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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