Question 1

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 needed only in hospitals.
D)  provides health records to physicians only.E) B) and C)
F) A) and D) B

Question 2

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 only.
C)  nurses only.
D)  health information managers only.E) A) and B)
F) A) and C)

Question 3

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 and writing over it.
B)  the incorrect entry can be covered using whiteout and the record can be recopied with the correction.
C)  the original entry needs to be crossed out with a line and highlighted as an ERROR;the correction can then be entered,authenticated,and dated by the person making the correction.
D)  any of the above is acceptable for making corrections.E) All of the above
F) A) and B)

Question 4

The health information department performs which of the following supportive functions?

Accepted Answer

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

Question 5

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-9-CM nomenclature.
D)  all of the above are correct.E) All of the above
F) A) and D)

Question 6

You are asked to testify in a court case involving a mammographic biopsy with which you were involved as a mammographer.During testimony,a question is raised regarding whether the biopsy was done successfully.You remember clearly that it was and state that.In the patient's health record,there is no written documentation of the biopsy being done.As far as the court is concerned,

Accepted Answer

A)  the biopsy did not occur because it is not in the health record.
B)  your testimony is all that is needed to straighten out the mistake.
C)  the examination was completed if the patient paid her bill.
D)  the examination was completed because the insurance company paid the bill.E) C) and D)
F) B) and D) A

Question 7

All of the following would be characteristics of a patient health record EXCEPT it

Accepted Answer

A)  is a single record on a single patient only.
B)  may be maintained in paper or electronic media (or both) .
C)  is required for hospitals and emergency department visits only.
D)  promotes communication among providers and continuity of care.E) A) and B)
F) B) and C)

Question 8

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) All of the above
F) A) and B)

Question 9

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.
B)  the amount of medical resources used to care for the patient.
C)  whether the patient is cured or not on discharge.
D)  both a and b.E) All of the above
F) C) and D)

Question 10

Health records for inpatients should contain what information?
1) Patient identification data
2) Number of patient visitors during the stay
3) Reports of any diagnostic or therapeutic studies
4) Physical examination data
5) Number of times the nurse call light is activated for nursing care
6) All informed consent documents
7) 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) A) and C)
F) B) and C)

Question 11

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 above.E) C) and D)
F) B) and D)

Question 12

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.
D)  make sure all the patient's requests were met during the stay.E) A) and B)
F) All of the above

Question 13

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 are used to calculate the APC multiplier.
D)  APCs are generally at a lower reimbursement amount and are used only by the federal government because of this lower cost.E) A) and C)
F) A) and B) A

Question 14

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 Osteopathic Association (AO
A)  .
D)  both a and c.E) B) and D)
F) C) and D)

Question 15

As a professional imaging team member,it is important to remember that

Accepted Answer

A)  patient health records are considered legal documents.
B)  incorrect coding of patient data has little effect on the day-to-day operations of a health care provider.
C)  only the radiologist will be asked to provide legal testimony regarding a patient's examination in which you participated.
D)  HIPAA rules are voluntary and followed only by outpatient imaging centers.E) A) and D)
F) A) and C)

Question 16

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 need to be destroyed after 24 months and a copy of the report kept on file.
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 17

The ICD-10-CM codes for radiologic procedures using CPT coding nomenclature range from

Accepted Answer

A)  10000 to 59999.
B)  70010 to 79999.
C)  80000 to 89999.
D)  90010 to 99999.E) B) and D)
F) None of the above

Question 18

You have been asked to participate on 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)  assess the amount of linen used for specific x-ray examinations.
C)  evaluate various radiology services to seek improvement.
D)  calculate the cost of x-ray equipment service among companies.E) B) and D)
F) B) and C)

Question 19

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,preferably a #1.
B)  abbreviations that are common with cell phone texting are acceptable.
C)  any date entered must be legible.
D)  information can be entered electronically by anyone with a computer.E) None of the above
F) All of the above

Question 20

An effective hospital quality improvement program

Accepted Answer

A)  presents its findings and recommendations to the hospital medical staff and board of trustees.
B)  includes only departments that are perennially problematic.
C)  deals exclusively with the financial strength of the hospital.
D)  publishes all of its findings in the local newspaper and on television and radio.E) None of the above
F) A) and B)

Exam 25: Health Records and Health Information Management

A typical health information management department

Correct Answer
verified
B

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

Correct Answer
verified

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

Correct Answer
verified

The health information department performs which of the following supportive functions?

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

Correct Answer
verified

Correct Answer
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A

All of the following would be characteristics of a patient health record EXCEPT it

Correct Answer
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Correct Answer
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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

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

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

Correct Answer
verified

A major distinction between DRGs and APCs is that

Correct Answer
verified
A

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

Correct Answer
verified

As a professional imaging team member,it is important to remember that

Correct Answer
verified

According to the Mammography Quality Standards Act,

Correct Answer
verified

The ICD-10-CM codes for radiologic procedures using CPT coding nomenclature range from

Correct Answer
verified

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

Correct Answer
verified

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

Correct Answer
verified

An effective hospital quality improvement program

Correct Answer
verified

Exam 25: Health Records and Health Information Management

A typical health information management department

Correct AnswerverifiedB

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

The health information department performs which of the following supportive functions?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

Correct AnswerverifiedA

All of the following would be characteristics of a patient health record EXCEPT it

Correct AnswerverifiedShow Answer

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

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

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

Correct AnswerverifiedShow Answer

A major distinction between DRGs and APCs is that

Correct AnswerverifiedA

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

Correct AnswerverifiedShow Answer

As a professional imaging team member,it is important to remember that

Correct AnswerverifiedShow Answer

According to the Mammography Quality Standards Act,

Correct AnswerverifiedShow Answer

The ICD-10-CM codes for radiologic procedures using CPT coding nomenclature range from

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

An effective hospital quality improvement program

Correct AnswerverifiedShow Answer

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B

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A

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A

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