Alternate Care H I T Finals (From Quizlet - Example/practice ?'s That May Be Asked?)

Front 1

In the audit cycle, which of the following is completed first? a.) Design audit sheet, incorporating all standards and regulations b.) Analyze, interpret, and present audit results c.) Research regulations and standards d.) Review random sample of records

Back 1

c

Front 2

In the audit cycle, which of the following is completed after the others listed? a.) Review random sample of records to determine whether improvement occurred b.) Analyze, interpret, and present audit results c.) Research regulations and standards d.) Develop audit criteria

Back 2

b

Front 3

A formal, written document summarizing the operational and financial objectives of a business that includes the details of how the objectives are to be attained, including budgets and other financial forecasts is a

Back 3

business plan

Front 4

Which of the following is charged with protecting the integrity of the Medicare and Medicaid programs? a.) Office of Civil Rights (OCR) b.) Internal Revenue Service (IRS) c.) Office of the Inspector General (OIG) d.) Reimbursement Integrity Contractors (RICs)

Back 4

c

Front 5

An agreement that a health care provider or health plan reaches with the OIG as part of a settlement agreement when allegations of improper reimbursement have been made

Back 5

Corporate integrity agreement

Front 6

Clients often include in the consultant's contract a requirement that the consultant maintains

Back 6

professional liability insurance coverage

Front 7

A retrospective review of selected health care records or data documents to evaluate the quality of care, services provided, documentation, or coding compared with predetermined standards is a(n)

Back 7

audit

Front 8

A person who is not a member of the covered entity's workforce, but performs work on behalf of the covered entity that involves the use or disclosure of protected health information is a

Back 8

business associate

Front 9

Good leaders act

Back 9

ethically

Front 10

When a contractor works from home, the term "container" refers to

Back 10

the place in which focused work is performed both physically and mentally

Front 11

Which of the following would NOT be appropriate to include in a consulting contract? a.) Business associate agreement providing for protection of privacy of PHI b.) Provision for payment contingent upon improving facility revenues c.) Hourly rate of payment for services d.) Description of services

Back 11

b

Front 12

Which of the following is NOT a key element of a business plan? a.) Marketing strategies b.) Financial projections c.) Description of business d.) Statement of health insurance coverage

Back 12

d

Front 13

Which of the following is a true statement concerning financial considerations for the independent health information management consultant?

Back 13

In addition to salary, consulting revenue should cover FICA taxes, office space, equipment, supplies, and other business expenses

Front 14

Which of the following is NOT a step in the development of action plans? a.) Determine all steps necessary to attain each goal. b.) Maintain confidentiality of each goal. c.) Assign responsibility for each step. d.) Set deadlines for each goal

Back 14

b

Front 15

Which of the following is likely to result from regulations implementing ARRA and a potential area where HIM consultation is needed? a.) More providers implementing electronic health records b.) Fewer providers accepting Medicare c.) Fewer providers coding with ICD d.) More providers coding with ICD

Back 15

a

Front 16

Which of the following is NOT an area of regulation likely to affect HIM consultants? a.) Federal mandates for ICD coding in the veterinary setting b.) ICD-10-CM/PCS implementation and coding c.) Meaningful use standards under ARRA d.) RAC audits

Back 16

a

Front 17

Which of the following would the HIM consultant be LEAST likely to research in preparing to conduct a documentation audit? a.) Federal and state regulations for the type of facility being audited b.) Accreditation guidelines c.) HIPAA EDI standards d.) Best practices

Back 17

c

Front 18

Which of the following is NOT ordinarily a component of a health care provider's compliance program implemented to guard against fraud and abuse? a.) Internal monitoring and auditing b.) Developing compliance standards and policies c.) Designation of a compliance officer or contact d.) Training and education of the public and patients

Back 18

d

Front 19

Which of the following is NOT of major importance to a successful HIM consulting practice? a.) A large staff of employees b.) Relevant work experience c.) An RHIT or RHIA credential d.) Careful research and planning

Back 19

a

Front 20

Which of the following is recommended when setting up a home office? a.) Maintaining highly polished, shiny countertops and office furniture b.) Sharing one telephone line with family members and a fax machine c.) Multitasking by combining child-care duties with consulting activities d.) Using a fax machine for rapid transmission of printed documents that cannot be emailed

Back 20

d

Front 21

The initial CMS Recovery Audit Contractors (RAC) program identified problems with

Back 21

incorrect coding and a failure to document medical necessity

Front 22

In 2010, the Bureau of Labor & Statistics projected this to be the fastest growing industry in the US

Back 22

consulting

Front 23

A multipurpose machine acts as

Back 23

a printer, fax machine, scanner, and copier

Front 24

True/False: Individuals whom the consultant knows professionally and personally are the best source of referrals

Back 24

True

Front 25

True/False: In preparing for preliminary meetings with potential clients, the consultant should document the time spent on the initial presentation in order to include it in the first bill presented to the client after the contract has been signed

