's spouse
D) Tobacco use by the patient
Q5) All of the following data are needed for a physician's verbal order EXCEPT:
A) the nurse's authentication
B) the name of the patient
C) the time of the physician's authentication
D) the name of the payer or guarantor
6
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Chapter 5: Health Information Management Processing
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Sample Questions
Q1) The following include ways electronic health records can assist in tracking chart completion EXCEPT:
A) Point of care documentation
B) Physician authentication
C) Progress notes
D) Nursing assessments
Q2) Data that have been obtained, recorded, and/or reported within a predetermined period satisfy the data quality characteristic of ___________.
Q3) Which of the following is a benefit of concurrent coding?
A) Allows the facility to bill the insurance company prior to discharge
B) Ensures that all clinical personnel are aware of the admitting diagnosis
C) Gives the physician the correct principal diagnosis
D) Helps determine the estimated length of the patient's hospital stay
Q4) All of the following are steps in postdischarge processing EXCEPT:
A) Coding
B) Abstracting
C) Chart retrieval
D) Concurrent analysis
Q5) ___________ is the process of determining the cause of an error.
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Chapter 6: Code Sets
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Sample Questions
Q1) SNOMED-CT is a(n) _____ system.
A) multi-axial
B) classification
C) nomenclature
D) alphanumeric
Q2) An example of an HCPCS code is:
A) C1715
B) 0DJD8ZZ
C) I20
D) 43251
Q3) In a multi-axial code structure, such as ICD-10-PCS, each position of a ___________ has specific meaning.
Q4) O32.1XX2 is an example of a code from which code set?
A) ICD-9-CM
B) NDC
C) ICD-10-CM
D) CPT
Q5) Name the two levels of HCPCS.
Q6) Describe the difference between nomenclature and classification.
Q7) What does SNOMED-CT stand for?
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Chapter 7: Reimbursement
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Sample Questions
Q1) Clinical pathways are based on all of the following EXCEPT:
A) Experience
B) Reimbursement method
C) Research
D) Successful outcomes
Q2) Medicare uses __________ to process its claims and reimbursements.
Q3) To standardize and facilitate accurate billing, health care facilities maintain a database of all potential services to a patient called a _________.
Q4) The physician charged the patient $75 for an office visit. The patient paid the physician $5 and the patient's insurance company paid the physician $70. The patient's portion of the payment is called:
A) Discounted fee for service
B) Wraparound policy
C) Fee for service
D) Copayment
Q5) The systematic reimbursement to a health care provider based on the number of patients contractually in the physician's care, regardless of diagnoses or services rendered, is called ___________.
Q6) Describe how a case is assigned to a Major Diagnostic Category.
Page 9
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Chapter 8: Health Information Management Issues in Other Care Settings
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Sample Questions
Q1) In an open access physician practice, patients do not need:
A) A co-pay
B) A referral
C) An appointment
D) Insurance
Q2) Health care service rendered in the patient's residence is ___________.
Q3) A facility-based ambulatory care department that provides general or specialized services such as those provided in a physician's office is called a _______.
Q4) The physical location of the specialists who analyze body fluids is the ________.
Q5) The MDS is one component of a series of data collections called the RAI, which is used in:
A) Rehabilitation
B) Long-term care
C) Hospice
D) Home health
Q6) Emergency Medical Treatment and Active Labor Act (EMTALA) was enacted in 1986. How has this law changed the way hospitals handle indigent patients?
Q7) How is the quantity of services measured in ambulatory care?
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Chapter 9: Managing Health Records
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Sample Questions
Q1) The __________contains patient and encounter information often used to correlate the patient to the file identification.
Q2) The difference between the patient account number and the medical record number is that:
A) Only the patient account number changes with each visit.
B) Only the medical record number changes with each visit.
C) Both the patient account number and the medical record number change with each visit.
D) Neither the patient account number nor the medical record number changes with each visit.
Q3) In a unit number filing system, the medical record number:
A) Changes with each new admission
B) Is not assigned to minor children
C) Is used for medical coding purposes
D) Remains the same for the life of the patient
Q4) A numerical patient record identification system, in which the patient is given a new number for each visit, but with each new admission the previous record is retrieved and filed in the folder with the most recent visit, is called __________ numbering.
