Question 1

Which of the following processes will not be performed for electronic health records?

Accepted Answer

A)  Chart analysis 
B)  Retrospective review 
C)  Error corrections 
D)  Chart assembly 
A)  Chart analysis 
B)  Retrospective review 
C)  Error corrections 
D)  Chart assembly

Question 2

Important topics to include in staff training on HIPAA Privacy and Security Rules include all of the following EXCEPT:

Accepted Answer

A)  How to guard against threats of computer viruses or hackers and where to report suspicious activity 
B)  Management of passwords: how often they will change and sanctions for sharing passwords 
C)  Ways to bypass automatic log-offs so users do not have to enter their password at a terminal 
D)  Education on how to dispose of protected health information (PHI) information on paper or electronic media such as optical disks 
A)  How to guard against threats of computer viruses or hackers and where to report suspicious activity 
B)  Management of passwords: how often they will change and sanctions for sharing passwords 
C)  Ways to bypass automatic log-offs so users do not have to enter their password at a terminal 
D)  Education on how to dispose of protected health information (PHI) information on paper or electronic media such as optical disks

Question 3

Which of the following is a preventive control?

Accepted Answer

A)  A nurse alerts a physician that a patient is allergic to an ordered medication 
B)  The nursing supervisor reviews a chart to ensure that medications were administered on a timely basis 
C)  The HIM department sends a physician a list of the physician's incomplete charts 
D)  A coder reviews a record in order to assign a clinical code 
A)  A nurse alerts a physician that a patient is allergic to an ordered medication 
B)  The nursing supervisor reviews a chart to ensure that medications were administered on a timely basis 
C)  The HIM department sends a physician a list of the physician's incomplete charts 
D)  A coder reviews a record in order to assign a clinical code

Question 4

Since the HIM department is primarily concerned with postdischarge processing, of what use is the admission register to this department?

Accepted Answer

This is a tough question. Here are two r

Question 5

Data that have been obtained, recorded, and/or reported within a predetermined period satisfy the data quality characteristic of ___________.

Accepted Answer

The answer of Data that have been obtained, recorded, and/or...

Question 6

Which of the following is a corrective control?

Accepted Answer

A)  A nurse alerts a physician that a patient is allergic to an ordered medication. 
B)  The nursing supervisor reviews a chart to ensure that medications were administered on a timely basis. 
C)  The HIM department sends a physician a list of the physician's incomplete charts. 
D)  A coder reviews a record in order to assign a clinical code. 
A)  A nurse alerts a physician that a patient is allergic to an ordered medication. 
B)  The nursing supervisor reviews a chart to ensure that medications were administered on a timely basis. 
C)  The HIM department sends a physician a list of the physician's incomplete charts. 
D)  A coder reviews a record in order to assign a clinical code.

Question 7

Is a computer-based record completely paperless? Why or why not?

Accepted Answer

Maybe not. Some functions may still use

Question 8

A detective control function designed to identify incomplete data in a record is ________.

Accepted Answer

quantitati

Question 9

Another word for an incomplete system is a ______________.

Accepted Answer

The answer of Another word for an incomplete system is...

Question 10

In a paper environment, records must physically move from the patient care area to the HIM department for processing and storage. Give two examples of how that movement can occur.

Accepted Answer

Answers will vary. Examples follow. HIM

Question 11

What is the purpose of a discharge register? How is it used in postdischarge processing? How else could it be used?

Accepted Answer

A discharge register lists all of the pa

Question 12

Required elements of a record that are missing are called __________.

Accepted Answer

The answer of Required elements of a record that are...

Question 13

The following include ways electronic health records can assist in tracking chart completion EXCEPT:

Accepted Answer

A)  Point of care documentation 
B)  Physician authentication 
C)  Progress notes 
D)  Nursing assessments 
A)  Point of care documentation 
B)  Physician authentication 
C)  Progress notes 
D)  Nursing assessments

Question 14

The system of organizing the contents of paper-based inpatient records, postdischarge, the same way they are kept on the nursing units is called:

Accepted Answer

A)  Audit trail 
B)  Detective controls 
C)  Postdischarge processing 
D)  Universal chart order 
A)  Audit trail 
B)  Detective controls 
C)  Postdischarge processing 
D)  Universal chart order

Question 15

What internal control roles are played in the HIM department? Your answer should include, but not be limited to, identification of the function and the specific internal control role that it plays.

