Medical Records Management
Test Bank
Course Introduction
Medical Records Management is a comprehensive course that explores the principles and practices involved in the effective organization, maintenance, and security of patient health information within healthcare institutions. Students will learn about the life cycle of medical records, including creation, storage, retrieval, and disposal, as well as legal and ethical considerations, confidentiality, and compliance with regulatory standards such as HIPAA. The course also examines the transition from paper-based systems to Electronic Health Records (EHRs), highlighting best practices in data accuracy, privacy, coding, and interoperability, preparing students for roles in health information management and administration.
Recommended Textbook
Health Information Management of a Strategic Resource 4th Edition by Mervat Abdelhak
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17 Chapters
1064 Verified Questions
1064 Flashcards
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Chapter 1: Health Care Systems
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77 Verified Questions
77 Flashcards
Source URL: https://quizplus.com/quiz/22527
Sample Questions
Q1) Which classification of hospitals is organized for profit according to the American Hospital Association?
A) State owned
B) Federally owned
C) Proprietary
D) Voluntary
Answer: C
Q2) When a public health issue, such as an Escherichia coli outbreak from contaminated food, makes the news, what organization is responsible for investigating and minimizing such threats to society?
A) Centers for Medicare and Medicaid Services
B) Agency for Health Care Research and Quality
C) Centers for Disease Control and Prevention
D) Health Resources and Services Administration
Answer: C
Q3) Prospective reimbursement altered the incentives for providing health care.
A)True
B)False
Answer: True
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Page 3
Chapter 2: The Health Informatics and Information
Management Profession
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) A registered health information administrator (RHIA) who also holds a certified health data analyst (CHDA) credential needs 40 continuing-education units (CEUs) for the 2-year reporting cycle.
A)True
B)False
Answer: True
Q2) Prospective, fixed-rate reimbursement was initiated by the Joint Commission.
A)True
B)False
Answer: False
Q3) At its inception, the Joint Commission was composed of the American College of Surgeons, the American Health Association, and other organizations.
A)True
B)False
Answer: True
Q4) The first medical record organization was founded in 1938.
A)True
B)False
Answer: False
Page 4
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Chapter 3: Health Information Infrastructure and Systems
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53 Verified Questions
53 Flashcards
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Sample Questions
Q1) e-Prescribing
A)Clinical
B)Administrative/financial
Answer: A
Q2) As of January 2006, the Department of Health and Human Services is requiring electronic prescribing for Medicare prescription benefits.
A)True
B)False Answer: True
Q3) Governmental agencies participating in the Consolidated Health Information Initiative plan to share medical information with one another.
A)True
B)False Answer: True
Q4) Agency for Healthcare Research and Quality mandates the use of health care data standards to improve the quality of care.
A)True
B)False Answer: False
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Chapter 4: Health Data Concepts
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126 Verified Questions
126 Flashcards
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Sample Questions
Q1) A password can be a word or a series of letters, numbers, and symbols.
A)True
B)False
Q2) Referring to the information below, is it correct and why?
Coding Scheme for Admission Type
1 = physician office
2 = emergency services
3 = outpatient clinic
4 = PPO, IPO
5 = transfer from a nursing home
Q3) The abbreviation ____________________ refers to the ability to exchange data electronically.
Q4) In a database, all the information about a single patient is called a record.
A)True
B)False
Q5) Administrators of health care organizations use internal and external data for benchmarking.
A)True
B)False
Q6) Define this quality factor in relation to health care data: timely data.
Page 6
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Chapter 5: Electronic Health Record Systems
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) Authorized users can access transcribed radiology reports and digital diagnostic images in radiology databases by a Web server using web browser.
A)True
B)False
Q2) Knowledge-based systems are used for problem solving and patient monitoring.
A)True
B)False
Q3) An information system that provides diagnostic assistance and expert resources to direct care providers is called a(n) ___________________________________.
Q4) Identify and discuss three overlapping benefits of health information systems in health care organizations.
Q5) Which benefit can be realized from computerized health information systems?
A) Efficient use of personnel time
B) Improved presentation of data
C) Improved screening and tracking of patient care outcomes
D) All of the above
Q6) A repository of electronic information about a single patient compiled during an inpatient stay is called a(n) ______________________________.
