Chapter 25 Book Questions

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1

Which of the following is NOT a function of a hospital health information management department?

coding of diagnoses and operative procedures and diagnosis-related group assigning

documenting relevant patient information in the medical record

quality management and performance improvement activities

appropriate release of medical information

documenting relevant patient information in the medical record

2

The perspective payment system is a payment system based on which of the following?

the diagnosis-related group (DRG) or the ambulatory patient classification (APC)

the coding system based on the International Classification of Diseases, 10th revision, Clinical Modification (ICD-10-CM)

the current Procedural Terminology (CPT) coding system

the resource based relative value system (RBRVS)

the diagnosis-related group (DRG) or the ambulatory patient classification (APC)

3

Which of the following ia an example of an organization that accredits hospitals and other health care institutions in the United States?

American Hospital Association

American Medical Association

The Joint Commission

American College of Radiology

The Joint Commission

4

The chielf complaint, included in a patient's history, is a statement made by the:

patient

5

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) legislation affects radiology and other hospital departments by its focus on:

patient record confidentiality

6

Which of the following is not required to be in a patient's health record?

medical history

radiology reports

patient's telephone number

physical examination report

patient's telephone number

7

Criteria used in performance improvement activities must be all of the following EXCEPT:

clinically valid

diagnosis or procedure oriented

generally acceptable to department staffs

written

clinically valid

8

Assessment of problems in performance improvement activities must be:

ongoing

9

In making a correction to an entry in the paper health record, the documenter should:

line out the error, authenticate, and insert correct information

10

The organization (chart order, forms) of a hospital patient record is determined by:

the hospital's own preference