front 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 | back 1 documenting relevant patient information in the medical record |
front 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) | back 2 the diagnosis-related group (DRG) or the ambulatory patient classification (APC) |
front 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 | back 3 The Joint Commission |
front 4 The chielf complaint, included in a patient's history, is a statement made by the: | back 4 patient |
front 5 The Health Insurance Portability and Accountability Act of 1996 (HIPAA) legislation affects radiology and other hospital departments by its focus on: | back 5 patient record confidentiality |
front 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 | back 6 patient's telephone number |
front 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 | back 7 clinically valid |
front 8 Assessment of problems in performance improvement activities must be: | back 8 ongoing |
front 9 In making a correction to an entry in the paper health record, the documenter should: | back 9 line out the error, authenticate, and insert correct information |
front 10 The organization (chart order, forms) of a hospital patient record is determined by: | back 10 the hospital's own preference |