Chapter One
HIM has been recognized as a profession since:
1928
Which healthcare provider utilizes ultrasound, computed tomography, or MRIs?
Radiologic technologist
Reviewing the health record for missing signatures and missing medical reports is called:
Analysis
General documentation guidelines apply to:
All categories of healthcare records
RHIT
Registered Health Information Technician
The HIM profession is changing due to:
Changes in technology
Which healthcare professional assists physicians in clinical assessments and patient education?
Physician assistant
Two patient's records were filed together by mistake. This is an example of:
Overlay
This type of report describes the surgical procedures performed on the patient
Operative report
RHIA
Registered Health Information Administrator
The organization that accredits HIM education programs is:
CAHIIM
Until the World War II, where was most healthcare provided?
Home
The process of disclosing patient-identifiable information from the health record to another party is called:
Release of Information
_____ means that treatment is provided on an outpatient basis
Ambulatory
IDS
Integrated Delivery System
The new model of HIM practice is:
Information focused
Which law created the HITECH Act?
American Recovery and Reinvestment Act
Which department does the HIM department interact with to perform audits and monitor outcomes?
Quality improvement
Written or spoken permission to proceed with care is classified as:
Expressed consent
HITECH
Health Information Technology and Education Clinical Health Act
The hospital standardization movement was inaugurated by the:
American College of Surgeons
Dr. Smith has been granted permission by Community hospital to perform cardiac catheterizations. This permission is called:
Clinical privileges
What type of speech recognition is used when the physician edits the document?
Front-end
What report provides information on tissue removed during a procedure?
Pathology report
ROI
Release Of Information