Back 25

False

Front 26

True/False: It is not advisable for a consultant to network with other consultants because of the risk of losing clients to competitors

Back 26

False

Front 27

True/False: Completion of the audit cycle may involve educating those who document in the records and then conducting a follow-up audit to determine improvement

Back 27

True

Front 28

True/False: When a Recovery Audit Contractor (RAC) identifies a pattern of improper payments that indicates possible fraud, the RAC is required to notify the office of the attorney general of the state in which the suspected offense occurred

Back 28

False

Front 29

True/False: The Patient Protection and Affordable Care Act made compliance programs mandatory for health care providers

Back 29

True

Front 30

True/False: Choosing to be an independent consultant is synonymous with starting a new business and being self employed

Back 30

True

Front 31

True/False: Organizations use the online yellow pages to select consultants more than any other method

Back 31

False

Front 32

True/False: There is no need for an independent, self-employed consultant to develop formal documents such as a mission statement or business objectives

Back 32

False

Front 33

True/False: Leadership has been defined as an influence process

Back 33

True

Front 34

True/False: Interpersonal intelligence is the ability to understand other people, what motivates them, how they work, and how to work cooperatively with them

Back 34

True

Front 35

True/False: High hourly charges by consultants mean that self employment will be financially lucrative and provide more personal freedom

Back 35

False

Front 36

True/False: It is common for an independent consultant to experience gaps in workload

Back 36

True

Front 37

True/False: A window makes an excellent backdrop for a computer workstation

Back 37

False

Front 38

True/False: Transmitting protected health information to and from a client across networks by regular email is preferable to faxing

Back 38

False

Front 39

True/False: The HITECH Act has placed additional obligations for privacy and security on business associates and also extends the threat of civil and criminal penalties for violations of privacy and security standards to business associates

Back 39

True

Front 40

The consultant may likely help with research facilitated by SNOMED CT coding in a

Back 40

veterinary teaching hospital

Front 41

The consultant may likely review documentation supporting assignment of present on admission indicators in an

Back 41

acute care hospital

Front 42

The consultant may likely review of percentage of residents with decreased independence in their ability to perform activities of daily living in a

Back 42

nursing facility

Front 43

The consultant may likely select, implement, and manage an electronic health record (EHR) that streamlines the appointment, clinical, and billing processes in a

Back 43

physician practice

Front 44

How long do cancer registries/programs provide follow-up for a cancer patient?

Back 44

Over their lifetime

Front 45

Who established and approves cancer registries/programs?

Back 45

American College of Surgeons Commission on Cancer (ACS - Commission on Cancer)

Front 46

What are the four types of cancer registries?

Back 46

Hospital-Based, Population-Based, Central Registry, Special Purpose

Front 47

What is the primary source used for case finding?

Back 47

Pathology reports

Front 48

What is the name of the permanent log of all cancer cases entered into a database?

Back 48

Accession register

Front 49

How are the cases listed in that permanent log?

Back 49

Sequential (annually)

Front 50

What is the coding system primarily used in the tumor registry?

Back 50

ICD-O-3

Front 51

Name one way that successful follow-up of a cancer patient is defined

Back 51

- documented contact with the patient through his/her physician - re-admission to the hospital - a clinic visit - a response to a follow-up letter by the patient, a relative or friend, or another registry

Front 52

What is the Commission on Cancer's target successful patient follow-up rate?

Back 52

90%

Front 53

Acute rehabilitation programs are generally offered

Back 53

in a hospital

Front 54

These scores provide a reliable and valid method of documenting the severity of disabilities as well as outcomes in rehabilitation

Back 54

FIM

Front 55

True/False: Scores are assigned in 13 motor areas and 5 cognitive areas

Back 55

True

Front 56

Limits or prevents the fulfillment of one or several roles that are regarded as normal (depending on age, sex, social, and cultural factors) for a given individual by definition, this means

Back 56

handicap

Front 57

A device that is designed to replace a missing extremity or partially missing extremity is a

Back 57

prosthesis

Front 58

The prospective payment system for inpatient rehabilitation is based on

Back 58

Case Mix Groups (CMGs)

Front 59

In an inpatient rehabilitation facility, the IRF-PAI differs from the UB-04 in that it requires submission of

Back 59

the etiological diagnosis (what causes the disability)

Front 60

Allows a person who has limited mobility to perform many everyday functions in the home, at work, or school

Back 60

Environmental control units (ECUs)

Front 61

This is any temporary or permanent loss or abnormality of a body structure or function, whether physiological or psychological

Back 61

impairment

Front 62

Which of the following is NOT a factor in determining the case-mix group (CMG)? a.) International Classification of Functioning, Disability, and Health (ICF) codes b.) comorbidities c.) FIM scores d.) age

Back 62

a

Front 63

Devices that provide stability and support for individuals who have trouble walking are

