Deck 2: The Health Information Management Profession

Question 1

Efforts to combat health care fraud and abuse have focused attention on the health information manager's role in documentation and reimbursement.

Answer 1

True

Question 2

Opportunities for health information managers exist primarily in the traditional health care system.

Answer 2

False

Question 3

The health information management profession is centered on two concepts: the patient's health record and health information.

Answer 3

True

Question 4

The Cancer Registries Amendment act authorized the Centers for Medicare and Medicaid Services (CMS) to fund cancer registries at the state and territorial levels.

Question 5

A tumor registrar identifies, collects, and maintains information about malignant tumors only.

Question 6

Those who hold the CCA credential should be able to perform basic coding, billing, and abstracting functions in a health care facility.

Question 7

The role of HIM is continuing to evolve and expand.

Question 8

Outsourcing is regarded inappropriate in today's health care world.

Question 9

Quality assurance refers to the process of comparing preestablished criteria against the health care provided to the patient to determine whether that care is necessary.

Question 10

Health information technicians are responsible for collecting, interpreting, and analyzing patient health data in settings across the continuum of care.

Question 11

At the beginning of the 20th century, many hospitals determined that minimal ledger entries were insufficient, and they created individual health records for each patient

Question 12

The role of the tumor registrar has seen considerable growth since passage of the Cancer Registries Amendment Act of 1990.

Question 13

Those who choose to earn the CCS or CCS-P credential are knowledgeable about coding and other competencies.

Question 14

In today's health care environment, the focus has changed from records management to include data manipulation and information management.

Question 15

In an effort to assist its membership to prepare for changing and emerging roles, AHIMA developed a strategy it called Vision 2006.

Question 16

In 1983, the federal government introduced the Prospective Payment System (PPS) for reimbursement of outpatient hospital services for Medicare patients.

Question 17

Clinical research studies sometimes involve inmate populations.

Question 18

Typically, mental health, dental, and clinical services are provided to inmates.

Question 19

The focus of E-HIM is electronic health data and the manner in which it is collected, validated, stored, and disseminated.

Question 20

Professional groups developed as the result of efforts to standardize the patient health record.

Question 21

Health care delivered in a correctional setting is not taxpayer supported and is subject to reimbursement by third parties.

Question 22

Quality assurance refers to those actions taken to

A) establish.
B) promote.
C) protect.
D) all of the above.

Question 23

The Health Information Technology for Economic and Clinical Health Act (HITECH) is part of the

A) American Recovery and Reinvestment Act.
B) Healthcare Information and Management Systems Society.
C) Health Insurance Portability and Accountability Act.
D) Health Information Technology Professional.

Question 24

Which of the following criteria is/are required to become a Fellow of the American Health Information Management Association (FAHIMA)?

A) minimum of a baccalaureate degree
B) 5 years of continuous membership with AHIMA
C) 10 years of full-time professional experience

Question 25

The HIM professional working in a correctional facility would notice the greatest difference in which of the following?

A) Clinical research studies are prohibited on the inmate population.
B) Records management varies by type and degree of detail.
C) Increased involvement with the judicial system.

Question 26

Which of the following is/are networking processes that AHIMA offers support to its membership?

A) Component State Associations (CSA)
B) Communities of Practice (CoP)
C) Neither CSA or CoP are part of the networking process.
D) Both CSA and CoP are part of the networking process.

Question 27

As a result of HIPAA, which of the following new roles have been developed?

A) security officer
B) privacy officer
C) compliance officer
D) security, privacy, and compliance officers
E) None, as these roles were in place prior to HIPAA.

Question 28

In order to obtain the credential of Registered Health Information Administrator, you must have what type of degree?

A) Associate's Degree
B) Bachelor's Degree
C) High School Diploma
D) Master's Degree

Question 29

The Certified Coding Associate requires how many months of on-the-job experience, or completion of an AHIMA-approved coding program or other formal training, to take the examination and receive the credential?

A) 2
B) 3
C) 6
D) 9

Question 30

The HIM professional working in a veterinary clinic would notice the greatest difference in which of the following?

A) governmental regulations
B) third-party payor requirements
C) both governmental regulations and third-party payor requirements

Question 31

Who is responsible for ensuring long-term data integrity and access through the development of retention policies and procedures?

A) Data analysts
B) Statistical analysts
C) Document and repository manager

Question 32

The data elements of the Outcome and Assessment Information Set (OASIS) used for _______ reporting.

A) Medicaid
B) Medicare
C) statistical
D) third party

Question 33

Patient health records, of one sort or another, have existed for thousands of years.

Question 34

A tumor registrar identifies, collects, and maintains information about

A) benign tumors.
B) malignant tumors.
C) unspecified tumors.
D) both a & b

Question 35

Data analysts are responsible for analyzing records and data quantitatively and qualitatively.

Question 36

Efforts to combat health care fraud and abuse have focused attention on the health information manager's role in documentation and

A) accuracy.
B) completeness.
C) reimbursement.
D) security.

Question 37

Which of the following activities would most likely be considered for outsourcing?

