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42 Cards in this Set

  • Front
  • Back
Question 1 With which of the following groups at Baylor University Hospital did the concept of prepaid health insurance originate?
Teachers ---->Score: 2 out of 2 <-------Question 1 Comments: Correct answer.
Question 2 Which of the following is NOT a method used by health maintenance organizations (HMOs) to control costs?
limited access to health information ---->Score: 2 out of 2 <-------Question 2 Comments: Correct answer.
Question 3 Which of the following is NOT a credential of the American Health Information Management Association (AHIMA)?
CPC ---->Score: 2 out of 2 <------- Question 3 Comments: Correct answer. RHIA, CCA and CCS-P are all AHIMA credentials. CPC is not.
Question 6 Which of the following is a first step toward assuring quality services for members within a group plan?
Collect the data and information ---->Score: 2 out of 2 <------- Question 6 Comments: Correct answer.
Question 7 True or false? Health Information Management employees are examples of allied health professionals.
True ---->Score: 2 out of 2 <-------Question 7 Comments: Correct answer.
Question 8 True or false? The goal of re-engineering within a hospital is to focus on processes rather than departments.
True ---->Score: 2 out of 2 <-------Question 8 Comments: Correct answer.
Question 9 True or false? The Human Resources Department is an example of Administrative Support Services.
True ---->Score: 2 out of 2 <-------Question 9 Comments: Correct answer.
Question 11 Managed care efforts can include all EXCEPT which of the following?
Bylaw reviews ---->Score: 2 out of 2 <-------Question 11 Comments: Correct answer. Managed care efforts can include all EXCEPT bylaw reviews.
Question 12 Which of these provides services to terminally ill patients, often in their own homes?
Home Health Care ---->Score: 0 out of 2 <-------Question 12 Comments: Incorrect. Hospice care provides services mainly in the home to terminally ill patients.
Question 15 True or false? Louis Pasteur discovered that living organisms, called bacteria, cause infectious disease.
True ---->Score: 2 out of 2 <-------Question 15 Comments: Correct answer.
Question 16 True or false? The goal of Patient-focused Care is to contain costs and reduce staff needed to care for the patient.
False ---->Score: 2 out of 2 <-------Question 16 Comments: Correct answer.
Question 18 True or false? Health information management (or health record) services is part of a hospital's administrative support services.
False ---->Score: 2 out of 2 <-------Question 18 Comments: Correct answer. It is part of clinical support services.
Question 19 True or false? Public health centers are primarily concerned with the health of entire communities and population groups.
True ---->Score: 2 out of 2 <------- Question 19 Comments: Correct answer.
Question 21 Which of the following best describes HEDIS?
A health information database ---->---->Score: 2 out of 2 <-------<-------Question 21 Comments: Correct answer. HEDIS is a health information database.
Question 22 True or false? Commercial insurance companies are subject to supervision by state insurance commissioners.
True ---->Score: 2 out of 2 <------- Question 22 Comments: Correct answer.
Question 25 True or false? Standardization of uniform data sets is crucial to integration of provider information within any health system.
True ---->Score: 2 out of 2 <------- Question 25 Comments: Correct answer.
Question 26 True or false? The American Hospital Association (AHA) is the professional membership organization for managers of health record services and healthcare information.
False ---->Score: 2 out of 2 <------- Question 26 Comments: Correct answer.
Question 27 True or false? The increase in the number of day treatment programs is a response to rising pressure to decrease the length of hospital stays for behavioral health patients.
True ---->Score: 2 out of 2 <------- Question 27 Comments: Correct answer.
Question 29 Which of these is the name for the largest clinical department of a hospital?
Patient Care Services ---->Score: 2 out of 2 <-------Question 29 Comments: Correct answer. Patient Care Services is the largest clinical department of any hospital.
Question 32 True or false? The ICD-9-CM Official Guidelines for Coding and Reporting from HHS are a HIPAA medical code set.
True ---->Score: 2 out of 2 <------- Question 32 Comments: Correct answer.
Question 33 Which of the following is NOT a characteristic of a hospital?
Have registered nurses provide all patient care services ---->Score: 2 out of 2 <------- Question 33 Comments: Correct answer. It is not a characteristic of hospitals to have registered nurses provide all patient care services.
Question 34 True or false? Medicare Part B is optional coverage financed by monthly premiums paid by eligible individuals as well as with federal revenues.
