Exam 1: Registered Health Information Administrator

Under the outpatient prospective payment system (OPPS), status indicator "______" is a payment indicator that refers to "significant procedures for which the multiple procedure reduction applies." This means that the reported CPT and/or HCPCS Level II code will be paid a discounted APC reimbursement rate when reported with other procedures on the same claim.

A transcription unit has been asked to tally the number of times they have to leave sections of a report blank for various reasons (poor dictation technique, background noise, etc.). The quality improvement tool most likely to help collect this data would be

Kim Khoury is planning a luncheon for the team members and stakeholders on the CPOE implementation to celebrate reaching a major milestone. Which of the following is true?

Two-year-old patient returns to the hospital for cleft palate repair where a secondary lengthening procedure takes place.

Community Hospital reported an average LOS in December of 3.7 days with a standard deviation of 23. This information indicates that

Sara has Dupuytren's contracture of the right middle finger. She has an incision and division of the palmar fascia.

Acute and chronic cholecystitis with cholelithia'sis. Laparoscopic cholecystectomy attempted and converted to open.

A discharge in which the patient was discharged from the inpatient rehabilitation facility and returned within 3 calendar days is called a(n)

Abscessed pilonidal cyst; excision of cyst

HIPAA workforce security requires

Clinical privileges are granted to the physician for an interval specified in the medical staff bylaws, but not longer than

Aplastic anemia secondary to chemotherapy administered for multiple myeloma.

Which of the following is a type of laser technology that is ideal for health records because it stores data in a permanent capacity, prohibiting users from altering, misfiling, or erasing data?

The supervisor of retention and retrieval was receiving frequent complaints from the file clerks regarding the discharge clerk's job performance. The file clerks stated it was becoming difficult to maintain their productivity levels because the discharge clerk was not processing the requisition slips in a timely manner. In order to get a clearer understanding of the situation, the supervisor asked the file clerks and the discharge clerk to complete a task list for a 2-week period. The supervisor is constructing a

Currently, payment to the physician for outpatient surgery performed ona Medicare patient is based upon which prospective payment system?

Your facility is implementing a new document management system. This system will require the storage of large amounts of data. Which of the following storage devices would you recommend?

The ideal consent for medical treatment obtained by the physician is

To be admitted into court as evidence, medical records or health information are introduced as

The HIM department is asked to pull records for review by the Quality Improvement Organization (QIO). The QIO reviewers analyze records to ensure that health care services are

Patient is at a fertility clinic and undergoes intrauterine embryo transplant.