Ultimate Medical Academy
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Inpatient occupancy rate: 
 (Ans- (Service days x 100) / (number of beds x service days) = percentage rate % 
 
Under HIPAA, which of the following is not named as a covered entity? (Ans- Outsourced transcription company; they would be business associates of a covered entity 
 
A standard of performance or best practice for a particular process or outcome is called a(n)_____ 
(Ans- Benchmark 
 
The breach notification requirement applies to_____ 
 (Ans- Unsecured PHI only 
 
Which of the follow...
OASIS data are used to assess the ___ of home health services. 
(Ans- Outcome 
 
A statement or guideline that directs decision making or behavior is called a: 
(Ans- Policy 
 
Examples of high-risk billing practices that create compliance risks for healthcare organizations include all of the following, except: 
 (Ans- Returned Overpayments 
 
Healthcare fraud is all of the following except: 
(Ans- Unnecessary Costs to a program 
 
Corporate compliance programs became common after adoption of...
Standardizing medical terminology to avoid differences in naming various medical conditions and procedures (such as the synonyms bunionectomy, McBride procedure, and repair of hallus valgus) is one purpose of: 
(Ans- Vocabulary Standards 
 
Ensuring the patient information is reliable and the same across the entire patient encounter is: 
(Ans- Data Consistency 
 
Which health record uses an itemized list of the patient's present and past health problems? 
(Ans- Problem-Oriented health record...
The evaluation of coders is recommended at least quarterly for the purpose of measurement and assurance of: 
 
A. Speed 
B. Data quality and integrity 
C. Accuracy 
D. Effective relationships with physicians and facility personnel 
(Ans- Data quality and integrity 
 
Coders should be evaluated at least quarterly, with appropriate training needs identified, facilitated, and reassessed over time. Only through this continuous process of evaluation can data quality and integrity be accurately measu...
The overutilization or inappropriate utilization of services and misuse of resources, typically not a criminal or intentional act is called which of the following? 
a. Fraud 
b. Abuse 
c. Waste 
d. Audit 
(Ans- c 
 
Waste is the overutilization or inappropriate utilization of services and misuse of resources, and typically is not a criminal or intentional act. Waste includes practice like over prescribing and ordering tests inappropriately (Foltz et al. 2016, 448). 
 
Examples of high-risk bill...
The accounts not selected for the billing report is a daily report used to track accounts that are: 
 
a. Awaiting payment in accounts receivable 
b. Paid at different rates 
c. In bill hold or in error and awaiting billing 
d. Pulled for quality review 
(Ans- c. In bill hold or in error and awaiting billing 
 
The accounts not selected for billing report is a daily report used to track the many reasons that accounts may not be ready for billing. This report is also called the discharged not fi...
Data elements collected on large populations of individuals and stored in databases are referred to as: 
 
a. Statistics 
b. Information 
c. Aggregate data 
d. Standard 
(Ans - c. Aggregate data 
 
Data about patients can be extracted from individual health records and combined as aggregate data. Aggregate data are used to develop information about groups of patients. For example, data about all patients who suffered an acute myocardial infarction during a specific time period could be collected...
A health record technician has been asked to review the discharge patient abstracting module of a proposed new electronic health record (EHR). Which of the following data sets would the technician consult to ensure the system collects all federally required discharge data elements for Medicare and Medicaid inpatients in an acute-care hospital? 
 
a. CARF 
b. DEEDS 
c. UACDS 
d. UHDDS 
(Ans- d. UHDDS (Uniform Hospital Discharge Data Set) 
 
The Uniform Hospital Discharge Data Set (UHDDS) data cha...
Which of the following individuals would serve as a bridge between information technology and business and clinical areas while managing each key area? 
a. Data steward 
b. Systems analyst 
c. Data scientist 
d. Systems administrator 
(Ans- a 
 
Data stewards serve as the bridge between information technology, and business and clinical areas. They are assigned to manage key data areas and are responsible for tasks such as data definition and information quality activities (Johns 2015, 83). 
 
W...
The Medical Record Committee is assessing various strategies to improve documentation in the health record. Concerns have been raised that current documentation practices may be insufficient to support diagnoses or reflect the progress and clinical findings in patient care. Which of the following would be the best first step to help improve physician documentation? 
 (Ans- Determine the type and volume of documentation problems 
 
This type of healthcare organization review is conducted at the r...