HIT-1 Chapter 3 Test Questions

Which of the following best describes the most important function of the health record?

Who are the primary users of the health record?

Which of the following elements is typically found in the paper health record?

Which of the following is an example of information?

How many linear filling inches can a shelving unit hold based on the following data? Shelving unit shelf width=36 inches Number of shelves per unit=9 shelves Average record thickness-1/2 inch

Which of the following assists in locating misfiles in the paper-based filling systems?

Which one of the following are included in a list of institutional users of the health record?

The services provided by HIM departments in acute care hospitals usually include all the following except: A.) Medical transcription B.) Medical billing C.) Clinical coding D.) Release of information

The patient registration department assists the HIM department in what way?

Which of the following is an example of virtual HIM?

Which of the following HIM tasks is eliminated by the electronic health record system?

The master patient index _____________________. A.) Contains diagnosis and procedure information B.) Contains basic demographic information about the patient C.) Is used to organize the documentation D.) Is used for alphabet filling systems

Consider the following sequence of numbers. What filling system is being used if these numbers represent the health record numbers of three records filed together within the filling system? 36-45-99 37-45-99 38-45-99 A.) Straight numerical B.) Terminal digit C.) Middle digit D.) Unit

The annual volume statistic for general hospital are noted below. How many shelving units will be required to store this year's inpatient discharge records? Average inpatient discharges=12,000 Average inpatient record thickness=3/4 inch Shelving units shelf width=36 inches Number of shelves per unit=6 A.) 41 B.) 41.67 C.) 42 D.) 74

Reviewing the health record for missing signatures, missing medical reports, and ensuring that all documents belong in the health record is an example of what type of analysis? A.) Quantitative B.) Qualitative C.) Statistical D.) Outcomes

The coding of clinical diagnoses and healthcare procedures and services after the patient is discharged is what type of review? A.) Proactive B.) Prospective C.) Concurrent D.) Retrospective

The release of information function requires the HIM professionals to: A.) Follow clinical coding rules B.) Abstract data into another system C.) Disclose patient identifiable information to a third party D.) Audit the healthcare claim

Which system is the best suited for a small healthcare facility such as a one-physician practice?

In which of the following system does an individual receive a unique numerical identifier at the time of first encounter with a healthcare facility and maintain that identifier for all subsequent encounters?

A record not completed within the time frame specified in the medical staff rules and regulations is called a ______________. A.) Suspended record B.) Incomplete record C.) Delinquent record D.) Purged record

Which of the following should be taken into consideration when designing a health record form?

Which of the following statements describes alphabetical fillings?

Which of the following lists of names is in correct order alphabetical filling? A.) Smith, Carl J. Smith, Mary A. Smith, Paul M. Smith, Thomas B.) Carl J. Smith, Mary A. Smith, Thomas Smith, Paul M. Smith C.) Smith, A. Mary Smith, J. Carl Smith, M. Paul Smith, Thomas D.) Smith, Thomas Smith, Carl J. Smith, Mary A. Smith, Paul M.

Which of the following is a micro-graphic method of storing health records in which each document page is placed sequentially on a long strip? A.) Document image B.) Microfilm roll C.) Microfilm jacket D.) Microfiche

Which of the following tools is usually used to track paper-based health records that have been removed from their permanent storage locations? A.) Deficiency slips B.) Master patient index C.) Outguides D.) Requisition slips

Which of the following filling methods is considered the most efficient? A.) Alphabetical filling B.) Alphanumeric Filling C.) Straight numeric filling D.) Terminal digit filling

Which of the following indexes is key to locating a health record? A.) Disease index B.) Master patient index C.) Operation index D.) Physician index

Which one of the following is in terminal digit order? A.) 12-56-46, 13-58-39, 14-45-87, 15-85-22 B.) 12-56-36, 13-58-39, 14-75-87, 15-85-98 C.) 04-43-21, 55-32-07, 03-65-32, 19-54-02 D.) 33-56-45, 14-62-22, 17-77-01, 28-82-30

An addendum to the health record should be dated _________. A.) The day that the error was identified. B.) The day the care provided occurred. C.) The day the addendum was created. D.) The day patient was discharged.

Why should the copy and paste function should not be used in the electronic health record?

What committee over see the development and approval of new form for health records?

What is the software that is used for voice recognition known as? A.) Data mining B.) Voice mail C.) Electronic health record D.) Natural language processing

How can the healthcare facility determine which physician has the best patient outcome? A.) Qualitative analysis B.) Data mining C.) Quantitative analysis D.) Version control

Critique the statement: Version control is not an issue in the EHR. A.) This is a true statement. B.) There are issues related to versions of documents, such as there must be a flag to indicate a previous version. C.) There are issues related to versions of documents, such as each versions should be visual to all users. D.) There are issues related to versions of documents which include the need to delete the old version when a new one is added.

Dr. Smith wants to use a lot of free text in his EHR. What should your response be? A.) Good idea, Dr. Smith. This allows you to customize the documentation for each patient. B.) Dr. Smith, we recommended that you do not use any free text in the EHR. C.) Dr. Smith, we recommend that you should use free text only in your more complex cases. D.) Dr. Smith, we recommend that you use little, if any, free text in the EHR.

Which of the following is a secondary purpose of the health record? A.) Support for provider reimbursement B.) Support for patient self-mannagement activities C.) Support for research D.) Support for patient care delivery

Which of the following is a disadvantage of alphabetic filling? A.) Easy to train new personal to file B.) Uneven expansion in file shelves or cabinets C.) Ease of creation D.) No reliance on an index or authority file

Which of the terms below represents fixed rules that must be followed? A.) Standard B.) Guidelines C.) Forms control program D.) Policy

Which of the following is a request from a clinical area to change out a health record? A.) Outguide folder B.) Requisition C.) MPI D.) Patient registry

What would be the linear filling inch capacity for a shelving unit with 6 shelves, each measuring 36 inches? A.) 42 inches B.) 3,600 inches C.) 252 inches D.) 216 inches

A quantitative review of the health record for missing reports and signatures that occur when the patient is in the hospital is referred to as __________________review. A.) Prospective B.) Retrospective C.) Concurrent D.) Peer

A health record with deficiencies that is not complete within the time frame specified in the medical staff rules and regulations is called a(an)________________record. A.) Suspended B.) Delinquent C.) Pending D.) Illegal

In which department or unit does the health record typically begin? A.) HIM department B.) Patient registration C.) Nursing unit D.) Billing department

The term used for health record moved to an inactive file area because they have been at the healthcare facility for a predefined period of time is: A.) Inactivated B.) Purged C.) Cleaning D.) Removal

Our transcription is performed by a company outside of our organization. What is this called? A.) Analyzing B.) Dictating C.) Consulting D.) Outsourcing

Calculate the number of shelving units required for 35,000 linear filling inches of records if the shelving unit has 7 shelves and is 36 inches wide. A.) 138 B.) 139 C.) 162 D.) 163

Which of the following is an argument against the use of the copy and paste function in the EHR? A.) inability to identify the author B.) Inability to print the data out C.) The time that it takes to copy/paste the document D.) The users will not know how to perform the copy/paste function