HIT FINAL EXAM REVIEW
HI120
HIT FINAL EXAM REVIEW
1. The use of a serial numbering system
does not need computer software to
track the assignment of patient numbers.
T/F
HIT FINAL EXAM REVIEW
2. The Health Care Quality Improvement Act
of 1986 requires consumers to be
provided with informed consent and
information about state laws that impact
legal choices in making health care
decisions. T/F
HIT FINAL EXAM REVIEW
3. The Health Care Financing Administration
was created to replace the Centers for
Medicare and Medicaid Services. T/F
HIT FINAL EXAM REVIEW
4. In 1918, just 89 hospitals of 692 surveyed
as part of the Hospital Standardization
Program met requirements of the
Minimum Standard for Hospitals. T/F
HIT FINAL EXAM REVIEW
5. The NCRA requires CTRs to submit proof
of 30 continuing education hours every
two years. T/F
HIT FINAL EXAM REVIEW
6. A coding and reimbursement specialist
collects cancer data from a variety of
sources and reports cancer statistics to
government and health care agencies. T/F
7. The American Association of Professional
Coders offers the Certified Professional
Coder Certification and the Certified
Coding Associate Certification.
8. Privacy officers oversee that an
organization’s policies and procedures
covering the privacy and access of patient
health information are in compliance with
federal and state laws. T/F
9. Emergency care patients are treated for
urgent problems and are admitted to the
hospital as inpatients. T/F
HIT FINAL EXAM REVIEW
10. A neighborhood health clinic is usually a
hospital-based outpatient department.
T/F
HIT FINAL EXAM REVIEW
11. In a direct contract model HMO,
individual physicians in the community
deliver contracted health care services to
subscribers.
HIT FINAL EXAM REVIEW
12. The Food and Drug Administration
provides a system of health surveillance to
monitor and prevent the outbreak of
diseases. T/F
HIT FINAL EXAM REVIEW
13. A patient record serves as a business
record for the patient encounter and
contains administrative and clinical data.
HIT FINAL EXAM REVIEW
14. Demographic data is a type of clinical
data that identifies a patient’s medical
condition. T/F
HIT FINAL EXAM REVIEW
15. A consultation report, history and
physical exam, and operative report are all
types of administrative data. T/F
HIT FINAL EXAM REVIEW
16. Administrative data includes
demographic, socioeconomic, and
financial information. T/F
HIT FINAL EXAM REVIEW
17. Since the early 1980s, the provision of
outpatient services has decreased. T/F
HIT FINAL EXAM REVIEW
18. The ordering physician is not required to
countersign a telephone order
documented by a nurse. T/F
HIT FINAL EXAM REVIEW
19. Fax signatures are not accepted by
facilities. T/F
HIT FINAL EXAM REVIEW
20. The legibility of patient record entries
impacts patient care. T/F
HIT FINAL EXAM REVIEW
21. The JCAHO requires that patient
records be completed within 20 days after
a patient is discharged. T/F
HIT FINAL EXAM REVIEW
22. Most facilities organize the patient
record according to reverse chronological
date order during inpatient hospitalization.
T/F
HIT FINAL EXAM REVIEW
23. Incident reports should be filed in the
patient record. T/F
HIT FINAL EXAM REVIEW
24. Source oriented records consist of a
database, problem list, and initial plan.
HIT FINAL EXAM REVIEW
25. Medicare Conditions of Participation
require hospitals to retain medical records
for a period of no less than five years. T/F
HIT FINAL EXAM REVIEW
26. Every report in the patient record must
contain patient identification data. T/F
27. When a facility closes, it is the
responsibility of the closing facility to
ensure that records are handled according
to federal and state statutes. T/F
HIT FINAL EXAM REVIEW
28. A principal procedure is performed for
definitive or therapeutic reasons. T/F
29. The Health Care Financing
Administration is now called the Centers
for Medicare and Medicaid Services.
HIT FINAL EXAM REVIEW
30 A consent to admission documents a
patient’s consent for all medical treatment
including procedures and surgeries to be
completed during the current admission.
T/F
HIT FINAL EXAM REVIEW
31. A discharge progress note can be
documented in a patient record instead of
a discharge summary if a patient had an
uncomplicated hospital stay of less than
48 hours. T/F
HIT FINAL EXAM REVIEW
32. The history of the present illness is the
patient’s description of his current medical
condition in his own words. T/F
HIT FINAL EXAM REVIEW
33. Integrated progress notes are
documented by physicians, nurses,
therapists, and other professionals in the
same section of the patient record. T/F
HIT FINAL EXAM REVIEW
34. An admission note documented by the
attending physician can replace a dictated
history and physical examination. T/F
HIT FINAL EXAM REVIEW
35. Pre-anesthesia and post-anesthesia
progress notes are often documented on a
separate form to facilitate documentation
by the anesthesiologist. T/F
HIT FINAL EXAM REVIEW
36. AOA requirements state that laboratory
reports should be placed on the record
immediately, and they can be signed or
initialed by the person performing the test
after being filed in the patient’s record. T/F
HIT FINAL EXAM REVIEW
37. EKG reports include a graphic printout of
measurements of the electrical activity of
the brain. T/F
HIT FINAL EXAM REVIEW
38. JCAHO standards require that a
provisional diagnosis be documented in
the patient record within 48 hours after an
autopsy is performed. T/F
HIT FINAL EXAM REVIEW
38. Indexes and registers allow health
information to be maintained and retrieved
for the purpose of education, planning,
and research. T/F
HIT FINAL EXAM REVIEW
39. An index is an organized system for the
collection and dissemination of information
on individual persons who have a
particular disease. T/F
HIT FINAL EXAM REVIEW
40. An automated master patient index
consists of a computerized database of
identification data about patients who have
received health care services from a
facility. T/F
A manual master patient index (MPI) is less
expensive to purchase compared with an
automated MPI. T/F