AH112 Final Exam NEED ASAP

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Question description

  1. Per Joint Commission standards, all inpatient hospital records must be completed within ____ days after discharge, regardless of the storage media of the record.

A.

B.

C.

D.

 

            Question 2      

    

  1. Hillcrest Hospital and Endwell Hospital are merging. The new health information director for both hospitals needs to ensure that the two master patient indexes are accurately merged. Each hospital currently uses manual MPIs, and they will convert to one automated MPI. Which activity below should the director avoid?



      
              A.

              B.

              C.

              D.

      

 

            Question 3      

    

  1. Which statement regarding the patient record is true?



      
              A.

              B.

              C.

              D.

      

 

            Question 4      

    

  1. Information about the provision, coordination, and management of health care and services is known as _____ under HIPAA.



      
              A.

              B.

              C.

              D.

      

4 points     

            Question 5      

    

  1. Which of the following is not documented as a part of a consultation report?



      
              A.

              B.

              C.

              D.

      

4 points     

            Question 6      

    

  1. Dr.Smith enters the following information as part of a progress note: “2/3/YYYY Patient complains of right upper abdominal pain of four days’ duration.” This information represents the



      
              A.

              B.

              C.

              D.

      

4 points     

            Question 7      

    

  1. Which of the following documents that the patient acknowledges the nature of treatment, risk, and complications of care?



      
              A.

              B.

              C.

              D.

      

4 points     

            Question 8      

    

  1. Sally Smith, a health information department employee, is placed on the witness stand during a court hearing. She may testify that



      
              A.

              B.

              C.

              D.

      

4 points     

            Question 9      

    

  1. Ms. RHIT is writing a policy for filing alphabetic records. Which statement below should be included in the policy?



      
              A.

              B.

              C.

              D.

      

4 points     

            Question 10      

    

  1. The premature newborn death rate is calculated by dividing the _____by the number of premature newborn patients and multiplying by 100.



      
              A.

              B.

              C.

              D.

      

4 points     

            Question 11      

    

  1. The admission and discharge date is considered:



      
              A.

              B.

              C.

              D.

      

4 points     

            Question 12      

    

  1. The health information director is writing a policy to ensure the accuracy of an automated master patient index. The two departments that should be allowed to enter or update information in the master patient index are



      
              A.

              B.

              C.

              D.

      

4 points     

            Question 13      

    

  1. In 2008 Medicare implemented APCs and relative payment weights to reimburse ________ for surgical procedures performed



      
              A.

              B.

              C.

              D.

      

4 points     

            Question 14      

    

  1. A common item not found on an admission data entry screen is:



      
              A.

              B.

              C.

              D.

      

4 points     

            Question 15      

    

  1. In which of the following cases would documentation of an interval history be acceptable?



      
              A.

              B.

              C.

              D.

      

4 points     

            Question 16      

    

  1. Dr. Sharp, a surgeon, has designed a new form that she wants to use when she completes cataract surgery. Final approval of the form would be given by the



      
              A.

              B.

              C.

              D.

      

4 points     

            Question 17      

    

  1. Tom Top was admitted to Fresh Start, a drug and alcohol rehabilitation facility. A friend of his calls the facility to speak with him and to get his room number. The facility’s response should be



      
              A.

              B.

              C.

              D.

      

4 points     

            Question 18      

    

  1. The medical record must be maintained according to



      
              A.

              B.

              C.

              D.

      

4 points     

            Question 19      

    

  1. Ms. RHIT is analyzing and assembling a patient’s record and notices that a copy of a history and physical from the attending physician’s office was used in the record instead of an inpatient history and physical. The office H&P was completed on January 2 (this year) and the patient was admitted to the hospital on January 5 (this year); the office H&P was placed on the record at the time of admission. According to Medicare CoP regulations, the office H&P is



      
              A.

              B.

              C.

              D.

      

4 points     

            Question 20      

    

  1. Which characteristic of electronic data interchange (EDI) below is incorrect?



      
              A.

              B.

              C.

              D.

      

4 points     

            Question 21      

    

  1. Suzie Smith wants to obtain a copy of her medical record. She can obtain a copy of all reports in her record EXCEPT for the



      
              A.

              B.

              C.

              D.

      

4 points     

            Question 22      

    

  1. Ms. RHIT is developing an audit tool to be used to review records in preparation for the Joint Commission survey. Which of the following is a standard that should be included on the audit tool?



      
              A.

              B.

              C.

              D.

      

4 points     

            Question 23      

    

  1. Hillcrest Hospital is conducting research on Alzheimer’s disease and wishes to obtain information from its state’s registry. Which information below would be unavailable from the registry?



      
              A.

              B.

              C.

              D.

      

4 points     

            Question 24      

    

  1. When a patient is transferred to a different level of care within the same hospital, the summary report is called a:



      
              A.

              B.

              C.

              D.

      

4 points     

            Question 25      

    

  1. Dr. Smith documents in a patient’s record that the patient may be released from the recovery room. This would be documented as part of the



      
              A.

              B.

              C.

              D.


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