Question 1

Entering health information into a patient's medical record (charting) is completed by

Accepted Answer

A)   any department personnel who provide care to a patient.
B)   physicians and practitioners only.
C)   physicians and charge nurses only.
D)   health information managers only.E) A) and B)
F) A) and C)

Question 2

To maximize the full reimbursement for a diagnostic study performed in medical imaging,

Accepted Answer

A)   the correct DRG must be attached to inpatient studies performed.
B)   any changes to radiology's examinations must be communicated with the hospital chargemaster so that the correct CPT-4 code is assigned.
C)   the correct CPT code must be assigned using the ICD-10-CM nomenclature.
D)   All of the above are correct.E) A) and D)
F) B) and D)

Question 3

According to the Mammography Quality Standards Act,

Accepted Answer

A)   a patient can request that her images be sent to another mammography service.
B)   original mammographic images must be converted to a paper media and stored in medical records.
C)   mammographic images must be kept for 24 months or until her next mammographic examination date,whichever is sooner.
D)   All of the above are correct.E) B) and C)
F) A) and D)

Question 4

In 2007,the government upgraded the DRG system of reimbursement and introduced the MS-DRG system.This upgrade is designed to take into account

Accepted Answer

A)   the patient's severity of illness and the amount of medical resources utilized.
B)   the amount of medical resources used to care for the patient.
C)   whether or not the patient had a positive outcome.
D)   patients who are ultimately placed into extended care facilities such as rehabilitation centers or nursing homes.E) All of the above
F) B) and C)

Question 5

It is important for the professional imaging technologist to thoroughly understand his or her responsibilities with regard to health information confidentiality.Particularly important considerations include

Accepted Answer

A)   a testimonial statement must be signed,indicating your awareness and responsibility in maintaining the privacy of patient records.
B)   all examination results are released to patients by physicians only.
C)   all health care personnel have the same responsibilities for maintaining confidentiality,including students.
D)   All of the aboveE) A) and B)
F) A) and C)

Question 6

Standards have been established for the maintenance of complete medical records by

Accepted Answer

A)   The Joint Commission (formerly the Joint Commission on the Accreditation of Healthcare Organizations) .
B)   the American Registry of Medical Records (ARMR) .
C)   the American Medical Association (AM
A)  .
D)   the World Trade Organization (WTO) .E) None of the above
F) A) and B)

Question 7

With regard to patient medical information

Accepted Answer

A)   patient health records are considered legal documents.
B)   original patient health records must be submitted to courts upon subpoena.
C)   a spouse has a legal right to the medical information of their partner.
D)   when a patient's attorney requests medical records,the patient must be present to sign off on the release.E) A) and B)
F) C) and D) A

Question 8

An effective hospital quality improvement program

Accepted Answer

A)   includes the operations and effectiveness of the hospital's medical staff.
B)   includes only departments that are historically problematic.
C)   deals exclusively with the financial strength of the hospital.
D)   publishes all of its findings to local media outlets.E) B) and C)
F) B) and D)

Question 9

You have been asked to participate in the radiology department's quality assurance committee.The purpose of this committee would most likely be to

Accepted Answer

A)   determine the qualifications of radiographers used in the department.
B)   review personnel monitoring data to determine staff exposures.
C)   evaluate various radiology services to seek improvement.
D)   calculate the cost of X-ray equipment service contracts between companies.E) A) and C)
F) All of the above

Question 10

A major distinction between DRGs and APCs is that

Accepted Answer

A)   APCs are used for the reimbursement of outpatient and ancillary procedures.
B)   DRGs are used exclusively for outpatient studies.
C)   DRGs reference the ICD-10 revision and APCs reference the ICD-9 version.
D)   APCs are generally at a lower reimbursement amount and are used only by the federal government because of this lower cost.E) All of the above
F) A) and D) A