Accepted Answer

Postdischarge processing contains severa

Question 16

The data quality characteristic associated with the collection of data in its entirety is:

Accepted Answer

A)  Completeness 
B)  Reliability 
C)  Timeliness 
D)  Validity 
A)  Completeness 
B)  Reliability 
C)  Timeliness 
D)  Validity

Question 17

All of the following are routinely identified during quantitative analysis EXCEPT:

Accepted Answer

A)  Missing signature on a physician progress note 
B)  Discharge report has not been dictated 
C)  Requested cardiology consultation was not performed 
D)  H&P was dictated and transcribed on the third day of the admission 
A)  Missing signature on a physician progress note 
B)  Discharge report has not been dictated 
C)  Requested cardiology consultation was not performed 
D)  H&P was dictated and transcribed on the third day of the admission

Question 18

What processing problems can occur if an organization implements a universal chart order? How is the issue of record organization resolved in a computer-based record?

Accepted Answer

Implementation of a universal chart orde

Question 19

The data quality characteristic of data being present or existing in its entirety is __________.

Accepted Answer

The answer of The data quality characteristic of data being...

Question 20

Acute care facilities are permitted to have delinquent records, but the number of delinquent records must not exceed:

Accepted Answer

A)  2% of the average monthly discharges 
B)  50 records 
C)  50% of the average monthly discharges 
D)  9 records 
A)  2% of the average monthly discharges 
B)  50 records 
C)  50% of the average monthly discharges 
D)  9 records

Which of the following processes will not be performed for electronic health records?

Important topics to include in staff training on HIPAA Privacy and Security Rules include all of the following EXCEPT:

Which of the following is a preventive control?

Since the HIM department is primarily concerned with postdischarge processing, of what use is the admission register to this department?

Data that have been obtained, recorded, and/or reported within a predetermined period satisfy the data quality characteristic of ___________.

Which of the following is a corrective control?

Is a computer-based record completely paperless? Why or why not?

A detective control function designed to identify incomplete data in a record is ________.

Another word for an incomplete system is a ______________.

In a paper environment, records must physically move from the patient care area to the HIM department for processing and storage. Give two examples of how that movement can occur.

What is the purpose of a discharge register? How is it used in postdischarge processing? How else could it be used?

Required elements of a record that are missing are called __________.

The following include ways electronic health records can assist in tracking chart completion EXCEPT:

The system of organizing the contents of paper-based inpatient records, postdischarge, the same way they are kept on the nursing units is called:

What internal control roles are played in the HIM department? Your answer should include, but not be limited to, identification of the function and the specific internal control role that it plays.

The data quality characteristic associated with the collection of data in its entirety is:

All of the following are routinely identified during quantitative analysis EXCEPT:

What processing problems can occur if an organization implements a universal chart order? How is the issue of record organization resolved in a computer-based record?

The data quality characteristic of data being present or existing in its entirety is __________.

Acute care facilities are permitted to have delinquent records, but the number of delinquent records must not exceed:

Health Care Delivery Systems

Collecting Health Care Data

Electronic Health Records

Acute Care Records

Code Sets

Reimbursement

Health Information Management Issues in Other Care Settings

Managing Health Records

Statistics

Quality and Uses of Health Information

Confidentiality and Compliance

Him Department Management

Training and Development

Filters

Exam 5: Health Information Management Processing

Which of the following processes will not be performed for electronic health records?

Important topics to include in staff training on HIPAA Privacy and Security Rules include all of the following EXCEPT:

Which of the following is a preventive control?

Since the HIM department is primarily concerned with postdischarge processing, of what use is the admission register to this department?

Data that have been obtained, recorded, and/or reported within a predetermined period satisfy the data quality characteristic of ___________.

Which of the following is a corrective control?

Is a computer-based record completely paperless? Why or why not?

A detective control function designed to identify incomplete data in a record is ________.

Another word for an incomplete system is a ______________.

In a paper environment, records must physically move from the patient care area to the HIM department for processing and storage. Give two examples of how that movement can occur.

What is the purpose of a discharge register? How is it used in postdischarge processing? How else could it be used?

Required elements of a record that are missing are called __________.

The following include ways electronic health records can assist in tracking chart completion EXCEPT:

The system of organizing the contents of paper-based inpatient records, postdischarge, the same way they are kept on the nursing units is called:

What internal control roles are played in the HIM department? Your answer should include, but not be limited to, identification of the function and the specific internal control role that it plays.

The data quality characteristic associated with the collection of data in its entirety is:

All of the following are routinely identified during quantitative analysis EXCEPT:

What processing problems can occur if an organization implements a universal chart order? How is the issue of record organization resolved in a computer-based record?

The data quality characteristic of data being present or existing in its entirety is __________.

Acute care facilities are permitted to have delinquent records, but the number of delinquent records must not exceed:

Health Care Delivery Systems

Collecting Health Care Data

Electronic Health Records

Acute Care Records

Code Sets

Reimbursement

Health Information Management Issues in Other Care Settings

Managing Health Records

Statistics

Quality and Uses of Health Information

Confidentiality and Compliance

Him Department Management

Training and Development

Filters