Question 1

Mandatory reporting requirements for vital statistics generally

Accepted Answer

Mandatory reporting requirements for vital statistics typically do not require authorization by the patient, as it is required by law to report certain events such as births, deaths, and certain communicable diseases. However, some states may require authorization or consent for the release of certain information related to vital statistics, such as medical information for research purposes. B and C are incorrect because authorization by the physician or payer is not typically required for mandatory reporting of vital statistics. D is incorrect because mandatory reporting requirements apply to all health care facilities.

Question 2

Which of the following is an example of the breach of confidentiality?

Accepted Answer

The staff members discussing patients in the elevator violates the patient's right to confidentiality as it may expose personal information to people who are not involved in the patient's care.

Question 3

The data in the column on the far right were collected when the coders traded records for recoding. This is a common practice used to check The coding supervisor at Bayside Hospital regularly has her coders recode records from the previous week in an effort to improve and monitor coding consistency. The supervisor has collected the data displayed below on four coders.

Accepted Answer

Interrater reliability measures the consistency or agreement between two or more coders when coding the same data. In this case, the data collected when the coders traded records for recoding is a measure of interrater reliability.

Question 4

The coder with the highest overall accuracy rating will get the day after Thanksgiving off. Which coder will get to spend the day after Thanksgiving shopping rather than coding? The coding supervisor at Bayside Hospital regularly has her coders recode records from the previous week in an effort to improve and monitor coding consistency. The supervisor has collected the data displayed below on four coders.

Accepted Answer

The answer of The coder with the highest overall accuracy...

Question 5

Sandy Beach Hospital reports 1652 discharges for September. The infection control report documents 21 nosocomial infections and 27 community-acquired infections for the same month. What is the community-acquired infection rate?

Accepted Answer

The community-acquired infection rate is calculated by dividing the number of community-acquired infections by the total number of discharges and then multiplying by 100. (27/1652) * 100 = 1.634, which rounds to 1.6.

Question 6

Physicians at South Seas Clinic are expected to see six patients per hour, on average. The physicians with the highest productivity each week are exempted from on-call responsibilities for the weekend. Which physician will get the weekend off this week?

Accepted Answer

The answer of Physicians at South Seas Clinic are expected...

Question 7

The legislation that required all federally funded facilities to inform patients of their rights under rights under state law to accept or refuse medical treatment is known as____.

Accepted Answer

The Patient Self-determination Act (PSDA) required all federally funded facilities to inform patients of their rights under state law to accept or refuse medical treatment. Options A, B, and D are related to legal documents that allow individuals to make healthcare decisions in advance or appoint someone else to make those decisions on their behalf. While they may be important in facilitating a patient's self-determination, they are not the legislation that mandated the requirement for facilities to inform patients of these rights.

Question 8

The responsibility of obtaining an informed consent for a surgical or invasive procedure rests with the

Accepted Answer

The responsibility of obtaining an informed consent for a surgical or invasive procedure rests with the physician, as they are the one performing the procedure and have the medical knowledge necessary to adequately inform the patient about the risks and benefits. However, the nurse may be responsible for ensuring that the patient understands the information provided and may assist in the consent process. The hospital may also have policies and procedures in place to ensure that informed consent is obtained, but ultimately it is the physician who is responsible for obtaining the consent.

Question 9

An oral consent is binding if it

Accepted Answer

An oral consent is binding if it can be proven or corroborated. This means that there should be evidence or witnesses to support that the patient provided oral consent. A signature is not necessary for an oral consent to be valid. Confusion or timing of admission does not determine the binding nature of oral consent.

Question 10

You are choosing restaurants where you might eat while you are in Chicago at the AHIMA Leadership conference. You have collected the following information about four possible lunch restaurants that are all located within easy walking distance of the meeting site. The data is displayed below:  You want to stay within the reimbursement rate allowed by your Component State Association, so it is important to you that you have at least a 95% chance of eating a lunch that costs no more than $10.00. Therefore, when lunchtime comes you head to

Accepted Answer

Based on the given data, Bon Appetite and Mario's have the highest percentage of lunches priced at or below $10.00 (99% and 97%, respectively). Choosing either of these restaurants will give you the highest likelihood of staying within your reimbursement rate.

