1. HIT FINAL EXAM REVIEW
HI120

2. HIT FINAL EXAM REVIEW
The use of a serial numbering system does not need computer software to track the assignment of patient numbers. T/F

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2. The Health Care Quality Improvement Act of 1986 requires consumers to be provided with informed consent and information about state laws that impact legal choices in making health care decisions. T/F

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3. The Health Care Financing Administration was created to replace the Centers for Medicare and Medicaid Services. T/F

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4. In 1918, just 89 hospitals of 692 surveyed as part of the Hospital Standardization Program met requirements of the Minimum Standard for Hospitals. T/F

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5. The NCRA requires CTRs to submit proof of 30 continuing education hours every two years. T/F

7. HIT FINAL EXAM REVIEW
6. A coding and reimbursement specialist collects cancer data from a variety of sources and reports cancer statistics to government and health care agencies. T/F

8. 7. The American Association of Professional Coders offers the Certified Professional Coder Certification and the Certified Coding Associate Certification.

9. 8. Privacy officers oversee that an organization’s policies and procedures covering the privacy and access of patient health information are in compliance with federal and state laws. T/F

10. 9. Emergency care patients are treated for urgent problems and are admitted to the hospital as inpatients. T/F

11. HIT FINAL EXAM REVIEW
10. A neighborhood health clinic is usually a hospital-based outpatient department.
T/F

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11. In a direct contract model HMO, individual physicians in the community deliver contracted health care services to subscribers.

13. HIT FINAL EXAM REVIEW
12. The Food and Drug Administration provides a system of health surveillance to monitor and prevent the outbreak of diseases. T/F

14. HIT FINAL EXAM REVIEW
13. A patient record serves as a business record for the patient encounter and contains administrative and clinical data.

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14. Demographic data is a type of clinical data that identifies a patient’s medical condition. T/F

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15. A consultation report, history and physical exam, and operative report are all types of administrative data. T/F

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16. Administrative data includes demographic, socioeconomic, and financial information. T/F

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17. Since the early 1980s, the provision of outpatient services has decreased. T/F

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18. The ordering physician is not required to countersign a telephone order documented by a nurse. T/F

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19. Fax signatures are not accepted by facilities. T/F

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20. The legibility of patient record entries impacts patient care. T/F

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21. The JCAHO requires that patient records be completed within 20 days after a patient is discharged. T/F

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22. Most facilities organize the patient record according to reverse chronological date order during inpatient hospitalization. T/F

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23. Incident reports should be filed in the patient record. T/F

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24. Source oriented records consist of a database, problem list, and initial plan.

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25. Medicare Conditions of Participation require hospitals to retain medical records for a period of no less than five years. T/F

27. HIT FINAL EXAM REVIEW
26. Every report in the patient record must contain patient identification data. T/F
27. When a facility closes, it is the responsibility of the closing facility to ensure that records are handled according to federal and state statutes. T/F

28. HIT FINAL EXAM REVIEW
28. A principal procedure is performed for definitive or therapeutic reasons. T/F
29. The Health Care Financing Administration is now called the Centers for Medicare and Medicaid Services.

29. HIT FINAL EXAM REVIEW
30 A consent to admission documents a patient’s consent for all medical treatment including procedures and surgeries to be completed during the current admission. T/F

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31. A discharge progress note can be documented in a patient record instead of a discharge summary if a patient had an uncomplicated hospital stay of less than 48 hours. T/F

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32. The history of the present illness is the patient’s description of his current medical condition in his own words. T/F

32. HIT FINAL EXAM REVIEW
33. Integrated progress notes are documented by physicians, nurses, therapists, and other professionals in the same section of the patient record. T/F

33. HIT FINAL EXAM REVIEW
34. An admission note documented by the attending physician can replace a dictated history and physical examination. T/F

34. HIT FINAL EXAM REVIEW
35. Pre-anesthesia and post-anesthesia progress notes are often documented on a separate form to facilitate documentation by the anesthesiologist. T/F

35. HIT FINAL EXAM REVIEW
36. AOA requirements state that laboratory reports should be placed on the record immediately, and they can be signed or initialed by the person performing the test after being filed in the patient’s record. T/F

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37. EKG reports include a graphic printout of measurements of the electrical activity of the brain. T/F

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38. JCAHO standards require that a provisional diagnosis be documented in the patient record within 48 hours after an autopsy is performed. T/F

38. HIT FINAL EXAM REVIEW
38. Indexes and registers allow health information to be maintained and retrieved for the purpose of education, planning, and research. T/F

39. HIT FINAL EXAM REVIEW
39. An index is an organized system for the collection and dissemination of information on individual persons who have a particular disease. T/F

40. HIT FINAL EXAM REVIEW
40. An automated master patient index consists of a computerized database of identification data about patients who have received health care services from a facility. T/F
A manual master patient index (MPI) is less expensive to purchase compared with an automated MPI. T/F