Exam 1: Registered Health Information Administrator

You notice on the admission H&P that Mr. McKahan, a Medicare patient, was admitted for disc surgery, but the progress notes indicate that due to some heat irregularities, he many not be a good surgical risk. Because of your knowledge of COP regulations, you expect that a(n)_______________ will be added to his health record

A rule is helpful to both managers and the employees in the decision-making process. A rule

Codes act as a primary means of communication with third-party payers. You look forward to the day that you will use

These are financial protections to ensure that certain types of facilities (e.g., children's hospitals) recoup all of their losses due to the differences int heir APC payments and the pre-APC payments.

It would be most profitable for Sea Side Clinic to increase episode of care service with Sea Side Clinic (SSC) provides episode of care service for four insurance companies. Data on services provided and reimbursement received are provided below.

Pathologist performs a postmortem examination including brain of an adult. Tissue is being sent to the lab for microscopic examination.

The performance of ongoing record reviews is an important tool is ensuring data quality through accurate health records. These reviews evaluate

Which of the following responsibilities would you expect to find on the job description of a facility's Information Security Officer, but NOT on the job description of Chief Privacy Officer?

Heartland Health System has set hiring goals and taken steps to guarantee equal employment opportunities for protected groups' members (e.g., American Indians, women, blacks, etc.). It is complying with

A nomenclature of codes and medical terms and that provides standard terminology for reporting physicians' services for third-party reimbursement is

As supervisor of the record completion function of the HIM department, you are asked for record completion statistics for specific physicians who are being evaluated for reappointment to the medical staff. Which of the following information elements would you report for each physician?

Chronic interstitial cystitis; cystoscopy with biopsy performed

You are considering the classification of two patients discharged from your hospital yester Both patients had a length of stay that was increased due to co-morbidities and/or complicat described below: The best way to describe these two cases would be to say that:

Psychogenic paroxysmal tachycardia

Patient comes in through the emergency room with a laceration of the posterior tibial nerve. Patient is taken to the operating room where the nerve requires transposition and suture.

Beth Huber, Director of Health Information, has been selected to participate in a strategic planning retreat for her health system. In preparation, she refreshes her understanding of strategic planning. Which of the following will likely be included in the retreat?

A patient is on Coumadin therapy. Which of the following tests is commonly ordered to monitor the patient's Coumadin levels?

The laboratory system was installed 3 years ago. It is running well and meeting the needs of the department. Which stage of the IS life cycle is the laboratory system in?

Admission for intestinal obstruction due to adhesions. Peripheral vascular disease and chronic urinary tract infections, both conditions treated with oral medication.

Mr. McDonaldson was admitted to your hospital at 10:45 PM on January 1, 2008. He died at 4:22 AM on January 3, 2008. How many inpatient service days did Mr. McDonaldson receive?