Question 11

Phyllis saw Dr. Holland during a scheduled office visit. Dr. Holland prescribed a new medication; Jean called Dr. Holland with a question about her medication. Dr. Holland returned the telephone call and answered Jean's question; Howard was seen by Dr. Holland in the hospital emergency department after having a reaction to his medication; the pharmacy got telephone approval from Dr. Horton for a refill on Jackson's prescription. Which of these interactions fit the definition of a patient encounter?

Accepted Answer

A patient encounter typically involves a face-to-face interaction between a patient and a healthcare provider. Phyllis had an office visit, and Howard was seen in the emergency department, both of which are face-to-face interactions.

Question 12

Consent forms may be challenged on all the following grounds EXCEPT

Accepted Answer

The fact that the treating physician obtained the patient's signature is not a valid ground for challenging a consent form. The other options are valid grounds for challenging a consent form. A consent form must be written in clear and concise language that the patient can understand. Additionally, a consent form must be signed voluntarily by the patient, indicating that they fully understand the risks and benefits of the treatment or procedure they are consenting to.

Question 13

A small portion of the form you are using for a research study is reproduced below.

Accepted Answer

The given form does not contain numerical values or rankings, but rather refers to codes or identifiers (11ec357f_2f63_efa6_b39c_33c59f8ff130_C1078_00). Therefore, the data is nominal, which is a type of categorical data where numbers or codes are used as labels for categories or groups.

Question 14

If there are 150,000 medical records and the Health Information Department receives 3,545 requests for records in a week, what percentage of the records are requested weekly?

Accepted Answer

To find the percentage of records requested weekly, divide the number of requests (3,545) by the total number of records (150,000) and multiply by 100. (3,545 / 150,000) * 100 = 2.3633%, which rounds to 2.4%.

Question 15

Which of the following would be an inappropriate procedure for the custodian of the medical record to perform prior to taking a medical record from a health care facility to court?

Accepted Answer

Removing any information that might prove detrimental to the hospital or physician would be inappropriate and could potentially lead to legal consequences. The custodian should not alter the record in any way and should provide the complete record to the court. Numbers A, B, and D are all appropriate procedures for the custodian to perform.

Question 16

You have made a list of the advantages and disadvantages of a measure of central tendency: The measure of central tendency you are describing is the

Accepted Answer

The answer of You have made a list of the...

Question 17

Which of the following agencies is empowered to implement the law governing Medicare and Medicaid?

Accepted Answer

The Centers for Medicare and Medicaid Services (CMS), formerly known as Health Care Financing Administration (HCFA), is empowered to implement the law governing Medicare and Medicaid. The Joint Commission is a private accrediting organization, the National Institutes of Health conduct medical research, and the Department of Health and Human Services has a wide range of responsibilities but is not specifically empowered to implement the law governing Medicare and Medicaid.

Question 18

Courts have released adoption records based upon

Accepted Answer

While options A and B might seem like plausible choices, in reality, most courts have held that adoption records are sealed, and only in exceptional cases can the records be released. Option C, Freedom of Information Act, does not apply to adoption records. Option D is the correct answer as a court order for good cause would be required for the release of adoption records. Good cause may include situations where the adoptee is seeking medical information or the biological parent(s) seek to establish contact after a long period of separation.

Question 19

The median number of minutes with the physician (considering all physicians) is

Accepted Answer

The answer of The median number of minutes with the...

Question 20

Organizations collect statistics to increase their knowledge of a specified population. knowledge doesn't come automatically - it is developed in the following sequence:

Accepted Answer

The answer of Organizations collect statistics to increase their knowledge...

Exam 1: Registered Health Information Administrator