A) performing laboratory tests on specimens
B) medical transcription
C) doing routine physical examinations

Question 38

Which of the following nontraditional roles may or may not involve direct patient care?

A) consulting
B) pharmaceutical sales
C) employment in RHIO
D) clinical data representation

Question 39

At the beginning of the 20th century, many hospitals determined that minimal ledger entries were insufficient.

Question 40

Efforts to combat health care fraud and abuse have focused attention on the health information manager and information systems manager's role in documentation and reimbursement.

Question 41

In what year did the American Medical Record Association change its name to American Health Information Management Association?

A) 1989
B) 1991
C) 1992
D) 1997

Question 42

Match the term with the best descriptor.
refers to the process of comparing preestablished criteria against the health care provided to the patient to determine whether that care is necessary

A)medical library science
B)health care informatics
C)quality assurance
D)utilization review
E)value-added concept
F)managed care

Question 43

What does the abbreviation FORE mean?

A) Foundation of Records Evaluation
B) Foundation of Research Excellence
C) Foundation of Research Education
D) Foundation of Regulation Education

Question 44

Which network allows members with similar interests and backgrounds to contact one another to share best practices, offer support and advice, and problem solve.

A) Communities of Practice
B) Communities of Problem Solve
C) Communities of Professionals

Question 45

Match the term with the best descriptor.
focuses on studying both the structure and general properties of information and the designing and implementation of technology to use and communicate that information

A)medical library science
B)health care informatics
C)quality assurance
D)utilization review
E)value-added concept
F)managed care

Question 46

The HIM professional working in a home health agency would need to be familiar with the data elements of the __________________________________________________ used for Medicare reporting.

Question 47

Match the term with the best descriptor.
administrative function of health information departments

A)health information department
B)information department director
C)document and repository manger
D)data analysts
E)medical transcription
F)privacy officer
G)security officer
H)tumor registrar

Question 48

Match the term with the best descriptor.
responsible for managing appropriate use of and access to patient-specific health information

A)health information department
B)information department director
C)document and repository manger
D)data analysts
E)medical transcription
F)privacy officer
G)security officer
H)tumor registrar

Question 49

Match the term with the best descriptor.
focus is on published data and how it is catalogued, abstracted, and retrieved by groups and individuals

A)medical library science
B)health care informatics
C)quality assurance
D)utilization review
E)value-added concept
F)managed care

Question 50

An electronic health record (EHR) is a record that resides in an electronic system specifically designed to support users by providing accessibility to all aspects of an individual's health record EXCEPT

A) complete and accurate data.
B) alerts.
C) reminders.
D) timeliness.

Question 51

In 1912, a group of five women serving as record clerks at leading Boston hospitals formed

A) Health Information Management of Boston.
B) Association of Record Librarians.
C) Association of Record Librarians of North America.
D) Club of Record Clerks.

Question 52

Match the term with the best descriptor.
refers to those actions taken to establish, protect, promote, and improve the quality of health care

A)medical library science
B)health care informatics
C)quality assurance
D)utilization review
E)value-added concept
F)managed care

Question 53

_____________ direct the credentialing process of physicians and allied health staff of an organization.

A) Risk Managers
B) Medical Staff Coordinators
C) Health Information Management Directors
D) CEO

Question 54

Match the term with the best descriptor.
states that the unique contribution of an activity is measured by the difference between the original component materials and the finished work product

A)medical library science
B)health care informatics
C)quality assurance
D)utilization review
E)value-added concept
F)managed care

Question 55

The CTR credential is administered by

A) AHIMA.
B) AMA.
C) NCRA.
D) CDC.

Question 56

Match the term with the best descriptor.
ensures long-term data integrity and access through the development of retention policies and procedures, determination of appropriate media for data and storage, and maintenance of data control inventories

A)health information department
B)information department director
C)document and repository manger
D)data analysts
E)medical transcription
F)privacy officer
G)security officer
H)tumor registrar

Question 57

The health information management profession is centered around two concepts: the ____________________ ____________________ ____________________ and ____________________ ____________________.

Question 58

In a veterinary setting, which of the following services are provided to animals?

A) Clinical, dental, and surgical
B) Clinical and surgical
C) Dental and surgical
D) Surgical

Question 59

Match the term with the best descriptor.
refers to health plans which integrate fully the financial and delivery aspects of health care

A)medical library science
B)health care informatics
C)quality assurance
D)utilization review
E)value-added concept
F)managed care

Question 60

Who oversees the coding and claims processing functions associated with revenue cycle management?

