CHAPTER 01-INTRODUCTION TO HEALTH INFORMATION …



 

Multiple Choice Questions

 

1. Healthcare cost is rising due to 

A. the quality of healthcare

B. an aging population

C. new treatments

D. all of these are correct

 

2. One way to lower the cost of healthcare is 

A. to hire more healthcare professionals

B. to increase the use of technology

C. to become an eco-friendly medical practice

D. by efficient use of office equipment

 

 

 

3. Why is monitoring claim status necessary? 

A. reduce duplication of payment

B. reduce cost

C. ensure prompt payment of claims

D. all of these are correct

 

 

4. Which of these are computerized records of one physician's encounters with a patient over time? 

A. electronic medical records (EMRs)

B. electronic health records (EHRs)

C. personal health records (PHRs)

D. documentation records

 

5. Which of these types of information would NOT likely be included in a personal health record (PHR)? 

A. current medications and dosages

B. immunization records

C. all of these are correct

D. family medical history

 

 

 

6. Which records offer a broad focus on a patient's total health experience over the lifespan, rather than the documentation of episodes of illness or injury? 

A. electronic medical records (EMRs)

B. electronic health records (EHRs)

C. personal health records (PHRs)

D. none are correct

 

7. The use of computers and handheld devices to transmit prescriptions to pharmacies in digital format is called 

A. electronic prescribing

B. autoposting

C. results reporting

D. decision support

 

8. EHRs are most frequently praised for providing 

A. increased patient safety

B. greater efficiency

C. improved quality of care

D. all are correct

 

9. How can EHRs increase patient safety? 

A. by eliminating medication and physician order errors due to illegible handwriting

B. by allowing patients to choose their own medications

C. by not allowing physicians access to educational tutorials

D. by altering the type of medication given to patients

 

10. Alerting physicians when medication deemed unsafe has been pulled from the market is an example of which advantage of EHRs? 

A. safety

B. quality

C. efficiency

D. quantity

 

11. What term refers to medical care that uses the latest and most accurate clinical research in making decisions about the care of patients? 

A. procedure-based medicine

B. evidence-based medicine

C. diagnosis-based medicine

D. electronic-based medicine

 

12. Reminding patients about preventive care screenings is an example of which advantage of EHRs? 

A. safety

B. quality

C. efficiency

D. quantity

 

 

 13. Every time a patient is treated by a healthcare provider, a record is made of the encounter. This record is known as 

A. documentation

B. a file

C. coding

D. assignment

 

14. The ten-step cycle that results in the timely payment for patients' medical services is the 

A. reimbursement cycle

B. medical documentation and billing cycle

C. office cycle

D. referral cycle

 

15. Which of the following information should be collected from new patients during preregistration? 

A. the patient's name

B. the patient's contact information

C. the patient's reason for the visit

D. all are correct

 

16. Copayments are routinely collected during 

A. checkout

B. adjudication

C. check-in or checkout

D. check-in

 

 

 

17. What does the signature on the Patient Information Form indicate? 

A. legal document

B. for verification

C. patient accepts responsibility for payment of charges not paid by health plan

D. it is an application

 

18. The process of translating a description of a diagnosis or procedure into a standardized code is known as 

A. autoposting

B. workflow management

C. coding

D. none are correct

 

19. The patient information form contains 

A. personal information

B. employment information

C. medical insurance information

D. all are correct

 

20. During check-in, it is also common practice to photocopy the patient's insurance identification card and a 

A. photo ID

B. debit card

C. birth certificate

D. social security card

 

21. Which information is contained in office visit documentation? 

A. the diagnosis and procedures

B. referral

C. the costs

D. follow-up appointment

 

22. Which of the following refers to diagnosis codes? 

A. ICD

B. CPT

C. HCFA

D. EOB

 

23. Which of the following refers to procedure codes? 

A. ICD

B. CPT

C. HCFA

D. EOB

 

24. An encounter form is also known as a 

A. superbill

B. remittance advice

C. patient information form

D. schedule of benefits

 

25. Who might assign diagnosis and procedure codes in a medical practice? 

A. the physician

B. the medical coder

C. the medical insurance specialist

D. all are correct

 

26. Which information does a health plan need to pay a claim? 

A. procedures the provider performed while the patient was in the office

B. the date of the office visit

C. the location of the office visit

D. all are correct

 

27. What is a series of steps designed to determine whether a claim should be paid? 

A. adjudication

B. claim processing

C. claim transmittal

D. compliance

 

28. The remittance advice provides details about each patient transaction, including 

A. the date of service

B. the services provided

C. the patient identification number

D. all are correct

 

29. A company that receives electronic claims and forwards the claim to the payer is known as 

A. a clearinghouse

B. a superbill

C. a laboratory

D. a day sheet

 

 30. HIPAA was designed to 

A. ensure the security and privacy of health information

B. provide insurance coverage for providers

C. increase hospital testing ability

D. encourage employees to stay in their jobs to retain insurance coverage

 

 

 

31. The National Provider Identifier (NPI) is a ten-position identifier consisting of 

A. all numbers

B. all letters

C. nine numbers and one letter

D. nine letters and one number

 

 

 

32. Many medical offices assign _____ to individuals who have access to computer data as a security measure. 

A. private offices

B. passwords

C. floor plans of the office

D. identification numbers

 

 

33. What government regulation is intended to promote the use of EHRs in physician practices and hospitals through the use of financial incentives? 

A. the HITECH Act

B. health information technology (HIT)

C. HIPAA Security Rule

D. HIPAA Privacy Rule

 

 

 

 

 

34. Which of the following do the letters HMO stand for? 

A. Health Maintenance Organization

B. Health Materials Owner

C. Health Maintenance Operations

D. Health Malpractice Organization

35. Payments made to the health plan by the policyholder for insurance coverage are called: 

A. Copayments

B. Coinsurance

C. Premiums

D. Deductible

36. What happens to a claim if it contains an error? 

A. it may be denied

B. it may be delayed

C. it may be rejected

D. all of these are correct

37. Which of the following would be considered a clean claim? 

A. a claim that has the correct information for the patient and the encounter

B. a claim that has the patient's information correct but a wrong diagnosis code

C. a claim that has some incorrect patient information but accurate information about the encounter

D. all of these are correct

38. How many data elements are represented by the CMS-1500? 

A. 33

B. 150

C. 244

D. 1,054

 

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