Question 11

Medical history,including the chief complaint

Accepted Answer

A)   1,2,4,6,and 7 only
B)   1,3,4,6,and 7 only
C)   2,3,4,5,and 7 only
D)   1,4,and 6 onlyE) All of the above
F) B) and D)

Question 12

When entering information into a patient health record,it is important to remember that

Accepted Answer

A)   entries can be made in ink or with an indelible pencil.
B)   abbreviations that are common with cell phone texting are acceptable.
C)   any data entered must be legible and in ink when the entry is written.
D)   information can be entered electronically by anyone with a hospital-provided computer.E) None of the above
F) C) and D)

Question 13

As you and a colleague transport a patient back to the emergency department,the patient's fingers get caught in the wheels of the wheelchair,but there is no apparent injury to the patient.This event does require that an incident report be completed.The incident report must be part of the

Accepted Answer

A)   patient's health record.
B)   patient's medical history on discharge.
C)   hospital's risk management documentation.
D)   nurses' notes in the patient's chart.E) A) and D)
F) A) and C)

Question 14

Before a diagnostic study can be initiated,

Accepted Answer

A)   a formal,documented examination request is entered into the institution's information system.
B)   the requesting physician must be identified on the request.
C)   reasons for the examination must be on the request.
D)   all of the above should be done.E) A) and B)
F) B) and C)

Question 15

A key function performed by a patient's health information record is to

Accepted Answer

A)   ensure the patient is discharged in a timely fashion.
B)   communicate to the patient's physician all care rendered by all persons.
C)   document the patient's chief complaint to see if it was treated and explain the outcome.
D)   ensure all patient's requests were met during the stay as a measure of quality assurance.E) B) and D)
F) A) and C) B

Question 16

As a radiographer working in a busy department,you have received an examination request for an interventional venous line placement for an inpatient.The referring physician is very upset about any delay with his patient.In reviewing the request,you notice that there is no indication as to why this examination is being done.How would you proceed with this situation?

Accepted Answer

A)   Complete the examination and get the missing information later.
B)   Ask the patient if he knows why the examination is being done.
C)   Because this patient is an inpatient,the missing information is unnecessary.
D)   Delay the examination until the needed information is provided by the referring physician.E) None of the above
F) A) and B)

Question 17

A typical health information management department

Accepted Answer

A)   charges patients and doctors for its services and is a major revenue center for a hospital.
B)   is responsible for the maintenance,retrieval,and storage of health information.
C)   is considered an essential department and staffed by physicians only.
D)   provides health records to physicians only.E) A) and B)
F) A) and C)

Question 18

The shift to a prospective payment system (PPS) and diagnostic related groups (DRGs) has made the health information process of _____ critically important to the complete and timely reimbursement of medical costs provided by the government (Medicare/Medicaid) and third-party payers.

Accepted Answer

A)   digitization
B)   archiving
C)   transcription
D)   codingE) A) and B)
F) B) and D)

Question 19

In the event a correction is needed in a paper document in a patient health record,

Accepted Answer

A)   the correction can be made by erasing the original entry,writing over it,and initialing the correction.
B)   the incorrect entry can be covered using whiteout and the record can be recopied with the correction along with the person's initials.
C)   the original entry needs to be crossed out by the author with a line and highlighted as an ERROR followed by authentication and dating.
D)   the person discovering the error can make the correction by writing ERROR and recording their name,date,and time.E) B) and C)
F) A) and B)

Question 20

With regard to HIPAA regulations,

Accepted Answer

A)   patients cannot access their medical information without their physician's consent and attendance.
B)   patients have a legal write to their medical information and to have copies made at no cost to the patient.
C)   copying and faxing medical information is strictly forbidden.
D)   None of the above is true.E) A) and D)
F) All of the above

Exam 25: Health Records and Health Information Management

Entering health information into a patient's medical record (charting) is completed by

Correct Answer
verified

To maximize the full reimbursement for a diagnostic study performed in medical imaging,

