green class kahoot for test 1

a student wants a credential focused on health data analysis. Which credential should she pursue?

CHDA.

RHIT

CMA

RMA

CHDA

a hospital operated by a religious or charitable organization is considered:

Voluntary

unvoluntary

Voluntary

 a coding specialist earns a CPC credential. Which organization granted it

CCHIIM

AHIMA

AAPC

CAHIM

AAPC

A patient requests a copy of her chart. Who owns the original record?

Provider

Insurance Company

Patient

State Government

Provider

Critical Access Hospital stay limit?

110

100

96

120

96

Which EHR function would most likely be used by the front desk staff?

Pharmacy processing

Patient scheduling

Cardiac monitoring

Medication administration

Patient scheduling

The patient is leaving hospital after 5 day stay. Which document summarizes the patient's treatment and follow-up plan?

H&P

Discharge Summary

Consultation report

Operative Report

Discharge Summary

A facility wants to identify patients who are at high risk for readmission.What process would help identify trends?

Data mining

indexing

fling

scanning

Data mining

A patient receives assistance with eating, bathing, and dressing at a long-term care facility. These activities are:

H&P

EHRS

PPE

ADLS

ppe

 A provider documents lungs clear bilaterally during an examination.This information belongs in the:

Physical examination

Review of systems

Social history

Social history

Physical examination

The ability of different healthcare organizations to share and use patient information electronically is called:

Credentialing

Accrediation

Auditing

Interoperability

Interoperability

A hospital HIM system connects registration, billing, and laboratory tables through a patient #. This is an example of:

Data screening

Imaging

A relational database

Data mining

A relational database

a risk manager reviews incident reports involving patient falls.

What is the primary goal?

Improve safety

Reduce admissions

Hire staff

Increase revenue

Improve safety

 a specialist evaluates a patient at another physician request and documents findings and recommendations. Which report?

Progress note

Consultation report

Operative report

Discharge Summary

Consultation report

 a healthcare student wants practical experience before graduation.Which educational activity provides this?

Continuing education

Orientation

Professional practice experience

Licensing

Professional practice experience

 a hospital adopts electronic records after receiving government incentives. What law encouraged this transition?

HITECH

EMTALA

OSHA

COBRA

HITECH

 a facility provides comfort care and pain management for terminally ill patients. Which service is not included?

Pain control

Surgical intervention

Medication management

Family support

Surgical intervention

 a hospital is preparing for an accreditation survey. Which professional would most likely coordinate the effort?

Medical coder

Registrar

Quality manager

Receptionist

Quality manager

 patient states she has smoked two packs of cigarettes daily for 30 years. This information belongs in:

Consultation report

Patient history

Progress note

Physical examination

Patient history

The organization responsible for accrediting HIM educational programs is:

AHIMA

CMS

CAHIM

AAPC

CAHIM

 a patient receives counseling and crisis intervention during the day but returns home each evening.

hospice care

acute inpatient care

Long term residential care

Behavioral health day treatment

Behavioral health day treatment

a physician authenticates a report using a secure PIN and password. What type of signature is being used?

e-signature

signature stamp

fax signature

Countersignature

e-signature

Which resource identifies provider initials?

data dictionary

master patient index

Signature legend

Authentication

Signature legend

an unlicensed resident completes a history and physical examination.What must occur before the report is complete?

No additional authentication

Nurse signature

Patient signature

Attending physician countersignature

Attending physician countersignature

which type of information generally requires the most protection because of its sensitive nature?

date of birth

appointment date

substance use history

address

substance use history

Which organization improved the quality of surgical care by establishing standards for surgical education and practice?

American College of surgeons

AHIMA

American College of surgeons

A Critical Access Hospital must generally be located at least how far from another hospital?

50

35

30

20

35

 which pair of credentials is sponsored by AHIMA

CMA and RMA

RHIT and RHIA

RHIT and RHIA

 A physician orders that a patient should not eat or drink after midnight before surgery. Which abbreviation?

NPO

STAT

BID

PRN

NPO

which law encourages reporting medical errors by protecting the confidentiality of reports?

HIPAA

HITECH

EMTALA

Patient Safety and Quality Improvement Act

Patient Safety and Quality Improvement Act

Medicare Conditions of Participation require medical records to be retained for at least:

3 years

5 years

10 years

1 year

5 years

Which agency supports programs that help older adults remain independent?

AMA

CMS

CDC

AoA

AoA

 a family physician evaluates and treats a patient with a sinus infection during an office visit. This is an example of:

Secondary care

Primary care

Primary care

Hospitals employees should only access patient records when:

There is a need to know

The record interests them

They work at the facility

They have computer access

There is a need to know

A patient requires daily nursing care supervised by licensed healthcare professionals. Which facility is this?

Skilled Nursing Facility

Assisted Living

Skilled Nursing Facility

 A record that includes a database, problem list, care plan, and progress notes is:

Problem oriented

Integrated

source oriented

paper based

Problem oriented

 Initials are commonly accepted as authentication on:

Medication records

Neither

Both

Flowsheets

Both

A facility wants to microfilm each patient's record separately for easy retrieval. Which type of film should it use?

Both

Neither

Jacker film

Reel film

Jacker film

which item is considered clinical data?

discharge summary

date of birth

Insurance number

Occupation

discharge summary

Differences in income, education, and social conditions can lead to:

Healthcare disparities

Better outcome for all

Equal access

Reduced cost

Healthcare disparities

Which federal agency administers Medicare and Medicaid?

HRSA

NIH

CDC

CMS

CMS

Which federal agency is considered the nation's premier medical research organization?

CDC

CMS

NIH

HRSA

NIH

Which department would be considered an ancillary service?

Physical Therapy

Human Resource

Physical Therapy

A hospital reports patient diagnoses and inpatient procedures using which coding system?

ICD-10-CM

ICD-10-PCS

Only ICD-10-CM

Both

Both

 HIM department wants the newest reports immediately visible when a chart is opened. Which filing system should be used?

reverse chronological order

aphabetical order

numerical order

date order

reverse chronological order

 The AHIMA Code of Ethics applies to:

Certified non members

AHIMA members

AII

students

All