A) Risk manager
B) Charge description manager
C) Claim examiners
D) Health service managers

Question 61

Match the role with its description.
coordinate the delivery of health care, whether on a departmental or organization-wide basis

A)utilization review coordinators
B)quality assurance coordinators
C)admissions coordinators
D)medical staff coordinators
E)risk manager
F)clinical research associates
G)health insurance specialists
H)charge description master (CDM) coordinators
I)health service managers
J)medical office managers

Question 62

Match the role with its description.
assist in the design, implementation, and monitoring of clinical research studies

A)utilization review coordinators
B)quality assurance coordinators
C)admissions coordinators
D)medical staff coordinators
E)risk manager
F)clinical research associates
G)health insurance specialists
H)charge description master (CDM) coordinators
I)health service managers
J)medical office managers

Question 63

Match the role with its description.
directs the credentialing process of physicians and allied health staff of an organization

A)utilization review coordinators
B)quality assurance coordinators
C)admissions coordinators
D)medical staff coordinators
E)risk manager
F)clinical research associates
G)health insurance specialists
H)charge description master (CDM) coordinators
I)health service managers
J)medical office managers

Question 64

Define EHR and the role of the HIM professional.

Question 65

Match the role with its description.
act to reduce medical, financial, and legal risk to an organization through investigation, analysis, and recommendations for corrective action

A)utilization review coordinators
B)quality assurance coordinators
C)admissions coordinators
D)medical staff coordinators
E)risk manager
F)clinical research associates
G)health insurance specialists
H)charge description master (CDM) coordinators
I)health service managers
J)medical office managers

Question 66

What does the abbreviation AHIMA stand for? List two of the credentials it awards.

Question 67

Match the role with its description.
compare preestablished criteria against the health care provided to the patient to determine whether that care is necessary and communicate those results through narrative and graphical reports

A)utilization review coordinators
B)quality assurance coordinators
C)admissions coordinators
D)medical staff coordinators
E)risk manager
F)clinical research associates
G)health insurance specialists
H)charge description master (CDM) coordinators
I)health service managers
J)medical office managers

Question 68

Match the role with its description.
directs the patient registration functions, setting guidelines for preregistration and registration of patients and managing the computerized registration process

A)utilization review coordinators
B)quality assurance coordinators
C)admissions coordinators
D)medical staff coordinators
E)risk manager
F)clinical research associates
G)health insurance specialists
H)charge description master (CDM) coordinators
I)health service managers
J)medical office managers

Question 69

Define the terms health record and health information.

Question 70

Match the term with the best descriptor.
develops and implements policies and procedures relating to the HIPAA Privacy Rule

A)health information department
B)information department director
C)document and repository manger
D)data analysts
E)medical transcription
F)privacy officer
G)security officer
H)tumor registrar

Question 71

Match the term with the best descriptor.
develops and implements policies and procedures relating to the HIPAA Security Rule

A)health information department
B)information department director
C)document and repository manger
D)data analysts
E)medical transcription
F)privacy officer
G)security officer
H)tumor registrar

Question 72

Match the term with the best descriptor.
identifies, collects, and maintains information about tumors

A)health information department
B)information department director
C)document and repository manger
D)data analysts
E)medical transcription
F)privacy officer
G)security officer
H)tumor registrar

Question 73

Match the term with the best descriptor.
responsible for analyzing records and data quantitatively and qualitatively

A)health information department
B)information department director
C)document and repository manger
D)data analysts
E)medical transcription
F)privacy officer
G)security officer
H)tumor registrar

Question 74

Match the role with its description.
also called claims examiners; review health care claims for medical necessity and reasonableness of costs

A)utilization review coordinators
B)quality assurance coordinators
C)admissions coordinators
D)medical staff coordinators
E)risk manager
F)clinical research associates
G)health insurance specialists
H)charge description master (CDM) coordinators
I)health service managers
J)medical office managers

Question 75

Rapid changes, particularly as they relate to technology, have prompted AHIMA to engage in further strategic analysis, resulting in the electronic health information management (e-HIM) initiative. List two of the three initiatives.

Question 76

At the professional level, two categories of health information management exist: health information administrator and health information technician. Explain what each credential focuses on in the department.

Question 77

Match the role with its description.
measure and assess the quality of clinical and patient care services and offer recommendations for improvement

A)utilization review coordinators
B)quality assurance coordinators
C)admissions coordinators
D)medical staff coordinators
E)risk manager
F)clinical research associates
G)health insurance specialists
H)charge description master (CDM) coordinators
I)health service managers
J)medical office managers

Question 78

Match the role with its description.
coordinate the coding and claims processing functions associated with revenue cycle management

A)utilization review coordinators
B)quality assurance coordinators
C)admissions coordinators
D)medical staff coordinators
E)risk manager
F)clinical research associates
G)health insurance specialists
H)charge description master (CDM) coordinators
I)health service managers
J)medical office managers

Question 79

Match the role with its description.
coordinate the activities of a health care provider's office, including the health information, personnel, finance, insurance, and risk management functions

A)utilization review coordinators
B)quality assurance coordinators
C)admissions coordinators
D)medical staff coordinators
E)risk manager
F)clinical research associates
G)health insurance specialists
H)charge description master (CDM) coordinators
I)health service managers
J)medical office managers

Question 80

Match the term with the best descriptor.
refers to the act of transcribing prerecorded dictation to create medical reports, correspondence, and other administrative material

A)health information department
B)information department director
C)document and repository manger
D)data analysts
E)medical transcription
F)privacy officer
G)security officer
H)tumor registrar