Deck 8: Health Information Management Issues in Other Care Settings

Question 1

Triage is generally performed by a(n):

A) HIM professional
B) Registration clerk
C) Nurse
D) Physician

Answer 1

Nurse

Question 2

Physical medicine and rehabilitation therapy occurs under the direction of a:

A) Phlebotomist
B) Physiatrist
C) Psychiatrist
D) Psychologist

Answer 2

Physiatrist

Question 3

The minimum data set used for ambulatory care settings is also known as the:

A) UHDDS
B) UACDS
C) MDS
D) RAI

Answer 3

UACDS

Question 4

This stand-alone facility has an average length of stay of over 30 days. This facility is most likely which of the following types of facilities?

A) ASC
B) HHC
C) LTC
D) CHC

Question 5

An occupational therapist would LEAST likely be employed in:

A) Acute care
B) Long-term care
C) Rehabilitation
D) Hospice

Question 6

Ambulatory care accreditation is offered by TJC and:

A) AAAHC
B) AARP
C) CHAP
D) NCIPC

Question 7

What is the first step in the patient encounter?

A) Making the appointment
B) Collecting health insurance information
C) Being examined by triage nurse
D) Being examined by primary health care provider

Question 8

The following are types of physician specialties that can be found in a primary care group practice EXCEPT:

A) Dermatologist
B) Pediatrician
C) Gynecologist
D) Anesthesiologist

Question 9

A patient who visited a clinic saw two physicians and had an x-ray and a blood test. This patient can be said to have had _____ visits and _____ encounters.

A) Two; two
B) Two; four
C) One; four
D) One; three

Question 10

Patients requiring care who are unable to make an appointment with their primary care physicians should visit the:

A) Emergency department
B) Urgent care center
C) Hospital
D) Wait for the physician to be available

Question 11

The minimum data set used for emergency room departments is also known as the:

A) UHDDS
B) UACDS
C) DEEDS
D) RAI

Question 12

All of the following services may be provided in a physical medicine and rehabilitation facility EXCEPT:

A) Industrial rehabilitation
B) Recreational therapy
C) Substance abuse rehabilitation
D) Vocational counseling

Question 13

Ambulatory care services are for which type of patients?

A) Primary care physician office visit
B) Overnight observation at hospital
C) Hospice care visit
D) Behavioral health care visit

Question 14

The extracorporeal elimination of waste products from blood is most likely to be performed at a:

A) Dialysis center
B) Laboratory
C) Radiology center
D) Rehabilitation center

Question 15

The CMAT is a tool used by CMS for PPS in:

A) Behavioral health
B) Rehabilitation
C) Long-term care
D) Home health

Question 16

The term ambulatory care refers to a wide range of preventive and therapeutic services provided at a variety of facilities. Therefore, which of the following terms apply specifically to ambulatory care?

A) Discharge
B) DOA
C) Admission
D) Encounter

Question 17

In an open access physician practice, patients do not need:

A) A co-pay
B) A referral
C) An appointment
D) Insurance

Question 18

The prioritization of patients presenting for treatment in an emergency department is determined by:

A) Patient's condition upon arrival
B) Encounter
C) Arrival time
D) Appointment time

Question 19

The MDS is one component of a series of data collections called the RAI, which is used in:

A) Rehabilitation
B) Long-term care
C) Hospice
D) Home health

Question 20

All of the following are commonly ambulatory surgery procedures EXCEPT:

A) Carpal tunnel release
B) Colectomy
C) Colonoscopy
D) Cataract removal

Question 21

In emergency services, the system of prioritizing patients by severity of illness is called __________.

Question 22

DEEDS was developed by the _________.

Question 23

Palliative health care service rendered to the terminally ill, their families, and their friends is _________.

Question 24

The accrediting agency unique to ambulatory care is the _________.

Question 25

The minimum data set for emergency services is called __________.

Question 26

The ambulatory care setting in which the physician is the primary health care provider is called a ___________.