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Chapter 10: Statistics
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Sample Questions
Q1) The length of stay for Patient A is _______________.
Q2) The number of patients present in the health care facility, counted at the same time each day, is called the ______________.
Q3) Suppose that three patients stayed in the hospital for a total of 18 days. Which term would be used to describe the result of the calculation 18 ÷ 3?
A) Total length of stay
B) Average patient census
C) Average bed count
D) Average length of stay
Q4) Richard S. was admitted to the hospital on September 13 and discharged on September 30. The length of stay is ______ days.
A) 13
B) 17
C) 18
D) 30
Q5) Describe circumstances in which a department in the health care organization may request health information or statistics.
Q6) The length of stay for Patient D is _______________.
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Chapter 11: Quality and Uses of Health Information
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Sample Questions
Q1) Discuss the difference between quality assurance and quality improvement.
Q2) Which of the following is an important process in the determination of the facility's compliance with documentation standards?
A) Physician profile review
B) Record review
C) Medication review
D) PDCA
Q3) ___________ is a quality improvement technique used to elicit participation and information from an entire group.
Q4) Accreditation varies from certification by which of the following?
A) Accreditation is voluntary.
B) Certification is voluntary.
C) Only accreditation is motivated by reimbursement.
D) Only certification is motivated by reimbursement.
Q5) Who was W. Edward Deming and what was his quality management theory? Discuss his quality management principles.
Q6) Health information may be used in ___________to support the plaintiff's claim.
Q7) Compare and contrast the difference between prevalence and incident. Why is it important to know both?
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Chapter 12: Confidentiality and Compliance
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Sample Questions
Q1) __________ is permitted disclosure in which authorization is not required as long as state law allows the exception.
Q2) What is the process if there is a breach of unsecured health information? What is the process if the breach includes more than 500 patients?
Q3) The responsibility for harm or damage caused by actions or inactions is known as:
A) liability
B) tort
C) negligence
D) malpractice
Q4) The following providers/departments make internal requests for patient health information routinely EXCEPT:
A) Utilization review
B) Performance improvement
C) Quality assurance
D) Attending physician
Q5) The patient's compilation of his or her health information is called the ________________.
Q6) The process of engaging in the legal proceedings of a lawsuit is ___________.
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Chapter 13: Him Department Management
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Sample Questions
Q1) The _______________ is used to explain to EHR vendors what the health care organization intends to accomplish and requires of an EHR product.
Q2) Department policies and procedures contain what type of details? Name at least three.
Q3) The _______________ is responsible for ensuring that the departmental policies and procedures are current.
Q4) Explain the employee evaluation process.
Q5) Supervisors would most likely perform which of the following duties?
A) Review financial reports for the health care facility.
B) Develop a yearly budget for the health care facility.
C) Conduct subordinate employee evaluations.
D) Develop policies and procedures for various hospital departments.
Q6) List the ways supervisors can monitor employee productivity.
Q7) List and describe some of the equipment and supplies necessary in the HIM department. Provide at least five of each.
Q8) A(n) ______________works 32 to 40 hours each week excluding overtime, earning benefits as offered by the health care facility.
Page 15
Q9) Under what circumstances will a health care facility outsource an HIM function?
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Chapter 14: Training and Development
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Sample Questions
Q1) Throughout employment there are new processes, changes, and important procedures that must be communicated to the employees so that they understand what is expected. Identify one in-service topic for HIM personnel and discuss the development of the topic. Remember to consider the issues associated with preparing a training program.
Q2) The first item on the monthly HIM department meeting agenda is:
A) Call to order
B) Review of old business
C) New business
D) Adjournment
Q3) What are some topics that will be discussed during an organization-wide orientation? Name at least four.
Q4) To make an employee familiar with his or her job and new surroundings the employee must attend:
A) Training
B) Orientation
C) In-service
D) Department meeting
Q5) _________ reinforces and develops new skills and can also be used as a method of cross-training staff.
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