Under HIPAA's privacy rule, patients and/or their authorized designee(s) have a right to access their health information and may request an amendment to their health information. The portions of the patient's health information to which this pertains is the _____________.
What is "designated record set (DRS)."
100
The statistical model introduced by Walter Shewhart.
What is "Plan, Do, Study, Act (PDSA)."
100
The goal of Meaningful Use is:
What is "better clinical outcomes."
100
A review of documentation to ensure that it is complete, thorough and accurate.
What is "qualitative analysis."
100
Release of information software that has interoperability with which system, makes the logging requests/releases and is more efficient is the _____________.
What is the "Master Patient Index."
200
A health insurance company that reimburses for medical care in all or in part.
What is a "health plan."
200
A service that processes data into a standardized billing format and checks for errors prior to submitting a claim is a ___________________.
What is a "health clearinghouse."
200
Which of the following statements is consistent with Stage 3 of Meaningful Use?
A. The capture and sharing of data by the electronic health record and health information exchanges
B. Improved outcomes through coordination of elements and structures
C. Advanced clinical outcomes through improved measurement and patient-directed exchanges
D. None of these
What is "Improved outcomes through coordination of elements and structures."
200
Information that is available to physicians, nursing staff and ancillary staff and on which diagnostic and treatment decisions are made is characteristic of the:
A. HIPAA-designated record set.
B. health information system.
C. legal health record.
D. all of the above.
What is "All of the above."
200
The legal health record is the same as the _______________.
What is the "Official business record."
300
Which of the following may be included in the designated record set?
A. Any group of records maintained by a covered entity
B. Medical and billing records
C. History and physical reports
D. All of the above
What is "All of the above."
300
What is the driving force in the high cost of healthcare in the United States?
What is "poor health outcomes."
300
The electronic transmission of discharge summaries from an acute care facility to a long-term care facility should be accomplished under which stage of Meaningful Use?
What is "Stage 2."
300
The review and management of the appropriateness of admissions and facility services.
What is "Utilization management."
300
9. The legal health record should:
A. document alternative treatment facilities available to the patient.
B. serve as the designated record set.
C. support unbundled charge revenue.
D. document services provided in response to caregiver decisions.
What is "document services provided in response to caregiver decisions."
400
Mary Jones’ health records may be released to which party under the HIPAA designated record set regulation? Mary’s primary care physician is Dr. Smith, and her insurance plan is Medicare.
A. Dr. Smith
B. Her husband
C. Medical Mutual insurance plan
D. Publisher’s clearinghouse
Who is Dr. Smith.
400
The use of which technology increases the accuracy of record location and identifies the patient record within the Master Patient Index?
What is "Bar coding."
400
Patient access to tools and alert systems that may help them monitor and assess their own health should be accomplished under which stage of Meaningful Use?
What is "Stage 3."
400
The work plan for QIOs, which changes every three years, is intended to improve the efficiency, effectiveness, economy and quality of services provided to Medicare and Medicaid patients.
What is "Scope of work (SOW)."
400
Incomplete records long after the patient is discharged can cast legal doubt on the ________________.
What is the "validity of the documentation."
500
It is necessary to define the designated record set because ________________.
What is "there are other records maintained by a provider or hospital that contain identifiable patient information to which the patient does not have access and cannot request an amendment."
500
Patients can obtain personal health information from their health record by request and by download from a secure server through the use of what technology, a requirement of Meaningful Use?
What is a "Patient portal."
500
The movement to ACOs and their focus on patient quality and outcome measurements parallel with this initiative.
What is "Meaningful Use."
500
Organizations that perform monitoring of necessity of services, quality of services, coding of diagnoses and procedures, and adequacy of prospective payments for Medicare and Medicaid patients.
What are "Quality Improvement Organizations (QIOs)."
500
Kathy is utilizing a computer-based application to assign CPT codes to outpatient cases in which she answers a series of prompts based on the documentation available in the record. This system is called a(n) ________________.