Question 27

An operation performed on an outpatient basis is called _________.

Question 28

All facilities seeking Medicare reimbursement are regulated by __________.

Question 29

A facility-based ambulatory care department that provides general or specialized services such as those provided in a physician's office is called a _______.

Question 30

The accrediting agencies for home health care are __________ and __________.

Question 31

The physical location of the specialists who analyze body fluids is the ________.

Question 32

The unit of measure for the volume of ambulatory care services provided is either an ________ or a ____________.

Question 33

The accrediting agency for rehabilitation is the ___________.

Question 34

Multiple physicians who share facilities and resources and may also cooperate in rendering patient care are engaged in a __________.

Question 35

Literally, the study of x-rays or radiographs is called ________.

Question 36

In a physician's office, demographic and financial data is usually collected by the ___________.

Question 37

Data collection in emergency departments:

A) Often utilizes menu-based forms or menu-based computer software
B) Follows the UACDS
C) Includes the mode of transport to the ED
D) Both A and C

Question 38

Health care service that is intended to soothe, comfort, or reduce symptoms but is not intended to cure is called __________.

Question 39

The mandated minimum data set for ambulatory care patients is the ________.

Question 40

Health care service rendered in the patient's residence is ___________.

Question 41

Describe the unique data collection issues in radiology and laboratory services.

Question 42

Match the following terms with their definitions.

A) Advance Practice Registered Nurse
B) Medical Assistant
C) Medical Secretary
D) Phlebotomist
E) Registered Nurse
1. Administers injections, performs wound care and patient education
2. Answers telephone and records appointments
3. Draws blood for diagnostic testing
4. May deliver primary care
5. Takes vital signs, changes dressings

Question 44

Match the health care setting with the corresponding patient below.
a. Dialysis Center
b. Long-Term Care
c. Behavior Health Center
d. Hospice
e. Rehabilitation Facility
f. Skilled Nursing Facility
g. Ambulatory Surgery Center
h. Physician's Office
i. Urgent Care Center
j. Emergency Room Department
k. Physical Therapy Center
l. Home Health Care
6. Patient who suffered from a stroke 3 days ago requires 24-hour nursing assistance, speech therapy, and physical therapy
7. Patient visits 3 times a week for end-stage renal disease
8. Patient was diagnosed with terminal disease that requires palliative care
9. Patient is recovering from hip replacement therapy
10. Patient was admitted after attempting suicide related to severe depression
11. Patient visits the primary care physician for a well baby checkup
12. Patient visited a surgery center for a bunionectomy and returned home the same day
13. Patient needs 24 hour nursing care and monitoring for more than 30 days
14. Patient needs to visit his or her primary care physician, but no appointments are available, so the patient visits this center
15. Patient presents with a gunshot wound to the arm
16. Patient is at home receiving medical care
17. Patient's doctor set up an appointment to have imaging studies of the abdomen performed at this facility

Question 46

What unique length of stay issues apply to hospice care?

Question 47

Describe the characteristics and limiting factors of ambulatory surgery services.

Question 48

How is the quantity of services measured in ambulatory care?

Question 49

List at least four types of allied health professionals that commonly provide services in the home health care setting and describe some of the functions that each performs..

Question 50

Describe the unique data collection issues in home health care.

Question 51

Describe the characteristics of a physician group practice, including the administrative advantages.

Question 52

Emergency Medical Treatment and Active Labor Act (EMTALA) was enacted in 1986. How has this law changed the way hospitals handle indigent patients?

Question 53

List and give examples of hospice services covered by Medicare.

Question 54

Describe the unique data collection issues in rehabilitation.

Question 55

Describe services available in rehabilitation that are NOT generally available in acute care.

Question 56

Describe the unique data collection issues in behavioral health care.

Question 57

Describe the experiences of a patient in a physician's office. What professionals are the patient likely to encounter? What role do those professionals play in caring for the patient?