Comprehensive HIM and Healthcare Certification & Management Overview

What year was the first professional association for health information managers established?

1928

Who started the hospital standardization program?

Commission on Accreditation for Health Informatics and Information Management Education

What is the formal approval process for academic programs in health information management called?

Accreditation

What is the formal process for conferring a health information management credential?

Certification

What is a traditional HIM role?

Tracking record completion

Which function governs the HIM profession?

AHIMA House of Delegates

What makes up a virtual network of AHIMA members?

AHIMA Engage

Which arm of AHIMA promotes research in health information management?

AHIMA Foundation

What best describes the mission of AHIMA?

Community of professionals providing support to members and strengthening the industry and profession

Which professional organization sponsors the CTR certification?

NCRA

Who should someone contact to sit for the Certified Professional Coder (CPC) certification?

AAPC

What is the minimum educational level needed to qualify for an AHIMA fellowship?

Master's degree

Which of the following qualifies for CEUs?

College course

Is the RHIT credential a lifetime certification?

No. RHITs must become recertified.

Which group is responsible for AHIMA's certification exams?

CCHIIM

How long does a new HIM program have to complete its candidacy for accreditation?

2 years

What are the two components of AHIMA's management structure?

Staff and volunteer

What AHIMA membership is an RHIT who graduated six months ago and is joining for the first time qualified for?

Active membership

Must an RHIT be at least 65 years old to qualify for emeritus membership?

True

Where is the requirement for HIM professionals to comply with laws, regulations, and standards found?

AHIMA Code of Ethics

What is the accountability framework and decision rights used to achieve enterprise information management?

Information governance

What were health records like prior to hospital standardization?

Essentially worthless

How many charter members did the ARLNA have?

58

What did HIM need to be recognized as a profession?

Preliminary training

What was the emphasis of traditional HIM practice?

Ensuring a complete and accurate health record

What places emphasis on treating individual patients at the level of care required by their course of treatment, from primary care providers to specialists and ancillary providers?

Continuum of care

As of 2014, what percentage of the U.S. economy was represented by healthcare spending?

17.5%

What is the ideal ratio of medical generalists to specialists?

40:60

Are registered nurses only formally educated at the bachelor's degree level?

False

Which is considered an allied health profession?

Physician assistants

Are occupational therapists concerned with a patient's activities of daily living?

True

Which federal law created Medicare and Medicaid?

Public Law 89-97 of 1965

Will Medicare pay Medicaid premiums, deductibles, and coinsurance costs for some low-income Medicaid beneficiaries?

False

What process determines whether medical care provided to a specific patient is necessary according to pre-established objective screening criteria?

Utilization review

HITECH was a portion of which bill?

American Recovery and Reinvestment Act of 2009

What are hospital beds called when they are authorized by the state?

Licensed beds

Is being located in a rural area one of the criteria for a Critical Access Hospital?

True

Is approving the organization and makeup of the clinical staff one function of the board of directors?

True

What does the C in CIO stand for?

Chief

What type of service is the health information management department considered?

Ancillary support service

Are hospital-owned group practices considered ambulatory care organizations?

True

Why might some patients prefer urgent care centers?

Their insurance carriers treat urgent care centers preferentially compared with physician offices.

What is the fastest-growing sector offering services for Medicare recipients?

Home health

Are rehabilitation hospitals categorized as acute care facilities?

False

What is a main goal when treating hospice patients?

Minimize the stress and trauma of death

What health profession focuses on the eyes and related structures?

Optometry

Public Law 89-97 of 1965 created amendments to which Act?

Social Security Act

The Office of the National Coordinator for Health Information Technology was created as part of which Act?

American Recovery and Reinvestment Act

Who has primary responsibility for setting the overall direction of a hospital?

Board of directors

What are the predetermined policies under which the medical staff operates called?

Medical staff bylaws

What is a secondary purpose of the health record?

Educate medical students

Which is an institutional user of the health record?

Third-party payer

How do patient care managers and support staff use data documented in the health record?

To communicate vital information among departments and across disciplines and settings

Why is the hybrid health record challenging to manage?

Because both electronic and paper media must be managed.

Dr. Smith dictated his report and immediately edited it. What type of speech recognition is being used?

Front-end speech recognition

Why are data and information not the same thing?

Data are raw facts and figures; information is data converted into a meaningful format.

Which information system tracks information provided to a requester?

Release of information system

What is the use of the health record by a clinician to facilitate quality patient care considered?

A primary purpose of the health record

Why is only the most current version of a document displayed?

To ensure there is no confusion about the correct document.

How do accreditation organizations use the health record?

To determine whether standards are being met

How long should the Master Patient Index (MPI) be retained?

Permanently

What is an example of a deficiency in a health record?

Missing document

Are patient care managers individual users of health records?

True

What is removing health records of patients who have not been treated at a facility for a specific period of time called?

Purging records

Which type of microfilm does not allow a unit record to be maintained?

Roll microfilm

What is true about document imaging?

Documents can be indexed

What system records the location of health records removed from the filing system and documents their return?

Chart tracking system

What are "loose" reports?

Health record forms received by the HIM department and added to the health record after processing

What is the most efficient filing system?

Unit numbering system

What is the key to the identification and location of a patient's health record?

Master Patient Index (MPI)

Which numbering system assigns multiple health record numbers, one per visit?

Serial numbering system

In which numbering system does a patient receive a new health record number for each admission, with content filed under the most recent number?

Serial-unit numbering system

What is part of qualitative analysis review?

Checking that only approved abbreviations are used

What is true of good forms design for paper forms?

Every form should have a unique identification number