True ---->Score: 2 out of 2 <------- Question 34 Comments: Correct answer.
Question 35 Select the first health insurance company.
Blue Cross ---->Score: 2 out of 2 <-------Question 35 Comments: Correct answer. Blue Cross was the first health insurance company.
Question 36 Which of the following is a facility which generally provides long-term care services to patients recuperating from debilitating or chronic illnesses and injuries?
Rehabilitation hospital ---->Score: 2 out of 2 <------- Question 36 Comments: Correct answer. A rehabilitation hospital generally provides long-term care services to patients recuperating from debilitating or chronic illnesses and injuries.
Question 37 Major medical insurance plans are directed primarily at which of the following?
major catastrophic illness ---->Score: 2 out of 2 <------- Question 37 Comments: Correct answer.
Question 38 True or false? Medicare Part B pays primarily for physicians' services, outpatient hospital care, and services and supplies prescribed by attending physicians.
True ---->Score: 2 out of 2 <------- Question 38 Comments: Correct answer.
Question 39 Which of the following is NOT one of the drawbacks of individually-purchased healthcare insurance?
Limited physician access ---->Score: 2 out of 2 <------- Question 39 Comments: Correct answer, this is not a drawback.
Question 40 True or false? There is emerging evidence that the quality of care provided under managed care systems may differ across population groups.
True ---->Score: 2 out of 2 <------- Question 40 Comments: Correct answer.
Question 41 True or false? New living environments that are more homelike and less institutional are called skilled group homes.
False ---->Score: 2 out of 2 <------- Question 41 Comments: Correct answer.
Question 42 Which of the following professions is NOT part of clinical support services?
Health Information Managers ---->Score: 0 out of 2 <-------Question 42 Comments: Incorrect answer. Nurses are not considered part of clinical support services.
Question 43 True or false? The federal government offers three health programs (TRICARE, Medicare and Medicaid) to address the needs of military personnel and their dependents as well as native Americans.
False ---->Score: 2 out of 2 <------- Question 43 Comments: Correct answer.
Question 45 True or false? Mission statements are generally short, clear statements of the purpose of an organization.
True ---->Score: 2 out of 2 <------- Question 45 Comments: Correct answer.
Question 47 True or false? Utilization review is the process of determining whether the medical care provided a specific patient is necessary, using pre-established objective screening criteria at time frames specified.
True ---->Score: 2 out of 2 <------- Question 47 Comments: Correct answer.
Question 48 True or false? Coding Clinic is published by the American Hospital Association (AHA).
True ---->Score: 2 out of 2 <-------Question 48 Comments: Correct answer.
Question 49 True or false? Nurses today perform patient assessments and evaluate the effectiveness of interventions.
True ---->Score: 2 out of 2 <------- Question 49 Comments: Correct answer.
Question 53 What is the name of the federal health insurance program for the aged?
Medicare ---->Score: 2 out of 2 <-------Question 53 Comments: Correct answer.
Question 55 Pick the type of healthcare that is rendered in a non-acute care facility to a patient who requires inpatient nursing and related services for more than 30 consecutive days.
long-term care ---->Score: 2 out of 2 <------- Question 55 Comments: Correct answer.
Question 56 True or false? The AHIMA certification for coding specialists in a physician office setting is the CCS-P.
True ---->Score: 2 out of 2 <------- Question 56 Comments: Correct answer.
Question 57 True or false? A group model HMO has an exclusive contract with one multispecialty medical group that provides all physician services.
True ---->Score: 2 out of 2 <------- Question 57 Comments: Correct answer.
Question 58 Which of these is the fastest growing sector of Medicare services today?
Home health care ---->Score: 2 out of 2 <-------Question 58 Comments: Correct answer. The fastest growing sector of Medicare services today is home health care.
Question 59 For quality of care to be achieved, all of the following must be present except one. Which one is not required?
The physician is satisfied ---->Score: 2 out of 2 <-------Question 59 Comments: Correct answer. Quality of care is achieved when appropriate care is given, care is given in the right manner and the patient is satisfied. It is not required that the physician be satisfied.
Question 60 Which of the following decribes the current mission of the American Hospital Association (AHA)?
To advance the health of individuals and communities ---->Score: 2 out of 2 <-------Question 60 Comments: Correct answer. The current mission of the AHA is to advance the health of individuals and communities.