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Chapter 6: Classification Systems, Clinical Vocabularies, and Terminology
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) Designed to facilitate exchange of lab results
A)ICD 9 CM
B)ICD 10
C)CPT
D)NOC
E)NDC
F)SNOMED CT
G)DSM
H)DRG
I)LOINC
J)SNOP
Q2) Medical Subject Headings (MeSH) is used to query the National Library of Medicine's database.
A)True
B)False
Q3) A patient is assigned a diagnosis-related group before admission for Medicare reimbursement.
A)True
B)False
Q4) List five characteristics of useful clinical terminologies.
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Chapter 7: Technology, Applications, and Security
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65 Verified Questions
65 Flashcards
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Sample Questions
Q1) Clinical context object workstation (CCOW) is specifically mentioned in the Health Insurance Portability and Accountability Act (HIPAA) Security Rule.
A)True
B)False
Q2) What is the term for a field containing redundant data that links two or more tables in a relational database?
A) Key field
B) Logic field
C) Memo field
D) Note field
Q3) The Health Insurance Portability and Accountability Act (HIPAA) Security Rule specifies specific software applications that are required for two-factor authentication.
A)True
B)False
Q4) Given the relational database model principles, what is the most effective way to store each patient's address?
Q5) List three functions that an ADT system can support.
Q6) What is the term given to the study of medical computing?
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Chapter 8: Information Systems Life Cycle and Project Management
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) Attributes describe both entities and relationships in a database.
A)True
B)False
Q2) Which of the following is a true statement about the systems analysis document?
A) Brings together results from the various investigative strategies
B) Details the programming code for a new system
C) Details the logical design of a system
D) Details the physical design of a system
Q3) All the following statements are true regarding interviewing for systems development except:
A) The interview should be 60 minutes or less.
B) Interviews may contain a mixture of structured and unstructured questions.
C) All end-users of an information system must be interviewed.
D) The interview protocol should be field tested.
Q4) Which of the following questions would be considered a double-barreled question in a survey document?
A) Are troubleshooting personnel courteous and knowledgeable?
B) Do you agree that troubleshooting personnel are discourteous?
C) Do troubleshooting personnel respond in a timely manner?
D) Are troubleshooting personnel highly skilled?
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Chapter 9: Managing Electronic Health Record Systems:
Collaboration and Implementation
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58 Verified Questions
58 Flashcards
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Sample Questions
Q1) Not "start date" and "end date" focused
A)Project
B)Operations
Q2) Setting policies and revising procedures is integral to making major new computer systems work in health care facilities.
A)True
B)False
Q3) Ad hoc teams
A)Project
B)Operations
Q4) User members need to explain their jargon and abbreviations to information systems staff.
A)True
B)False
Q5) Operational workflow planning is the purview of the system users.
A)True
B)False
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Q6) Which of the following factors has been found to be most important in making a system implementation as success: perceived usefulness or ease of use?
Chapter 10: Statistics and Data Presentation
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55 Verified Questions
55 Flashcards
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Sample Questions
Q1) The standard deviation is the most common measure of variation and is represented by the symbol S.
A)True
B)False
Q2) When intervals are used in frequency distribution tables, the intervals should be:
A) No less than 5 and no more than 20
B) Of equal width
C) End points that do not overlap
D) All of the above
Q3) ____________________ is a measure of how often data are classified in the same manner.
Q4) Ten patients were discharged from the obstetrical service on May 4 at Rocky Mountain Hospital. The day's stay for each patient was 3, 2, 1, 1, 6, 5, 1, 2, 2, and 4. What was the median day's stay for these patients?
A) 1
B) 2
C) 3
D) 4
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Page 12
Chapter 11: Research and Epidemiology
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75 Verified Questions
75 Flashcards
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Sample Questions
Q1) Poor memory when interviewed
A)Independent variable
B)Dependent variable
C)Institutional review board
D)Risk factors
E)Specificity
F)Confounding variables
G)Case
H)Control
I)Research question
J)Historical-prospective study
K)Recall bias
L)Interviewer bias
Q2) A case-control study should find controls similar to the characteristics of the cases (such as age and sex), but without the disease, and obtain histories on them.
A)True
B)False
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Page 13
Chapter 12: Performance Management and Patient Safety
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) The Plan-Do-Check-Act (PDCA) improvement model was popularized by:
A) Juran.
B) Motorola.
C) Ishikawa.
D) Shewhart.
Q2) A highly reliable measure will identify a large number of random errors.
