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Accreditation
HIPAA
Miscellaneous
Documentation
Key Terms
100
Accreditation is mandatory.
What is true.
100
The Health Insurance Portability and Accountability Act of 1996 is most commonly known as _________.
What is "the privacy rule."
100
What is the purpose of the HITECH Act?
What is "to increase the use of EHRs by hospitals and physicians and provide funding for the purchase of EHR software."
100
The _________ is ultimately responsible for the care of the patient while he/she is hospitalized.
Who is the "attending physician."
100
A physician whose specialty is dealing with the analysis of a tissue sample to establish a diagnosis.
Who is a "Pathologist."
200
All of the following are TRUE about accrediting bodies EXCEPT: A. They are voluntary standards. B. They apply to organizations rather than individuals. C. They had to meet goals to qualify for their special status. D. They are often more stringent than mandatory regulations and requirements.
What is "They had to meet goals to qualify for their special status."
200
Any healthcare provider or contractor that transmits in electronic form any individually identifiable health information is __________.
What is a "covered entity."
200
_________ enforces compliance with the privacy, security and breach notification HIPAA rules.
What is "The Office for Civil Rights (OCR)."
200
A physician employed by a hospital responsible for admitting patients, following and assessing patients as needed and writing orders as necessary.
Who is a "Hospitalist."
200
An examination performed after death to examine organs and tissue in order to determine the cause of death.
What is an "autopsy."
300
A healthcare facility that has been granted approval based on a set of voluntary standards is known as: A. Licensed B. Accepted C. Accredited D. Approved
What is "Accredited."
300
An organization or entity that processes data into a standardized billing format and checks for inconsistencies or other errors in the claims data.
What is a "clearinghouse."
300
The terminology "patient access department" is commonly used to describe _________.
What is "registration."
300
The symptoms of circumstances leading the patient to seek medical intervention.
What is "History of present illness (HPI)."
300
The "recovery room" is also known as _______.
What is "PACU."
400
The set of federal regulations with which the facility must comply is _______. A. CRF B. CFR C. COP D. CoP
What is "CoP."
400
Written notification which must be signed by the patient/legal representative, that communicates how PHI is used, disclosures made without the need for authorization, the patient's rights regarding PHI, the persons to whom PHI may be released and the covered entity's legal duties with respect to that information.
What is "Notice of Privacy Practices (NPP)."
400
Medical equipment meant be be used for long periods, such as hospital beds, hearing aids, orthotics and prostheses.
What is "Durable medical equipment (DME)."
400
A system-by-system set of questions asked of a patient regarding symptoms he/she may be experiencing.
What is "Review of systems (ROS)."
400
The tracing of the electrical changes in the heart.
What is an "EKG or ECG."
500
In the event that CoP and state licensure regulations are contradictory, which one would be followed?
What is the more stringent of the two.
500
The HIPAA rule that protects PHI through standard procedures and methods of storage, access and transmission, as well as through auditing for security breaches.
What is the "Security Rule."
500
A document listing a patient's wishes should he/she be unable to make decisions for him/herself, or the naming of an individual who is authorized to do so.
What is an "Advance directive."
500
When patients present to a hospital or other healthcare facility on their own, they are giving _________ _________ by the very act of presenting and requesting care.
What is "Informed consent."
500
A newborn assessment done at one minute and five minutes after birth to assess the newborn's respiratory functions, heart rate, muscle tone, reflexes and skin color.
What is "Apgar score."