Correct Answer
verified

According to the Mammography Quality Standards Act,

Correct Answer
verified

In 2007,the government upgraded the DRG system of reimbursement and introduced the MS-DRG system.This upgrade is designed to take into account

Correct Answer
verified

It is important for the professional imaging technologist to thoroughly understand his or her responsibilities with regard to health information confidentiality.Particularly important considerations include

Correct Answer
verified

Standards have been established for the maintenance of complete medical records by

Correct Answer
verified

With regard to patient medical information

Correct Answer
verified
A

An effective hospital quality improvement program

Correct Answer
verified

You have been asked to participate in the radiology department's quality assurance committee.The purpose of this committee would most likely be to

Correct Answer
verified

A major distinction between DRGs and APCs is that

Correct Answer
verified
A

Medical history,including the chief complaint

Correct Answer
verified

When entering information into a patient health record,it is important to remember that

Correct Answer
verified

As you and a colleague transport a patient back to the emergency department,the patient's fingers get caught in the wheels of the wheelchair,but there is no apparent injury to the patient.This event does require that an incident report be completed.The incident report must be part of the

Correct Answer
verified

Before a diagnostic study can be initiated,

Correct Answer
verified

A key function performed by a patient's health information record is to

Correct Answer
verified
B

Correct Answer
verified

A typical health information management department

Correct Answer
verified

The shift to a prospective payment system (PPS) and diagnostic related groups (DRGs) has made the health information process of _____ critically important to the complete and timely reimbursement of medical costs provided by the government (Medicare/Medicaid) and third-party payers.

Correct Answer
verified

In the event a correction is needed in a paper document in a patient health record,

Correct Answer
verified

With regard to HIPAA regulations,

Correct Answer
verified

Exam 25: Health Records and Health Information Management

Entering health information into a patient's medical record (charting) is completed by

Correct AnswerverifiedShow Answer

To maximize the full reimbursement for a diagnostic study performed in medical imaging,

Correct AnswerverifiedShow Answer

According to the Mammography Quality Standards Act,

Correct AnswerverifiedShow Answer

In 2007,the government upgraded the DRG system of reimbursement and introduced the MS-DRG system.This upgrade is designed to take into account

Correct AnswerverifiedShow Answer

It is important for the professional imaging technologist to thoroughly understand his or her responsibilities with regard to health information confidentiality.Particularly important considerations include

Correct AnswerverifiedShow Answer

Standards have been established for the maintenance of complete medical records by

Correct AnswerverifiedShow Answer

With regard to patient medical information

Correct AnswerverifiedA

An effective hospital quality improvement program

Correct AnswerverifiedShow Answer

You have been asked to participate in the radiology department's quality assurance committee.The purpose of this committee would most likely be to

Correct AnswerverifiedShow Answer

A major distinction between DRGs and APCs is that

Correct AnswerverifiedA

Medical history,including the chief complaint

Correct AnswerverifiedShow Answer

When entering information into a patient health record,it is important to remember that

Correct AnswerverifiedShow Answer

As you and a colleague transport a patient back to the emergency department,the patient's fingers get caught in the wheels of the wheelchair,but there is no apparent injury to the patient.This event does require that an incident report be completed.The incident report must be part of the

Correct AnswerverifiedShow Answer

Before a diagnostic study can be initiated,

Correct AnswerverifiedShow Answer

A key function performed by a patient's health information record is to

Correct AnswerverifiedB

Correct AnswerverifiedShow Answer

A typical health information management department

Correct AnswerverifiedShow Answer

The shift to a prospective payment system (PPS) and diagnostic related groups (DRGs) has made the health information process of _____ critically important to the complete and timely reimbursement of medical costs provided by the government (Medicare/Medicaid) and third-party payers.

Correct AnswerverifiedShow Answer

In the event a correction is needed in a paper document in a patient health record,

Correct AnswerverifiedShow Answer

With regard to HIPAA regulations,

Correct AnswerverifiedShow Answer

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A

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A

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B

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