A)True
B)False
Q3) Which of the following is not one of the core measure areas for the Joint Commission?
A) Acute myocardial infarction
B) Heart failure
C) Community-acquired pneumonia
D) Fractured hip
Q4) What is the purpose of using thresholds in applying performance measures?
A) To identify "best" outcomes
B) To trigger focused review
C) To establish provider accountability
D) To evaluate relevance of the measure
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Chapter 13: Data Reporting, Interpretation, and Use
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) Cancer registries have been established to:
A) Investigate the cause(s) of cancer as a disease.
B) Eradicate cancer as a disease.
C) Assess cancer incidence, treatment, and end results.
D) Monitor physician performance in treating cancer patients.
Q2) One of the reasons that aggregate data analysis from varying payers is limited in accuracy is:
A) Differing providers and coding systems from provider data.
B) Lack of legal right to data for encounter information.
C) Differing coding requirement and reimbursement rules.
D) Lack of data sharing agreements and differing data elements for the longitudinal records.
Q3) The reference date for a cancer registry is defined as the date the:
A) Registry is planned.
B) Data collection begins.
C) Cancer committee is formed.
D) Cancer program is approved.
Q4) Monitoring cancer incidence is legislatively mandated in most states.
A)True
B)False
Page 15
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Chapter 14: Privacy and Health Law
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65 Verified Questions
65 Flashcards
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Sample Questions
Q1) In litigation, the bailiff is in charge of deciding what laws are applicable to the case.
A)True
B)False
Q2) Referring to the information given, who retains the burden of proof if the doctrine of res ipsa loquitur does not apply? Assume that at a medical malpractice trial alleging postoperative infection exactly 50% of the evidence favors the plaintiff and 50% of the evidence favors the defendant physician and hospital. Among the defendant's evidence is some indication that the patient did not comply with postoperative care instructions, including taking antibiotics to fight infection.
A) Defendant
B) Plaintiff
C) Both a and b
D) Neither a nor b
Q3) All of the following are considered advance directives except:
A) Durable power of attorney.
B) Durable power of attorney for health care.
C) Living will.
Q4) The U.S. Bill of Rights is a source of ____________________ law.
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Page 16
Chapter 15: Human Resource Management
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65 Verified Questions
65 Flashcards
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Sample Questions
Q1) Describe some activities conducive to developing and maintaining an effective health information management team.
Q2) The goal of federal affirmative action programs was to address the inequities resulting from historical discrimination of minority groups in the workplace.
A)True
B)False
Q3) The most effective job description directly anchors the critical success factors of the organization to the expected outcomes of a job.
A)True
B)False
Q4) What do all job evaluation approaches have in common?
Q5) Which of these functions is typically not a responsibility of human resource management?
A) Collective bargaining
B) Physician credentialing
C) Employee handbooks
D) Employee training and development
Q6) Name three reasons why job analysis is useful.
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Chapter 16: Operational Management
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) Organizing the health information department of a large ambulatory care center into teams to provide services to particular clinics is an example of which type of work organization?
A) Functional
B) Customer
C) Process
D) Project
Q2) The primary advantage of using a decision matrix in the decision process is:
A) All relevant information can be displayed and viewed at the same time.
B) The matrix clearly displays the flow of information.
C) The matrix makes the decision for the individual or group.
D) The matrix identifies all potential problems.
Q3) In change management, "managing change" refers to the making of changes in a planned and managed or systematic fashion.
A)True
B)False
Q4) Repetitive strain or stress injuries are a potential problem for medical transcriptionists.
A)True
B)False
Page 18
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Chapter 17: Revenue Cycle and Financial Management
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85 Verified Questions
85 Flashcards
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Sample Questions
Q1) The _____ officer (of the four employed by the institution) will most likely be responsible for obtaining the financing for the new imaging system and service, if it is necessary, including developing the investment report showing this new service.
A) Chief financial
B) Managerial finance
C) Patient account
D) None of the above
Q2) _____ ratios measure the ability of an organization to meet its short- and long-term obligations.
A) Accounts receivable
B) Capitalization
C) Liquidity
D) Turnover
Q3) The CFO asks you to compare the value of purchasing new high-speed photocopying equipment with contracted copying services. What capital expenditure evaluation method would you use?
Q4) What is the major conceptual difference between zero-base budgeting and conventional budgeting?
Q5) Referring to the information given, compute the return on assets.
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