Back 63

ambulation aids

Front 64

External appliances that supplement an extremity's function or improve stability and positioning are

Back 64

orthotic devices

Front 65

Devices that replace missing body parts are

Back 65

prosthetics

Front 66

Wheeled chairs that assist those for whom ambulation is difficult or not possible are

Back 66

mobility devices

Front 67

Computers that control environments and wheelchairs are

Back 67

high-technology assistive devices

Front 68

A restriction or inability to perform an activity in the manner or within the range considered to be normal for a human being is a

Back 68

disability

Front 69

A comprehensive outpatient rehabilitation facility receives reimbursement from Medicare under

Back 69

Part A

Front 70

True/False: The Joint Commission and CARF are the nationally recognized agencies that review care provided in rehabilitation facilities for accreditation purposes

Back 70

True

Front 71

True/False: The Medicare prospective payment system reimburses rehabilitation services under DRGs

Back 71

False

Front 72

True/False: The admission history and physical performed on a rehabilitation patient includes a functional history, which covers the patient's functional status prior to the onset of illness or injury

Back 72

True

Front 73

True/False: The categories that form the basis of the inpatient rehabilitation facility prospective payment system are known as Impairments, Disabilities, and Handicaps (IDHs)

Back 73

False

Front 74

True/False: National databases maintained on spinal cord and traumatic brain injuries facilitate research in rehabilitation and promote uniform treatment, leading to improved functional outcomes

Back 74

True

Front 75

True/False: The Glasgow Coma Scale is associated with the assessment of spinal cord injuries

Back 75

False

Front 76

True/False: The IRF-PAI utilizes the same coding rules as the UB-92

Back 76

False

Front 77

True/False: The FIM instrument for measuring independence has not yet been proven reliable or valid

Back 77

False

Front 78

True/False: The Patient Protection and Affordable Care Act enacted a "National Pilot Program on Payment Bundling" designed to test the feasibility of bundling payments for post-acute care providers (such as rehabilitation providers) with the acute care hospital payment for a given episode of care

Back 78

True

Front 79

True/False: A life-care plan lists the items required over a lifetime for the individual, their cost, and the frequency of replacement and serves as a medical legal document that may guide court decisions regarding a settlement

Back 79

True

Front 80

True/False: The Rancho Los Amigos Scale is beneficial in communicating to other members of the rehabilitation team the level of recovery of a patient with traumatic brain injury

Back 80

True

Front 81

Are devices that provide additional stability and support for an individual who has trouble walking

Back 81

Ambulation aids

Front 82

A dynamic document that details current and future health care needs based on published standards of practice is a

Back 82

life care plan

Front 83

This is the development of a person to the fullest physical, psychological, social, vocational, avocational, and educational potential consistent with his or her physiological or anatomic impairment and environmental limitations

Back 83

Rehabilitation

Front 84

Are therapists who address activities of daily living, upper extremity movement, higher cognitive, and community skills, among other areas of rehabilitation

Back 84

Occupational therapists (OTs)

Front 85

Are therapists who help patients improve their strength, range of motion, balance, and mobility, among other things

Back 85

Physical therapists (PTs)

Front 86

A physical medicine and rehabilitation physician is a

Back 86

physiatrist

Front 87

This approach to rehabilitation teams means that the team members work together in a synergistic fashion to solve specific problems for the patient

Back 87

interdisciplinary approach

Front 88

This is established and operated exclusively for the purpose of providing diagnostic, therapeutic, and restorative services to outpatients for rehabilitation of injured, disabled, or sick persons at a single fixed location by or under the supervision of a physician

Back 88

CARF

Front 89

An inpatient facility that provides acute medical care

Back 89

Acute care hospital

Front 90

A center for rehabilitation that is not physically part of another facility

Back 90

Freestanding rehabilitation center

Front 91

Rehabilitation services provided to patients in their home or by an agency

Back 91

Home health rehabilitation

Front 92

Provide inpatient rehabilitation services for patients with acute illness superimposed on chronic disability or for medically complicated patients

Back 92

Long term acute care hospitals

Front 93

Rehabilitation therapy provided to patients who do not stay overnight

Back 93

Outpatient rehabilitation

Front 94

Inpatient rehabilitation for patients who are progressing too slowly to meet criteria for standard rehabilitation programs

Back 94

Skilled rehabilitation programs

Front 95

Teaches patients activities of daily living, such as dressing, bathing, grooming, etc.

Back 95

Occupational therapist (OTs)

Front 96

Physical medicine/rehabilitation physician specialist who heads the rehabilitation team

Back 96

Physiatrist

Front 97

Assists the newly disabled person and family in adjusting to the disability

Back 97

Psychologist

Front 98

Coordinates funding resources for the patient

Back 98

Social worker

Front 99

Evaluates and treats aphasia, apraxia, dysarthria, etc.

Back 99

Speech-language pathologist