Question 1

The American Recovery and Reinvestment Act of 2009 (ARRA) established electronic health record (EHR) __________ during three stages to achieve the goal of improved patient care outcomes and delivery as well as data capture and sharing, advance clinical processes, and improved outcomes.

Accepted Answer

The ARRA established "meaningful use" objectives and measures to ensure that EHRs are used effectively to improve patient care, data capture, and clinical processes.

Question 2

The Medicare Contracting Reform initiative (MCR) was established to integrate the administration of Medicare Parts A and B fee-for-service benefits with new entities called __________.

Accepted Answer

The Medicare Contracting Reform initiative (MCR) established Medicare administrative contractors (MACs) to integrate the administration of Medicare Parts A and B fee-for-service benefits.

Question 3

Which is a global concept that includes the collection of patient information documented by a number of providers at different facilities regarding one patient?

Accepted Answer

An electronic health record (EHR) is a global concept that includes the collection of patient information documented by various providers across different facilities, providing a comprehensive view of a patient's medical history.

Question 4

POR progress notes are documented for each problem assigned to the patient, using the SOAP format. When the patient states, "I have had a stuffy nose and sore throat for about one week," the provider documents the statement in the __________ portion of the progress note.

Accepted Answer

The statement "I have had a stuffy nose and sore throat for about one week" is the patient's own description of their symptoms, which falls under the Subjective portion of the SOAP note.

Question 5

Which is a systematic method of documentation that consists of four components: database, problem list, initial plan, and progress notes?

Accepted Answer

The problem-oriented record is a systematic method of documentation that includes a database, problem list, initial plan, and progress notes.

Question 6

Which was created by the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) to identify and recover improper Medicare payments paid to health care providers under fee-for-service Medicare plans?

Accepted Answer

The Recovery Audit Contractor (RAC) program was established by the Medicare Prescription Drug, Improvement, and Modernization Act to identify and recover improper Medicare payments.

Question 7

The Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) includes a patient classification system that reflects differences in patient __________.

Accepted Answer

The IPF PPS patient classification system is designed to reflect differences in resource use and costs, which helps in determining the payment rates for inpatient psychiatric facilities.

Question 8

The Patient Protection and Affordable Care Act (PPACA) was signed into federal law on March 23, 2010, and resulted in the creation of a Health Insurance Marketplace to:

Accepted Answer

The Health Insurance Marketplace was created to allow Americans to purchase health coverage that fits their budget and meets their needs, not to create a national health insurance program, replace other insurance, or mandate employer-provided insurance.

Question 9

Total practice management software is used to generate the electronic medical record, automating which of the following medical practice functions?

Accepted Answer

Appointment scheduling is a function that can be automated by total practice management software.

Question 10

Which documents health care services provided to a patient and includes patient demographic (or identification) data, documentation to support diagnoses and justify treatment provided, and the results of treatment provided?

Accepted Answer

A patient record documents health care services provided to a patient, including demographic data, diagnoses, treatment, and results.

Question 11

Which was introduced in 2000 as a way to encourage individuals to locate the best health care at the lowest possible price with the goal of holding down health care costs?

Accepted Answer

Consumer-driven health plans were introduced to give individuals more control over their health care spending, encouraging them to seek cost-effective care.

Question 12

The Health Care and Education Reconciliation Act (HCERA) amended the PPACA to implement health care reform initiatives, which included __________.

Accepted Answer

The HCERA aimed to improve health care by closing the Medicare "donut hole," which is a gap in prescription drug coverage for seniors.

Question 13

The Investing in Innovations (i2) Initiative is designed to spur innovations in health information technology (health IT) by promoting research and development to enhance competitiveness in the United States. An example of this type of an initiative includes _____.

Accepted Answer

The i2 Initiative aims to enhance health IT by providing access to relevant information that supports decision-making, aligning with the goal of improving health information technology.

Question 14

The Health Information Technology for Economic and Clinical Health Act was included in the American Recovery and Reinvestment Act of 2009 and amended the Public Health Service Act to establish the __________.

Accepted Answer

The Health Information Technology for Economic and Clinical Health Act (HITECH Act) established the Office of the National Coordinator for Health Information Technology (ONC) to promote the adoption and meaningful use of health information technology.

Question 15

The Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) utilizes information from a __________ to classify patients into distinct groups based on clinical characteristics and expected resource needs.

Accepted Answer

The IRF PPS uses the patient assessment instrument to classify patients into groups based on clinical characteristics and expected resource needs.

Question 16

The primary purpose of the patient record is to provide for __________ of care, which involves documenting patient care services so that others who treat the patient have a source of information to assist with additional care and treatment.

Accepted Answer

The primary purpose of the patient record is to ensure continuity of care, allowing healthcare providers to access a comprehensive history of the patient's medical information to guide future treatment and care decisions.

Question 17

Which currently performs utilization and quality control review of health care furnished, or to be furnished, to Medicare beneficiaries?

Accepted Answer

The answer of Which currently performs utilization and quality control...

Question 18

Which has a more narrow focus because it is the patient record created for a single medical practice using a computer, keyboard, mouse, optical pen device, voice recognition system, scanner, and/or touch screen?

Accepted Answer

An electronic medical record (EMR) is specific to a single medical practice and contains the patient's medical history, diagnosis, and treatment within that practice.

Question 19

One result of the Patient Protection and Affordable Care Act (PPACA) was establishment of state health insurance __________ that Americans will use to purchase health coverage that fits their budget and meets their needs.

Accepted Answer

The Patient Protection and Affordable Care Act (PPACA) established state health insurance exchanges or marketplaces where individuals can purchase health coverage.

Quiz 2: Introduction to Health Insurance